Diagnosis and management of psychodermatological problems: confidence levels among dermatologists and psychiatrists

Muralidharan, Vijaytha; Zahedi, Delaram; B, Kaur; Goulding, J. M. R.

doi:10.1111/ced.14157

Cited by 4 publications

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Very common for them is self-treatment, which can cause nonmedication-related injuries, and usually, they go to dermatologists or infectious disease specialists for further investigations before being referred to a psychiatry department [54]. In the United Kingdom, there is a subspeciality called psychodermatology, which mainly deals with cases such as DP [55].…”

Section: Diagnosis Of Dpmentioning

confidence: 99%

Insights into the Medical Evaluation of Ekbom Syndrome: An Overview

Mindru,

Radu,

Bumbu

et al. 2024

IJMS

View full text Add to dashboard Cite

Ekbom syndrome, also known as delusional parasitosis (DP) or delusional infestation, is an uncommon psychiatric disorder distinguished by an enduring conviction of parasitic infestation, persisting notwithstanding the presence of medical evidence to the contrary. Primarily affecting middle-aged women, DP can manifest either as isolated psychological distress or as a component within a more intricate psychiatric framework, substantially influencing the quality of life for affected individuals. Its pathophysiological mechanism involves uncertain dopaminergic imbalances and dysfunction in the dopamine transporter system. Dermatologists often play a pivotal role in diagnosis, as patients first seek dermatological assessments of their signs and symptoms. However, DP frequently originates from underlying psychiatric disorders or medical variables, manifesting with neurological and infectious causative factors. The diagnostic complexity is attributed to patients’ resolute convictions, leading to delayed psychiatric intervention. First-line DP treatment involves antipsychotics, with newer agents demonstrating promising prospects, but the lack of standardized protocols poses a significant therapeutic challenge. In this narrative review, both a comprehensive approach to this uncommon pathology and an update on the state of knowledge in this medical subfield focused on optimizing the management of DP are provided. The complexity of DP underlying its uncommon nature and the incomplete understanding of its pathophysiology highlight the need for further research through multicenter studies and multidisciplinary teams to enhance therapeutic efficacy and safety.

show abstract

Section: Diagnosis Of Dpmentioning

confidence: 99%