Psychocutaneous Disorders

Millard, Frcp Consultant Dermatologist L. G.; Consultant, J. Millard MRCPsych

doi:10.1002/9781444317633.ch64

Cited by 14 publications

(45 citation statements)

References 380 publications

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“…The lesions become crusted, and a vicious cycle occurs with the picking of these crusts. The lesions rarely exceed 1 cm and heal with slight pigmentation changes or atrophic scars [14,19,20]. The lesions in our patient groups were located on Firat et al Mammaplasty and Dermato-Psychiatric Disordersthe shoulders and torso, and the repetitive lesions observed in 2 patients were located on other parts of the body, such as the neck and upper body.…”

Section: Discussionmentioning

confidence: 98%

“…Neurotic excoriation is generally observed in people with low self-esteem, sensitive people, introverts and perfectionists in addition to those who tend to blame themselves [12,19]. Curing these skin lesions is not probable unless the real factor affecting the patient's psychology is resolved.…”

Section: Discussionmentioning

confidence: 99%

“…In artifact dermatitis, the patient does not accept what he/she has performed, and the lesion is generally deep and large. Artifact dermatitis is comprised of geometric shapes and unnatural lesions made by patients using sharp or scorching items [19,20]. With parasitic delusions, anamnesis is typical, and the patient states feeling small bugs crawling on his/her body [12].…”

Section: Discussionmentioning

confidence: 99%

“…Neurotic excoriation is used synonymously with dermatillomania, compulsive skin picking and psychogenic excoriation and is more frequently observed in females aged 20 to 40 years [12]. Sufferers tend to continue scratching during attacks triggered by stress until pain and bleeding occurs [14,19]. Neurotic excoriation is generally localized to the neck, shoulders, torso, back and extremities that the patient can reach by hand [12][13][14].…”

Section: Discussionmentioning

confidence: 99%

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The Influence of Reduction Mammaplasty on Dermato-Psychiatric Disorders

Fırat

Erbatur

Ayteki̇n

2012

EAJM

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Objective: Macromastia can cause psychiatric disorders, such as anxiety and depression, and decreases in self-esteem and self-confidence. These problems often externalize themselves on the skin, causing lesions characterized by various degrees of excoriations and lichenified plaques. Mammaplasty operations are very effective in the treatment of neurotic excoriations and similar skin lesions as well as any underlying psychiatric disorders. Materials and Methods:This study included 17 patients with macromastia and neurotic excoriation lesions who underwent psychiatric treatment for various reasons. Follow ups were performed using routine photographs used in breast surgeries.Results: During the postoperative follow ups, the excoriations for nearly every patient healed within 2 weeks. Some lesions healed with atrophic scars and some with permanent hyperpigmentation. Patients' physical complaints, such as backache, shoulder ache and submammary pruritic dermatitis, were also observed to heal. In addition, the patients stated that they felt better psychologically, and most also reported stopping psychiatric treatment. Conclusion:The psychological problems caused by macromastia include neurotic excoriation and similar skin problems, and aesthetic reduction mammaplasty surgeries are very effective in the treatment of these lesions. Body image perception comprises an important part of self-respect and self-esteem, and psychological-status cosmetic surgery can be evaluated as an alternative to psychological treatment.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Influence of Reduction Mammaplasty on Dermato-Psychiatric Disorders

Fırat

Erbatur

Ayteki̇n

2012

EAJM

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“…More advanced/established cases involve repeated consultations to specialist services (emergency physicians, family physicians, entomologists, veterinary services and even esteemed scientists) to eradicate the imagined infestation. Patients may present with ill-defined, persistent itching 3 This is sometimes accompanied by the cutaneous sensation of bugs (formication),or even visual confirmation of bugs, involvement of the genital, oral or ocular areas (orificial DP). 3,11 Pruritus is reported in more than 80% of sufferers, and others describe crawling, burrowing and biting.…”

Section: Clinical Featuresmentioning

confidence: 99%

Ekbom syndrome, an evidence based review of literature

Lutfi¹

2016

Asian J Med Sci

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Delusional Parasitosis (DP) is a Psychocutaneous disorder that was 1st described in the late 17th century in France. The etiology is neuro-chemical. The classic “matchbox” and “specimen” signs are characteristic. Management is via a multidisciplinary approach. This review paper is based on detailed systematic review of literature via an up-to-date evidence based approach. This paper reviews: Historical facts, epidemiology, pathogenesis, clinical features, subtypes, associated diseases, psychosocial impact, economic considerations and management. An exhaustive search strategy was utilized across five medical literature databases led by 62 pre-specified keywords, followed by database-specific filters’ application to scrutinize the hierarchy of literature, from systematic reviews and randomized controlled trials to medical papers with weak evidence. Forty references were utilized to extract the most relevant data. This review article is level II-3 (level of evidence); it will enable the researcher to obtain a perspective of DP, upon which an original research can be developed.Asian Journal of Medical Sciences Vol. 7(3) 2016 1-8

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A systematic review of antipsychotic agents for primary delusional infestation

McPhie

Kirchhof

2020

Journal of Dermatological Treatment

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Psychocutaneous Disorders

Cited by 14 publications

References 380 publications

The Influence of Reduction Mammaplasty on Dermato-Psychiatric Disorders

The Influence of Reduction Mammaplasty on Dermato-Psychiatric Disorders

Ekbom syndrome, an evidence based review of literature

A systematic review of antipsychotic agents for primary delusional infestation

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