Pathomimesis: psychiatric and medico-legal interference in dermatology

Title : Pathomimesis: psychiatric and medico-legal interference in dermatology
Authors : Mihaela Anca Popescu, Dumitru-Justin Diaconu, Roxana Vicu, Silvia Vasile, Mădălina Geantă, Maria Magdalena Mîinea
  : Rom J Leg Med [19] 277-282 [2011]

Abstract:

Psychodermatology deals with the psychological causes of cutaneous disorders and the patient’s psychological predisposition to suffer from skin diseases. Dermatologic disorders can be purely somatic or somatic diseases with a noticeable effect on the psyche, somatic disorders with emotional trigger factors, as well as exclusively psychological illnesses. The skin is considered a “mirror of the soul” and the connection between the skin and the nervous system has been demonstrated. Between 20-40% of the patients in the dermatology wards have some type of psychiatric problem, therefore physicians must be familiar with these disorders and with the proper ways to approach the patient, in order to establish an accurate diagnosis and treatment method.

The present paper describes the most commonly encountered psychodermatological disorders, both in terms of symptoms and clinical signs, and of the psychiatric and forensic ramifications. Further progress has been made in understanding and treating these diseases situated at the interface of dermatology and psychiatry.

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