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Review article

Skin Changes in Primary Psychiatric Disorders

Aleksandra Basta-Juzbašić
Zrinka Bukvić Mokos

Fulltext: english, PDF (267 KB) pages 87-87 downloads: 681* cite
APA 6th Edition
Basta-Juzbašić, A. & Bukvić Mokos, Z. (2015). Skin Changes in Primary Psychiatric Disorders. Acta Dermatovenerologica Croatica, 23 (2), 87-87. Retrieved from https://hrcak.srce.hr/142136
MLA 8th Edition
Basta-Juzbašić, Aleksandra and Zrinka Bukvić Mokos. "Skin Changes in Primary Psychiatric Disorders." Acta Dermatovenerologica Croatica, vol. 23, no. 2, 2015, pp. 87-87. https://hrcak.srce.hr/142136. Accessed 2 Dec. 2021.
Chicago 17th Edition
Basta-Juzbašić, Aleksandra and Zrinka Bukvić Mokos. "Skin Changes in Primary Psychiatric Disorders." Acta Dermatovenerologica Croatica 23, no. 2 (2015): 87-87. https://hrcak.srce.hr/142136
Harvard
Basta-Juzbašić, A., and Bukvić Mokos, Z. (2015). 'Skin Changes in Primary Psychiatric Disorders', Acta Dermatovenerologica Croatica, 23(2), pp. 87-87. Available at: https://hrcak.srce.hr/142136 (Accessed 02 December 2021)
Vancouver
Basta-Juzbašić A, Bukvić Mokos Z. Skin Changes in Primary Psychiatric Disorders. Acta Dermatovenerol Croat. [Internet]. 2015 [cited 2021 December 02];23(2):87-87. Available from: https://hrcak.srce.hr/142136
IEEE
A. Basta-Juzbašić and Z. Bukvić Mokos, "Skin Changes in Primary Psychiatric Disorders", Acta Dermatovenerologica Croatica, vol.23, no. 2, pp. 87-87, 2015. [Online]. Available: https://hrcak.srce.hr/142136. [Accessed: 02 December 2021]

Abstracts

ABSTRACT Primary psychiatric disorders where skin changes appear most frequently include: delusions of parasitosis, body dysmorphic disorder, neurotic excoriations, dermatitis artefacta, and trichotillomania. In all these diseases the primary pathologic condition is of psychiatric nature, and the skin changes are secondary and self-induced. In this review we wanted to present the epidemiology, clinical pictures, and treatment options for these disorders. These patients are more frequently seen in dermatology clinics, as they may be unwilling to acknowledge a psychiatric basis for their psychical symptoms. If we want the treatment to be effective and timely, it is important for the dermatologist to understand the underlying psychopathology of these conditions. Treatment should be gradual. An initially supportive, nonconfrontational, empathic approach to the patient is indicated. Immediate confrontation regarding the suspicion that the patient’s lesions are self-induced can be counterproductive in that the patient will often refuse treatment. Frequent visits and symptomatic topical treatments are useful in the beginning. The goal is to establish a trusting and supportive enough relationship with the patient so that he or she will accept a psychiatric referral to explore the complex personality and behavioral issues that often underlie these conditions.

 

KEY WORDS: delusions of parasitosis; body dysmorphic disorder; neurotic excoriations; dermatitis artefacta; trichotillomania

Hrčak ID: 142136

URI
https://hrcak.srce.hr/142136

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