Stress and emotion can aggravate manymost skin conditions The presence of a skin condition can have an effect on patients mood and quality of life Psychodermatoses Psychodermatoses Dysmorphophobia ID: 916796
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Slide1
Psychodermatology
Slide2Psychodermatology
Stress and emotion can aggravate many/most skin conditions
The presence of a skin condition can have an effect on patient’s mood and quality of life
Psychodermatoses
Slide3Psychodermatoses
Dysmorphophobia
Patient imagines/exaggerates their lesion/skin disease Neurotic excoriationsPatients admit picking skin lesionsRelease of tension with scratching/picking felt May have mood disorder or OCD Acne
excoriee
Pre-existing acne vulgaris (usually mild) is picked/squeezed leading to scarring
Slide4Delusional InfestationConvinced that they are infested
Sensations of crawling, picking/cutting out, fixed belief of fibres coming out of the skin, “matchbox sign”
May have underlying drug or alcohol addiction, vitamin deficiency, cerebrovascular disease
Management includes atypical antipsychotics
Slide5Dermatitis Artefacta
Skin lesions are caused by the patient
Denied by the patient
Lesions heal under occlusive dressingsNo primary lesions seenUnusual shape or unexplained distributionUsually young women, some medical knowledge eg nurses, may have an underlying mood/personality disorder
Slide6Hair Pulling / Trichotillomania
Usually children
Pulling/twisting of hair leads to irregular patches of hair loss
Residual broken/bent hairs seen Resolves in children spontaneously May be associated with learning difficulties and difficulties in adolescence