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30 - Psychocutaneous disorders

from Part III - Working with specific units

Published online by Cambridge University Press:  10 December 2009

Geoffrey Lloyd
Affiliation:
Priory Hospital, London
Elspeth Guthrie
Affiliation:
University of Manchester
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Summary

A relationship between dermatological conditions and psychological factors has long been observed. It has been estimated that approximately a third of the patients presenting with dermatological disorders have some psychological comorbidity. The term psychocutaneous disorder describes several distinct psychiatric disorders in which the skin is affected. Psychogenic parasitosis includes conditions in which a person has a belief that he or she is suffering an infestation with living organisms despite a lack of evidence that such infestation exists. Dermatologists' perception of the patients' psychological wellbeing is influenced by their conceptual models of illness. Adolescents and young adults may be more vulnerable to develop depression as a result of the cosmetic impact on their body image and self-esteem. Face transplantation is now a realistic treatment for people with severe facial disfigurement from burns, trauma or malignant disease.
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Publisher: Cambridge University Press
Print publication year: 2007

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References

Agarwal, G. (1998). Vitiligo: an under-estimated problem. Family Practice, 15(Suppl. 1), S19–23.Google Scholar
Ait-Ameur, A., Bern, P., Firoloni, M. P., et al. (2000). Delusional parasitosis or Ekbom's syndrome. Revue de Medecine Interne, 21(2), 182–6.Google Scholar
Albertini, R. and Phillips, K. A. (1999). Thirty-three cases of body dysmorphic disorder in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 38(4), 453–9.Google Scholar
Archer-Dubon, C., Orozco-Topete, R. and Reyes-Gutierrez, E. (1998). Two cases of psychogenic purpura. Revista de Investigacion Clinica, 50(2), 145–8.Google Scholar
Arnold, L. M. (2000). Dermatology. In Psychiatric Care of the Medical Patient, 2nd edn., ed. Stoudemiere, A., Fogel, B. S. and Greenberg, D. B.. New York: Oxford University Press, pp. 821–33.
Arnold, L. M., McElroy, S. L., Mutasim, D. F., et al. (1998). Characteristics of 34 adults with psychogenic excoriation. Journal of Clinical Psychiatry, 59(10), 509–14.Google Scholar
Arnold, L. M., Auchenbach, M. B. and McElroy, S. L. (2001). Psychogenic excoriation. Clinical features, proposed diagnostic criteria, epidemiology and approaches to treatment. CNS Drugs, 15(5), 351–9.Google Scholar
Bhatia, M. S., Jagawat, T. and Choudhary, S. (2000). Delusional parasitosis: a clinical profile. International Journal of Psychiatry in Medicine, 30(1), 83–91.Google Scholar
Bohne, A., Keuthen, N. J., Wilhelm, S., et al. (2002). Prevalence of symptoms of body dysmorphic disorder and its correlates: A cross-cultural comparison. Psychosomatics, 43, 486–90.Google Scholar
Bourgeois, M. L., Duhamel, P. and Verdoux, H. (1992). Delusional parasitosis: folie a deux and attempted murder of a family doctor. British Journal of Psychiatry, 161, 709–11.Google Scholar
Brajac, I., Tkalcic, M., Dragojevic, D. M., et al. (2003). Roles of stress, stress perception and trait-anxiety in the onset and course of alopecia areata. Journal of Dermatology, 30(12), 871–8.Google Scholar
Buske-Kirschbaum, A., Geiben, A. and Hellhammer, D. (2001). Psychobiological aspects of atopic dermatitis: an overview. Psychotherapy and Psychosomatics, 70(1), 6–17.Google Scholar
Christophers, E. and Mrowietz, U. (1999). Psoriasis. In Fitzpatrick's Dermatology in General Medicine, 5th edn., ed. Freedberg, I. M., Eisen, A. Z., Wolff, K., et al. New York: McGraw-Hill, pp. 495–521.
Cotterill, J. A. and Cunliffe, W. J. (1997). Suicide in dermatological patients. British Journal of Dermatology, 137, 246–50.Google Scholar
Daniels, L. K. (1973). Treatment of urticaria and severe headache by behaviour therapy. Psychosomatics, 14, 347–51.Google Scholar
Elmer, K. B., George, R. M. and Peterson, K. (2000). Therapeutic update: use of risperidone for the treatment of monosymptomatic hypochondriacal psychosis. Journal of the American Academy of Dermatology, 43(4), 683–6.Google Scholar
Faravelli, C., Salvatori, S., Galassi, F., et al. (1997). Epidemiology of somatoform disorders: a community survey in Florence. Social Psychiatry & Psychiatric Epidemiology, 32, 24–9.Google Scholar
Fried, R. G., Friedman, S., Paradis, C., et al. (1995). Trivial or terrible? The psychosocial impact of psoriasis. International Journal of Dermatology, 34(2), 101–5.Google Scholar
Fruensgaard, K., Hjortshoj, A. and Nielsen, H. (1979). Neurotic excoriations. International Journal of Dermatology, 17, 761–7.Google Scholar
Garnis-Jones, S., Collins, S. and Rosenthal, D. (2000). Treatment of self-mutilation with olanzapine. Journal of Cutaneous Medicine and Surgery, 4(3), 161–3.Google Scholar
Greaves, M. W. and Wall, P. D. (1999). Pathophysiology and clinical aspects of pruritus. In Fitzpatrick's Dermatology in General Medicine. 5th edn., ed. Freedberg, I. M., Eisen, A. Z., Wolff, K., et al. New York: McGraw-Hill, pp. 487–93.
Gupta, M. A and Gupta, A. K. (1998). Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. British Journal of Dermatology, 139, 846–50.Google Scholar
Gupta, M. A. and Gupta, A. K. (2001). The use of antidepressant drugs in dermatology. Journal of the European Academy of Dermatology and Venereology, 15(6), 512–18.Google Scholar
Habif, T. P. (2004). Clinical Dermatology. A Colour Guide to Diagnosis and Therapy, 4th edn. Philadelphia: Mosby.
Krahn, L. E. & Goldberg, R. L. (1994). Psychotropic medications and the skin. In Psychotropic Use in the Medically Ill, vol. 21, ed. Silver, P. A.. Basel: S Karger AG, pp. 90–106.
Koblenzer, C. S. (1987). Psychocutaneous Disease. Orlando: Grune & Stratton.
Koblenzer, C. S. (1999). Psychological aspects of skin disease. In Fitzpatrick's Dermatology in General Medicine, 5th edn., ed. Freedberg, I. M., Eisen, A. Z., Wolff, K., et al. New York: McGraw-Hill, pp. 475–86.
Koblenzer, C. S. (2000). Dermatitis artefacta. Clinical features and approaches to treatment. American Journal of Clinical Dermatology, 1(1), 47–55.Google Scholar
Koo, J. and Lee, C. S. (2001). Delusions of parasitosis. A dermatologist's guide to diagnosis and treatment. American Journal of Clinical Dermatology, 2(5), 285–90.Google Scholar
Koo, J. Y. M. and Pham, C. T. (1992). Psychodermatology. Practical guidelines on pharmacotherapy. Archives of Dermatology, 128, 381–8.Google Scholar
Leung, D. Y. M., Tharp, M. & Boguniewicz, M. (1999). Atopic dermatitis (atopic eczema). In Fitzpatrick's Dermatology in General Medicine, 5th edn., ed. Freedberg, I. M., Eisen, A. Z., Wolff, K., et al. New York: McGraw-Hill, pp. 1464–80.
Lyell, A. (1979). Cutaneous artefactual disease: a review amplified by personal experience. Journal of the American Academy of Dermatology, 1, 391–407.Google Scholar
Lyell, A. (1983). The Michelson lecture, delusions of parasitosis. British Journal of Dermatology, 108, 485–99.Google Scholar
Madianos, M. G., Papaghelis, M., Ioannovich, J., et al. (2001). Psychiatric disorders in burn patients: a follow-up study. Psychotherapy and Psychosomatics, 70, 30–8.Google Scholar
Monk, B. E. and Rao, J. (1994). Delusions of parasitosis with fatal outcome. Clinical and Experimental Dermatology, 19, 341–2.Google Scholar
Munro, A. (1988). Monosymptomatic hypochondriacal psychosis. British Journal of Psychiatry, 153(Suppl.), 37–40.Google Scholar
O'Sullivan, R., Phillips, K. A., Keuthen, N. J., et al. (1999). Near-fatal skin picking from delusional body dysmorphic disorder responsive to fluvoxamine. Psychosomatics, 40, 79–82.Google Scholar
Otto, M. W., Wilhelm, S., Cohen, L. S., et al. (2001). Prevalence of body dysmorphic disorder in a community sample of women. American Journal of Psychiatry, 158(12), 2061–3.Google Scholar
Papadopoulos, L., Bor, R. and Legg, C. (1999). Coping with the disfiguring effects of vitiligo: a preliminary investigation into the effects of cognitive behavioural therapy. British Journal of Medical Psychology, 72, 385–96.Google Scholar
Phillips, K. A. (1996). Body dysmorphic disorder: diagnosis and treatment of imagined ugliness. Journal of Clinical Psychiatry, 57(Suppl. 8), 61–4.Google Scholar
Phillips, K. A. and Diaz, S. F. (1997). Gender differences in body dysmorphic disorder. The Journal of Nervous and Mental Disease, 185, 570–7.Google Scholar
Phillips, K. A. and Taub, S. L. (1995). Skin picking as a symptom of body dysmorphic disorder. Psychopharmacology Bulletin, 31(2), 279–88.Google Scholar
Phillips, K. A., McElroy, S. L., Keck, P. E. Jr, et al. (1993). Body dysmorphic disorder: 30 cases of imagined ugliness. American Journal of Psychiatry, 150(2), 302–8.Google Scholar
Phillips, K. A., McElroy, S. L., Keck, P. E. Jr., et al. (1994). A comparison of delusional and non-delusional body dysmorphic disorder in 100 cases. Psychopharmacology Bulletin, 30(2), 179–86.Google Scholar
Phillips, K. A., Grant, J., Siniscalchi, J., et al. (2001). Surgical and non-psychiatric medical treatment of patients with body dysmorphic disorder. Psychosomatics, 42(6), 504–10.Google Scholar
Picardi, A. and Abeni, D. (2001). Stressful life events and skin diseases: disentangling evidence from myth. Psychotherapy and Psychosomatics, 70, 118–37.Google Scholar
Price, V. H. (2003). Therapy of alopecia areata: on the cusp and in the future. Journal of Investigative Dermatology Symposium Proceedings, 8(2), 207–11.Google Scholar
Rostenberg, A. Jr. (1960). The role of psychogenic factors in skin disease. Archives of Dermatology, 81, 81–3.Google Scholar
Rothe, M. J. and Grant-Kels, J. M. (1996). Atopic dermatitis: an update. Journal of the American Academy of Dermatology, 35, 113.Google Scholar
Sampogna, F., Picardi, A., Melchi, C. F., et al. (2003). The impact of skin diseases on patients: comparing dermatologists' opinions with research data collected on their patients. British Journal of Dermatology, 148, 989–95.Google Scholar
Shelley, W. B. and Shelley, E. D. (1985). Adrenergic urticaria: a new form of stress-induced hives. Lancet, 2(8463), 1031–3.Google Scholar
Stein, D. J. and Hollander, E. (1992). Dermatology and conditions related to obsessive-compulsive disorder. Journal of the American Academy of Dermatology, 26, 237–42.Google Scholar
Sticher, M., Abramovits, W. and Newcomer, V. D. (1980). Trichotillomania in adults. Cutis, 26(1), 97–101.Google Scholar
Strauss, J. S. & Thiboutot, D. M. (1999). Diseases of the sebaceous glands. In Fitzpatrick's Dermatology in General Medicine, 5th edn., ed. Freedberg, I. M., Eisen, A. Z., Wolff, K., et al. New York: McGraw-Hill, pp. 769–84.
Trabert, W. (1995). 100 years of delusional parasitosis. Meta-analysis of 1223 case reports. Psychopathology, 28(5), 238–46.Google Scholar
Trabert, W. (1999). Shared psychotic disorder in delusional parasitosis. Psychopathology, 32(1), 30–4.Google Scholar
Ugurlu, S., Bartley, G. B., Otley, C. C., et al. (1999). Factitious disease of periocular and facial skin. American Journal of Ophthalmology, 127, 196–201.Google Scholar
Moffaert, M. (1992). Psychodermatology: an overview. Psychotherapy and Psychosomatics, 58, 125–36.Google Scholar
Veale, D. (2004). Body dysmorphic disorder. Postgraduate Medical Journal, 80, 67–71.Google Scholar
Veale, D., Haro, L. and Lambrou, C. (2003). Cosmetic rhinoplastia in body dysmorphic disorder. British Journal of Plastic Surgeons, 56, 536–51.Google Scholar
Wang, C.-K. and Lee, J. Y.-Y. (1997). Monosymptomatic hypochondriacal psychosis complicated by self-inflicted skin ulceration, skull defect and brain abscess. British Journal of Dermatology, 137, 299–302.Google Scholar
Wenning, M. T., Davy, L. E., Catalano, G., et al. (2003). Atypical antipsychotics in the treatment of delusional parasitosis. Annals of Clinical Psychiatry, 15, 233–9.Google Scholar
Wilhelm, S., Keuthen, N. J., Deckerbasch, T., et al. (1999). Self-injurious skin-picking: clinical characteristics and co-morbidity. Journal of Clinical Psychiatry, 60(7), 454–9.Google Scholar
Wright, H. H. and Holmes, G. R. (2003). Trichotillomania (hair pulling) in toddlers. Psychological Reports, 92(1), 228–30.Google Scholar

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