Diagnostics in Psychodermatology

Musalek, M.; Hobl, B.; Mossbacher, Ulrike

doi:10.1159/000049654

Cited by 12 publications

(3 citation statements)

References 6 publications

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“…The treatment is one of the most complex in dermatology, since it is the psychiatric pathology of the sick person, which must be cured; so it must be a joint work of both specialties. According to Consoli, treatment is based on three fundamental pillars: 1) restructuring the patient's personality; 2) psychiatric pharmacological treatment and 3) medical treatment of skin lesions (7).…”

Section: Introductionmentioning

confidence: 99%

Factitious Dermatitis Apropos of a Case

2023

JPTCP

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Factitious Dermatitis is a dermatosis with a psychiatric link, with a greater predisposition in the female sex, it constitutes a challenge for the Dermatologist due to the Polymorphism of the lesions where the patient denies the responsibility he has in self-inflicting the lesions, the diagnosis is practically by exclusion and due to the association with the history of presenting a psychiatric or psychological affectation, to improve the patient's condition it is necessary to intervene in the treatment both for the skin lesions and for the underlying pathology of this dermatosis, which is the psychiatric disorder trying to restore the personality of the patient. Many times the referral to a psychiatrist is rejected by the patient and the doctor ends up changing, which will make it difficult to improve the skin condition. In this case presented, the patient understands her situation and entails a joint treatment having positive results in her health problem.

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Section: Introductionmentioning

confidence: 99%

Factitious Dermatitis Apropos of a Case

2023

JPTCP

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“…The Vienna Diagnoses Schedule for Psychodermatological Disorders [Musalek et al, 2001] appears to be a relevant classification system in practice and research. Factitious disorders are the second main diagnostic category, that is 'mental and dermatology disorders combined'.…”

Section: Introductionmentioning

confidence: 99%

Factitious Disorder: A Patient with a Recurrent Tumour

García‐Bustínduy¹,

Guimerá²,

Sánchez-González³

et al. 2004

Dermatol Psychosom

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Self-induced lesions in the skin are diagnosed in Dermatology Departments with a frequency that ranges between 0.05% and 0.5% of the patients attended. There are some patterns that can easily be associated with factitious disorders such as ulcers or wounds with geometrical borders. Tumours are not commonly described. We present a 37-year-old woman with hypertension and a lesion on her left leg. A depression was diagnosed and treated. The cutaneous lesion had existed for 6 years with different clinical appearances that ranged from a tumour to a necrotic ulcer. Healing was obtained with occlusive dressings and maintained after the patient gained self-esteem by working as a babysitter.

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“…Since 1929, several classifications have been proposed, illustrating the wide diversity of the disorders, their associations and postulations concerning pathogenesis and nosology [Musalek et al, 2001]. We propose an easy classification of 4 categories, similar to the classification of Sylvie Consoli [Consoli, 2001] and based on the history of the disorders and on the pathogenesis (table 1): 1. mental disorders secondary to skin disorders 2. mental disorders responsible for skin disorders 3. skin disorders influenced by mental disorders 4. mental and skin disorders without any relationship In category 1, patients suffer from psychological disorders such as depression or anxiety induced by visible and/or chronic skin diseases.…”

Section: Introductionmentioning

confidence: 99%

Joint Consultation by a Psychiatrist and a Dermatologist

Miséry¹,

Chastaing²

2003

Dermatol Psychosom

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Background: For one year now, there has been a joint psychodermatologic consultation service in the department of dermatology at the University Hospital of Brest, France. A dermatologist and a psychiatrist have associated to meet outpatients with psychiatric or psychological and dermatological disorders: dermatoses modulated by psychologic factors, psychologic disorders induced by skin disorders or psychiatric disorders with a cutaneous manifestation. The consultation is not only multidisciplinary but really a joint consultation implying constant close cooperation of and exchange between the two therapists. Objective: The aim of this study was to evaluate the psychiatric and dermatological diagnoses which were observed in these patients. Patients: 50 new patients were seen within one year. Only 23 underwent two or more consultations. 58% of outpatients were women and 42% men. 50% were 30–50 years old and 25% were children or teenagers. There was a large diversity in the dermatological and psychiatric diseases found as well as in the pattern of association between psychologic and skin disorders. Discussion: The number of patients was too small to draw epidemiological conclusions. Nonetheless, the aims of such a consultation seem to be reached. It allows diagnoses and treatments of psychiatric disorders in patients who otherwise would only have been treated for their somatic disorders but who are also suffering from a psychic disorder. The concomitant presence of a dermatologist and a psychiatrist appears important to symbolize the association of body and psyche and is comforting for the patients.

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Diagnostics in Psychodermatology

Cited by 12 publications

References 6 publications

Factitious Dermatitis Apropos of a Case

Factitious Dermatitis Apropos of a Case

Factitious Disorder: A Patient with a Recurrent Tumour

Joint Consultation by a Psychiatrist and a Dermatologist

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