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Psychocutaneous disease: Clinical perspectives.
Helena Kuhn1, Constance Mennella2, Michelle Magid3
1Department of Dermatology, Alpert Medical School of Brown University, Providence, Rhode Island.
Journal of the American Academy of Dermatology
|April 17, 2017
Summary
Psychocutaneous diseases, where psychiatric conditions manifest on the skin, are common in dermatology. This review covers key syndromes and management strategies for dermatologists, aiding patients who often avoid psychiatric care.
Area of Science:
- Psychodermatology
- Psychiatry
- Dermatology
Background:
- Psychocutaneous disease, characterized by primary psychiatric disorders with skin manifestations, is frequently observed in dermatological practice.
- Patients often seek dermatological treatment for skin issues but may resist psychiatric interventions, highlighting the dermatologist's crucial role.
Purpose of the Study:
- To review common psychocutaneous syndromes and their updated classification.
- To outline management strategies for psychocutaneous disorders encountered in dermatology.
Main Methods:
- Literature review of psychocutaneous disorders.
- Inclusion of updated classifications from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5).
Main Results:
- Common psychocutaneous syndromes include delusional disorders, factitious disorders, obsessive-compulsive and related disorders, eating disorders, psychogenic pruritus, cutaneous sensory syndromes, post-traumatic stress disorder, and sleep-wake disorders.
- The review incorporates the latest DSM-5 classifications for these conditions.
Conclusions:
- Dermatologists are well-positioned to manage psychocutaneous diseases due to patient presentation patterns.
- Effective management requires understanding these syndromes and employing appropriate therapeutic strategies.