Skin diseases in patients with primary psychiatric conditions: A hospital based study

Moftah, Nayera Hassan; Kamel, Abeer M; Attia, Hazem Ali; El-Baz, Mona Z.; El–Moty, Hala M. Abd

doi:10.1016/j.jegh.2013.03.005

Cited by 30 publications

(28 citation statements)

References 13 publications

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“…Compared to the studies of Mookhoeck et al 8 and Moftah et al, 9 which found high comorbidity rates of over 70% for infectious-parasitic dermatoses and mental disorders in primary psychiatric patients, our rate was significantly lower at 13.2%.…”

Section: Infectious Skin Diseases In Mentally Ill Patientscontrasting

confidence: 87%

“…1,2,4,7 However, it has to be taken into account that these prevalence rates were published almost ex- clusively in studies from dermatological clinics. On the other hand, so far only a few studies have been published from psychiatric or psychosomatic treatment facilities, 8,9 but ultimately they do not allow a direct comparison of prevalence rates due to the existence of methodological differences. Another possible explanation for the different prevalence could be that the patients with psychiatric illnesses and additional skin symptoms, to avoid social taboos and stigmatization, primarily seek dermatological treatment in specialized facilities, 11 though it is generally assumed that 30% of primary dermatologically ill patients have an additional mental disorder; 12,13 this seems to be especially true for psoriasis and atopic dermatitis (neurodermatitis).…”

Section: Discussionmentioning

confidence: 99%

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Skin Diseases in Patients with Primary Psychiatric Disorders

Mavrogiorgou

Mersmann

Gerlach

et al. 2020

Psychiatry Investig

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Objective The few psychodermatological studies of primary psychiatric populations so far suggest that parasitic-infectious skin diseases are the most common dermatological comorbidity in more than 70% of psychiatric patients, which should be studied here in a large data bank outside dermatological treatment facilities.Methods In a descriptive-explorative and retrospective study, more than 17,000 patients with primary psychiatric disorders were examined to investigate dermatological comorbidities.Results The proportion of patients with primary mental disorders and additional dermatological disease was 1.24% (n=212). Here, psoriasis (35.4%) and atopic dermatitis (22.6%) were the most frequent dermatological diseases among these 212 patients. Infectious-parasitic skin diseases were present in 13.2% of comorbid patients. The most common mental disorder was a depressive illness, seen in 42.5% (n=90) of patients.Conclusion Our results confirmed the frequent association of depression with psoriasis and atopic dermatitis, indicating the need for the early detection and treatment of such comorbid patients. In contrast, psychiatric inpatients do not appear to suffer from predominantly infectious-parasitic dermatoses.

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Section: Infectious Skin Diseases In Mentally Ill Patientscontrasting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Skin Diseases in Patients with Primary Psychiatric Disorders

Mavrogiorgou

Mersmann

Gerlach

et al. 2020

Psychiatry Investig

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“…Accordingly, it is recommended that health education with a focus on special hygiene measures be made available to psychiatric patients and their caregivers for prevention and control of infections. Periodic monthly inspections of psychiatric patients should be carried out for early detection of any infectious skin diseases [7].…”

Section: Resultsmentioning

confidence: 99%

When Psychiatric Diseases Speak Skin: About 78 Patients in a Medical Caravan

Aqil¹

2018

CDOAJ

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Introduction: Dermatologists often face a psychiatric comorbidity of their patients. The question is: is this association bidirectional? Materials and method: The study concerned patients hospitalized in the department of psychiatry of Hassan II CHU of Fez during a medical caravan. All patients were examined by two dermatologists. Results: Of 78 hospitalized patients, we recorded 51 cases of dermatosis disease. The average age was 36.4 years old. Sex ratio F/M: 1,04. 41% of the patients consumed toxic substances. Psychiatric diseases were psychosis (67%) dominated by schizophrenia. The neurosis represented (33%) with a predominance of the major depressive disorder. Six groups of dermatoses were distinguished: hygiene-related dermatosis dominated by infectious disease (51%), skin diseases aggravated by mental disorders (29.4%), psychic disorders secondary to dermatosis (25.5%), psychic disorders responsible for skin disorders (15.7%) and cases of association with no apparent relation (9.8%). Only one case of urticaria induced by drug consumption was noted. Some dermatoses were listed in two groups simultaneously. Discussion: The collaboration between the psychiatrist and the dermatologist is essential given the presence of links between the skin and the psyche and the resulting clinical implication, in order to improve the overall care for both types of pathologies.

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“…Die Gruppe der „primären psychiatrischen Störungen“ umfasst die Störungen, bei denen pathologische Hautreaktionen als Folge der psychiatrischen Grunderkrankung auftreten. Eine aktuelle Untersuchung konnte zeigen, dass dermatologische Erkrankungen bei Patienten mit einer primären psychiatrischen Störung signifikant häufiger vorkommen als bei Patienten ohne eine psychiatrische Grunderkrankung (71,5 % vs. 22 %) . Zu der Gruppe der primären psychiatrischen Störungen, die zusätzlich bzw.…”

Section: Definition Und Klassifikationunclassified

Zwangsstörungen in der Dermatologie

Mavrogiorgou

Bader

Stockfleth

et al. 2015

J Deutsche Derma Gesell

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Zusammenfassung Patienten mit einer Zwangsstörung und verwandte Störungen, zu denen die Trichotillomanie, die körperdysmorphe Störung und die Dermatillomanie (skin picking) in erster Linie zählen, konsultieren aufgrund der dabei auftretenden Haar‐ und Hautsymptome häufig einen Dermatologen. Es ist somit wichtig, auch von dermatologischer Seite über diese Erkrankungen gut informiert zu sein. In dieser Übersichtarbeit werden aktuelle Aspekte zur Klinik, Neurobiologie und Therapie der Zwangsspektrumsstörungen dargestellt. Es wurde eine selektive Literaturrecherche (PubMed und Cochrane Library) mit Suchbegriffen bzgl. dermatologischer Störungen bei Zwangsspektrumsserkrankungen durchgeführt. Die Zwangsstörung und die ihr verwandten Störungen haben zahlreiche phänomenologische und pathophysiologische Gemeinsamkeiten, so dass ihre Einordnung in einer eigenen nosologischen Kategorie psychiatrischer Störungen begründet ist. Eine weitere Gemeinsamkeit der Zwangsspektrumsstörungen ist das häufig gleichzeitig bestehende Vorhandensein von Haut‐ und/oder Haarerkrankungen. Neben der symptomatischen, dermatologischen Behandlung kann eine Kombination von Psychotherapie (Verhaltenstherapie) und Psychopharmakotherapie (SSRIs) hilfreich sein. Obwohl das Wissen über die Zwangsstörung einiges zum Verständnis und zur deren besseren Behandlung beigetragen hat, besteht weiterhin Forschungsbedarf vor allem im Bereich der Zwangsspektrumsstörungen, für die große kontrollierte Behandlungsstudien fehlen.

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Skin diseases in patients with primary psychiatric conditions: A hospital based study

Abstract: Health education of psychiatric patients and/or of their caregiver and periodic monthly inspection of psychiatric patients are highly indicated for the prevention and control of infectious skin diseases in primary psychiatric patients.

Cited by 30 publications

References 13 publications

Skin Diseases in Patients with Primary Psychiatric Disorders

Skin Diseases in Patients with Primary Psychiatric Disorders

When Psychiatric Diseases Speak Skin: About 78 Patients in a Medical Caravan

Zwangsstörungen in der Dermatologie

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