Abstract
MacKee and Senear and I have recently called attention to a group of self-inflicted eruptions, under the title Neurotic Excoriations. In their slight degrees they are familiar, but the more extreme forms of the condition, while their character is doubtless recognized, have not hitherto been reported in this country. The subject has been described carefully by English authors, notably by Erasmus Wilson, Tilbury Fox, and Adamson. I believe the cases are so frequent that the subject should be impressed on our minds. The clinical pictures differ from the ordinary feigned eruptions, and the conditions differ essentially from feigned eruptions in the mental states of the patients. In a feigned eruption the patient is secretive and tries to cover up the fact that the eruption is self-produced. In neurotic excoriations the patient has a strong impulse to produce damage to the skin and, while he may not suggest the part that
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