Psychiatrie et dermatologie

Consoli, S; Chastaing, M.; Miséry, Laurent

doi:10.1016/s0246-0319(10)48429-0

Cited by 18 publications

(10 citation statements)

References 82 publications

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“…This lack of parallelism between clinical severity, patients' perception of hair loss, and psychological impact might be partly responsible for the frequent underestimation of psychological distress [42]. …”

Section: Discussionmentioning

confidence: 99%

Quality of Life in Alopecia Areata: A Sample of Tunisian Patients

Masmoudi

Sellami

Ouali

et al. 2013

Dermatology Research and Practice

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Background. Alopecia areata (AA) has a significant impact on the quality of life and social interaction of those suffering from it. Our aim was to assess the impact of AA on the quality of life. Methods. Fifty patients diagnosed with AA seen in the Department of Dermatology of Hedi Chaker University Hospital, between March 2010 and July 2010, were included. Quality of life was measured by SF 36; severity of AA was measured by SALT. Results. Eighty percent had patchy alopecia with less than 50% involvement, 12% had patchy alopecia with 50–99% involvement, and 8% had alopecia totalis. Compared with the general population, AA patients presented a significantly altered quality of life, found in the global score and in five subscores of the SF-36: mental health, role emotional, social functioning, vitality, and general health. Gender, age, marital status, and severity of alopecia areata had a significant influence on patients' quality of life. Conclusions. This study indicates that patients with AA experience a poor quality of life, which impacts their overall health. We suggest screening for psychiatric distress. Studies of interventions such as counseling, psychoeducation, and psychotherapeutic interventions to reduce the impact of the disease may be warranted.

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Section: Discussionmentioning

confidence: 99%

Quality of Life in Alopecia Areata: A Sample of Tunisian Patients

Masmoudi

Sellami

Ouali

et al. 2013

Dermatology Research and Practice

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“…It may be initiated by a somatic disease, but in certain cases, its perpetuation is a manifestation of underlying psychological conflicts, such as fear related to sexually transmitted disease or cancer, and guilt or shame over an issue of sexuality. 53 Persistent anal pruritus, in particular, may be a manifestation of the obsessive nature of a person, expressing in a depressive manner with elements of anxiety. 53,54 …”

Section: Pruritic Conditions Aggravated By Psychosocial Factorsmentioning

confidence: 99%

“…53 Persistent anal pruritus, in particular, may be a manifestation of the obsessive nature of a person, expressing in a depressive manner with elements of anxiety. 53,54 …”

Section: Pruritic Conditions Aggravated By Psychosocial Factorsmentioning

confidence: 99%

Psychosomatic factors in pruritus

Tey

Wallengren

Yosipovitch

2013

Clinics in Dermatology

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Pruritus and psyche are intricately and reciprocally related, with psychophysiological evidence and psychopathological explanations helping us to understand their complex association. Their interaction may be conceptualized and classified into 3 groups: pruritic diseases with psychiatric sequelae, pruritic diseases aggravated by psychosocial factors, and psychiatric disorders causing pruritus. Management of chronic pruritus is directed at treating the underlying causes and adopting a multidisciplinary approach to address the dermatologic, somatosensory, cognitive, and emotional aspects. Pharmcotherapeutic agents that are useful for chronic pruritus with comorbid depression and/or anxiety comprise selective serotonin reuptake inhibitors, mirtazapine, tricyclic antidepressants (amitriptyline and doxepin), and anticonvulsants (gabapentin, pregabalin); the role of neurokinin receptor-1 antagonists awaits verification. Antipsychotics are required for treating itch and formication associated with schizophrenia and delusion of parasitosis (including Morgellons disease).

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“…It reveals and betrays our emotions but is sometimes constrained to bear indelible scars resulting from multiple attacks by both exogenous and endogenous agents throughout our lives. Sometimes the healing process occurs abnormally, often leading to chronic wounds, retractile scars, and/or keloids …”

Section: Introductionmentioning

confidence: 99%

Epidemiology and clinical features of keloids in Black Africans: a nested case–control study from Yaoundé, Cameroon

et al. 2019

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Background Keloids are a common presenting complaint in Black Africans but remain poorly documented in these populations. The aim of our study was to describe the epidemiological and clinical profiles of patients with keloids seen at dermatology outpatient consultations in Yaoundé (Cameroon) and to determine driving factors of keloid occurrence. Methods This was a 1 : 2 case–control study conducted from February to May 2016 at the dermatology unit of five health facilities in Yaoundé, Cameroon. Cases were patients with black skin and diagnosed with keloids while controls had no keloid scar, paired to cases according to age and sex. The diagnosis of keloid was based on clinical history and findings. Results Of 2,940 patients seen during the study period, 102 (54.9% females) had keloids, hence a prevalence of 3.5% (95% confidence interval [CI]: 2.8–4.2). The most affected age group was ≥25 years (69.6%). Lesions at the origin of keloids were mostly traumatic (66.7%). In 68 patients (66.7%), keloid scars were associated with pruritus. The presternal region was the predominant localization (26.5%). Existence of a family history of keloids was significantly associated with presence of keloids (adjusted odds ratio: 4.2, 95% CI: 2.4–7.2; P < 0.001). Conclusions Keloids commonly affect black skin as recorded during dermatology consultations in Yaoundé, Cameroon. More often, they are secondary to skin trauma and seem to occur among those with a family history of keloids. Therefore, these people should be closely monitored accordingly.

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Psychiatrie et dermatologie

Cited by 18 publications

References 82 publications

Quality of Life in Alopecia Areata: A Sample of Tunisian Patients

Quality of Life in Alopecia Areata: A Sample of Tunisian Patients

Psychosomatic factors in pruritus

Epidemiology and clinical features of keloids in Black Africans: a nested case–control study from Yaoundé, Cameroon

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