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- Title
Primary Psychiatric Conditions: Dermatitis Artefacta, Trichotillomania and Neurotic Excoriations.
- Authors
Wong, Jillian W.; Nguyen, Tien V.; Koo, John Y. M.
- Abstract
Primary psychiatric conditions encountered in dermatology include dermatitis artefacta, trichotillomania (TTM) and neurotic excoriations. For these disorders, the primary pathologic condition involves the psyche; therefore, any cutaneous findings are self-induced. Herein, we review common primary psychiatric conditions in dermatology - dermatitis artefacta, neurotic excoriations and TTM - and examine their epidemiology, clinical presentation, differential diagnosis and treatment strategies. For all primary psychiatric disorders, the most effective underlying strategy is to first establish a strong therapeutic rapport with the patient. Various pharmacologic and non-pharmacologic therapies can then be attempted afterwards to successfully manage these patients.
- Subjects
CLASSIFICATION of mental disorders; NEUROSES diagnosis; SKIN inflammation diagnosis; COMPULSIVE hair pulling; DIFFERENTIAL diagnosis; SKIN diseases; SKIN inflammation; DIAGNOSIS
- Publication
Indian Journal of Dermatology, 2013, Vol 58, Issue 1, p44
- ISSN
0019-5154
- Publication type
Article
- DOI
10.4103/0019-5154.105287