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Let’s talk SIMPLE first aid safety DON’T PICK AT THAT SCAB or is it Dermatillomania?

It can begin at almost any age. Skin picking disorder often develops in one of two ways: After some kind of rash, skin infection, or small injury. You may pick at the scabor rash, which causes more injury to the skin and keeps the wound from healing.

Why do some people do it! There are histamines in scabs that irritate the skin around the wound. Some doctors think this is the body’s way of getting rid of the scab which is no longer needed. When it itches, you scratch it and it is comes off. There is a flaw in this theory, because sometimes the scab itches before the wound is healed.

· Nearly everyone picks his or her skin from time to time to free an ingrown hair, trim a hangnail or cuticle, or to “take care” of a pimple or other skin blemish. It’s pretty normal, right? There are a variety of ways in which assessment of skin picking occurs. Self-assessment might occur by the person doing the skin picking when an individual realizes that he or she is causing scabs, scars, and/or infections. A person with Dermatillomania may also be aware that he or she is avoiding social situations, including work, school, and/or social functions such as weddings and parties. After all, those who have picked to the point of bleeding and scabbing may be too embarrassed to be seen by others who might judge them or ask questions about their skin.

Let talk about the first aid why you don’t long before the scary stuff ( now don’t loose your lunch before get to the possible root cause)

The thin, yellow piece of scab peels away from the skin easily, catching slightly around the outline of the wound.

Unhealed wet skin is revealed beneath and he holds the green flap of scab tissue, which is still intact,

In worst cases, this could lead bacteria-causing gangrene to get into the cut, and the person might eventually risk amputation.

Bacteria could also get into the bloodstream and travel around the body to other organs like the liver, heart or brain.

Scabs form in order to stop a cut from bleeding and to prevent harmful bacteria from getting into the body. 

One signal brings immune cells – white blood cells which travel around in the blood waiting for an attack – to the area to fight off any bacteria trying to get in through the cut.

Some, called macrophages, can ‘bite’ holes in bacteria to kill them, while others ‘eat’ them and digest them with acids.

Others, called B-Cells, make proteins called antibodies which surround the bacteria with helper cells and summon ‘killer’ cells to destroy them.

The other signal the body sends out when a person gets cut, is for blood cells called platelets to rise from the bloodstream to the cut.

The platelets stick together and react with clotting factor proteins to build a clot.

The clot is made from fibrin, a stringy protein that stretches across the wound, pulling the edges together and plugs the gap between them.

‘A scab one level acts as protection against external agents and infection.

‘Producing a scab is nature’s way of creating a protective environment.

‘Underneath, wound healing is taking place. Wound healing takes time.

‘If you take a scab off too quickly, there’s an increased risk of secondary infection.

‘Worst case scenario is gangrene, it’s unlikely. Someone with an impaired immune system or diabetes is at an increased risk of gangrene.

‘Most people are at risk of staphylococcus, a common bacteria, which causes infection.

‘Bacteria gets into the wound and causes localised infection.

‘Underneath, wound healing is taking place. Wound healing takes time.

‘If you take a scab off too quickly, there’s an increased risk of secondary infection.

‘Worst case scenario is gangrene, it’s unlikely. But someone with an impaired immune system or diabetes is at an increased risk of gangrene.

‘Most people are at risk of staphylococcus, a common bacteria, which causes infection.’

Bacteria can into the wound and cause a localised infection, he warned.

Skin Picking Disorder (Dermatillomania) – Symptoms and Treatment. The primary characteristic of Skin Picking Disorder (also known as Dermatillomania or Excoriation) is the repetitive picking at one’s own skin to the extent of causing damage. Usually, but not always, the face is the primary location for skin picking.

This tends to disrupt the process of the skin cells coming together to form a smooth new layer of skin. It can lead to bleeding and delayed healing and it definitely increases the risk that you will have a larger scar. In the future, it is better not to pick off the scab.

During a time of stress. You may absently pick at a scab or the skin around your nails and find that the repetitive action helps to relieve stress. It then becomes a habit.

Skin picking disorder is considered a type of repetitive “self-grooming” behavior called “Body-Focused Repetitive Behavior”(BFRB). Other types of BFRBs include pulling or picking of the hair or nails that damages the body.

It is also sometimes classified as a type of obsessive compulsive disorderbecause of the compulsive urge to perform repetitive behaviors.

In fact, there are people who suffer from a disorder known as dermatillomania, a condition that falls under the category of what are known as body-focused repetitive behavior disorders (RBDs).

What Causes Dermatillomania?

What we do know is that people who engage in this behavior all do it because it soothes them in some way. People who have RBDs do them to decrease their stress or anxiety, to relieve boredom, or to try to make their appearance adhere to some sort of image of perfection they don’t feel they’re meeting.

The disorder has psychological and social consequences, as well. People with dermatillomania – some of whom have the condition in an attempt to improve their appearance – are forced to wear clothing, bandages, or makeup to cover up the visible signs of their disorder. Many even isolate themselves in an attempt to hide both the condition and their shame about it. There is also a higher incidence of suicidal ideation, suicide attempts, and psychiatric hospitalization in people with dermatillomania.

Dermatillomania is treatable through the use of cognitive behavioral therapy that emphasizes habit-reversal training and exposure and ritual prevention. Often people with this condition will also be prescribed certain psychotropic drugs to help them as they learn to reduce their fixation with their skin or appearance. Others learn to “replace” the ritual of picking with things such as bubble wrap, writing, or similar methodical hand movements that simulates the sensation of picking something.

Treatment is not without difficulties, however. First, many people who have this condition are too ashamed to admit it to their healthcare providers. Second, unlike an alcoholic whose addictive behavior is triggered in the presence of a drink, dermatillomania sufferers cannot avoid the object of their destructive behavior because they live in their skin.

Warning Signs

 If you believe you or someone you care about is living with dermatillomania, look for these signs and symptoms of the conditions:

–      Having persistent open sores, scabs, or swollen areas on face, arms, legs, or other body area

–      Spending excessive periods of time picking at the skin (more than five to 10 minutes per session, or more than 1-2 sessions per day)

–      Using skin picking to relieve stress or boredom

–      Using skin picking to intentionally harm yourself or to gain attention from others

–      Experiencing extreme anxiety if unable to do check the skin or pick at it

–      Having areas of scarred or heavily calloused skin

–      Inflicting damage to the skin that requires medical intervention such as stiches or grafts

–      Expressing a belief that the skin is holding contaminants or “toxins” that must be removed through picking

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