CONSULTATION LIAISION MEDICINE; INTERACTIONS BETWEEN SKIN & MIND.

Dr Jayesh Mukhi, Abhishek Somani, Charuhas Akre

Abstract


Psycho dermatology addresses the interaction between mind and skin. Psychiatry is more focused on the 'internal' no visible disease and
dermatology is focused on the 'external' visible disease. There exists a complex interplay between the two disciplines which needs to be understood
to offer correct treatment. Psycho- dermatologic disorders fall into three categories: psycho-physiologic disorders, primary psychiatric disorders
and secondary psychiatric disorders. Psycho-physiologic disorders (e.g. psoriasis and eczema) are associated with skin problems that are not
directly connected to the mind but that react to emotional states, such as stress. Primary psychiatric disorders involve psychiatric conditions that
result in self-induced cutaneous manifestations, such as trichotillomania and delusions of parasitosis. Secondary psychiatric disorders are
associated with disfiguring skin disorders. The disfigurement results in psychological problems, such as decreased self-esteem, depression or
social phobia. In more than one third of dermatology patients, effective managements of skin conditions involve consideration of associated
psychological factors.
Conclusion: Increased understanding of bio psychological approaches and liaison among primary care physicians, psychiatrists, and
dermatologist could be very useful and highly beneficial.


Keywords


Psycho cutaneous disorders, mind, skin, consultation-liasion psychiatry

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References


Domonkos AN. Pruritus, Cutaneous neuroses and Neurocutaneousdermatoses. Andrew’s Disease of the skin, 6th ed. Philadelphia: WB Saunders C; 1971. p. 61-76.

Koblenzer CS. Psychosomatic concepts in dermatology. Arch Dermatol 1983;119:501-12.

Korabel H, Dudek D, Jaworek A, Wojas-Pelc A. Psychodermatology: Psychological and psychiatrical aspects of aspects of dermatology. PrzeglLek 2008;65:244-8.)

Dhivak V, Aggrawal N, Gupta S, Jadhavi R, Singh K. Depression in Dhat Syndrome. J Sex Med. 2008;5:841-4.

Bhatia MS, Malik SC. Dhat Syndrome: A useful diagnostic entity in Indian culture. Br J psychiatry. 1991;159:691-5)

Zachariae R, Zachariae H, Blomqvist K, et al. Self-reported stress reactivity and psoriasis-related stress of Nordic psoriasis sufferers. J EurAcadDermatolVenereol. 2004; 18:27–36. [PubMed: 14678528]

Fortune DG, Richards HL, Main CJ, et al. What patients with psoriasis believe about their condition. J Am AcadDermatol. 1998; 39:196–201. [PubMed: 9704828]

Nevitt GJ, Hutchinson PE. Psoriasis in the community: prevalence, severity and patients' beliefs and attitudes towards the disease. Br J Dermatol. 1996; 135:533–537. [PubMed: 8915141]

Gupta MA, Gupta AK, Kirkby S, et al. A psychocutaneous profile of psoriasis patients who are stress reactors: a study of 127 patients. Gen Hosp Psychiatry. 1989; 11:166–173. [PubMed:2721939]

10. Edwards AE, Shellow WV, Wright ET, et al. Pruritic skin diseases, psychological stress, and the itch sensation. A reliable method for the induction of experimental pruritus. Arch Dermatol. 1976; 112:339–343. [PubMed: 1259446]

SreelathaLakshmy et al A Cross-sectional Study of Prevalence and Implications of Depression and Anxiety in Psoriasis. Indian Journal of Psychological Medicine Oct - Dec 2015 Vol 37 |Issue 4: 434-40.

Kumar S, Kachhawha D, Das Koolwal G, Gehlot S, Awasthi A. Psychiatric morbidity in psoriasis patients: a pilot study. Indian J DermatolVenereolLeprol 2011;77:625.

Arnold LM, McElory SL, Mutasim DF et al. Characteristics of 34 adults with psycogenic excoriation. J Clin Psychiatry 1998; 59:509-514

Schlosser S, Black DW, Blum N, et al. The demography, phenomenology, and family history of 22 persons with compulsive hair pulling. Ann Clin Psychiatry 1994; 6: 147-152.


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