Psychiatric morbidity in dermatological outpatients: an issue to be recognized

Picardi, Angelo; Abeni, Damiano; Melchi, C.F.; Puddu, Pietro; Pasquini, Paolo

doi:10.1046/j.1365-2133.2000.03831.x

Cited by 394 publications

(387 citation statements)

References 32 publications

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“…In another study, psychiatric morbidity was found more frequent in women and singles than men and married people (26). In our study, psyhcopathology was found more frequent in women than men which is consistent with literature.…”

Section: Discussionsupporting

confidence: 82%

See 1 more Smart Citation

Psychiatric morbidity in patients with vitiligo / Vitiligolu hastalarda psikiyatrik morbidite

Balaban¹,

Atagün²,

Özgüven³

et al. 2011

Dusunen Adam

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Section: Discussionsupporting

confidence: 82%

“…In several studies, psychiatric disorders were reported to be observed more in people with dermatological diseases (23)(24)(25)(26)(27)(28). In a study done in cases with vitiligo, 40% of cases were found to be depressive and had low self-esteem (29).…”

Section: Discussionmentioning

confidence: 99%

Psychiatric morbidity in patients with vitiligo / Vitiligolu hastalarda psikiyatrik morbidite

Balaban¹,

Atagün²,

Özgüven³

et al. 2011

Dusunen Adam

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“…Numerous psychological/psychiatric conditions can be found in association with SISL, but in most cases 3 groups are encountered: adjustment disorders, depressive disorders and personality disorders [3]. The frequency of emotional disorders in dermatological patients has been reported to range between 25.2% and 33.4% [7][8][9]. The prevalence of psychosomatic disorders among patients with skin problems is three times higher in comparison with somatically healthy control cohorts [8,10].…”

Section: Discussionmentioning

confidence: 99%

Self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach

Dimitrov¹,

Reszke²,

Szepietowski³

2016

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Introduction. Patients with self-inflicted skin lesions (SISL) are most often referred to dermatologists. Since psychological and psychiatric conditions might be the underlying reasons for the behavior of these patients, the psychology-associated component should always be kept in mind when approaching such individuals. Objective. To discuss distinctive aspects of the approach towards patients with SISL and emphasize the most relevant issues concerning the management of psychodermatoses. Case report. We present a case of a 13-year-old girl with a 6-month history of skin lesions misdiagnosed as allergic contact dermatitis. Conscientious history taking and physical examination enabled the diagnosis of SISL. Conclusions. The proper approach to patients presenting with psychodermatoses differs from that for other dermatological patients and requires considering several additional aspects. We would like to emphasize the distinguishing aspects and importance of the proper approach to patients with SISL that might aid clinicians in diagnosing and treating these individuals in the future. streszczenie Wprowadzenie. Pacjenci z dermatozą wywołaną są zwykle kierowani do dermatologów. Schorzenia o podłożu psychologicznym i psychiatrycznym mogą wpływać na zachowanie pacjentów, dlatego należy zawsze rozważyć czynniki związane z psychiką w postępowaniu z takimi osobami. Cel pracy. Omówienie szczególnych aspektów podejścia do pacjenta z objawami samouszkodzeń i podkreślenie najważniejszych odmienności w postępowaniu z pacjentami z psychodermatozami. Opis przypadku. Opisujemy przypadek 13-letniej dziewczynki, u któ-rej od 6 miesięcy rozwijały się zmiany skórne błędnie diagnozowane jako alergiczne kontaktowe zapalenie skóry. Dokładne zebranie wywiadu od rodziców wraz z badaniem fizykalnym umożliwiło ustalenie rozpoznania dermatozy wywołanej. Wnioski. Prawidłowe podejście do pacjentów z psychodermatozami różni się od podejścia do pacjentów z pozostałymi schorzeniami skór-self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach Dermatoza wywołana -znaczenie prawidłowego podejścia diagnostycznego i leczniczego

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“…18,19 Medical intervention therefore, can make a big difference to such patients either by complete clearing or causing significant improvement of the condition. 20 The main principles of treatment of acne consist of elimination of comedones by normalization of follicular keratinization, decreasing sebaceous gland activity and reduction in the population of P. acne and thereby reducing the inflammatory process.…”

Section: Discussionmentioning

confidence: 99%

A randomized controlled open label comparative clinical study of cephalexin versus doxycycline in patients with acne vulgaris in a hospital based population of South India

Banerjee

Maity

Bubna

et al. 2017

Int J Basic Clin Pharmacol

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Background: Oral antibiotics are frequently used for acne vulgaris. Cephalexin has documented some success against acne vulgaris in earlier studies. Here the efficacy and safety of Cephalexin have been compared against the standard therapy of Doxycyline.Methods: From September 2010 to June 2011, 100 patients of moderate Acne vulgaris were randomized into two groups to receive oral Doxycyline (100mg once daily) or Cephalexin (500mg thrice daily) in an open label manner for eight weeks. All participants were allowed to use topical 5%Benzoyl peroxide gel twice daily. Efficacy was measured in terms of reduction in the number of facial comedones and inflammatory lesions from baseline after eight weeks.Results: 44 patients from Cephalexin group and48 patients from Doxycyline group completed the study. Both drugs have significantly decreased comedone count as well as the inflammatory lesion count after eight weeks. However, Doxycycline appeared better in terms of Comedone count (14.5±3.07 versus 12.9±4.31, p=0.045) as well as inflammatory lesion count (8.64.1±2.14 versus 7.67±2.46, p=0.047) at the end. The total adverse event was slightly more with Cephalexin (6.81% versus 6.25%, p= 0.912), where Diarrhoea remained the commonest adverse effect (4.54%).Conclusions: Although for the first time oral Cephalexin has displayed efficacy against moderate acne vulgaris in a prospective clinical study, it appeared inferior to Doxycycline over eight weeks. Therefore, it becomes an option only when other oral antibiotics are contraindicated or not tolerated.

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Psychiatric morbidity in dermatological outpatients: an issue to be recognized

Cited by 394 publications

References 32 publications

Psychiatric morbidity in patients with vitiligo / Vitiligolu hastalarda psikiyatrik morbidite

Psychiatric morbidity in patients with vitiligo / Vitiligolu hastalarda psikiyatrik morbidite

Self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach

A randomized controlled open label comparative clinical study of cephalexin versus doxycycline in patients with acne vulgaris in a hospital based population of South India

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