PSYCHO-CUTANEOUS DISORDERS: A COMPREHENSIVE ANALYSIS IN PSYCHIATRIC AND DERMATOLOGY PATIENTS
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Keywords
cutaneous disorders, psychiatric condition, Psycho-Cutaneous Disorders
Abstract
To document the incidence and nature of cutaneous disorders in patients with diagnosed psychiatric condition. To compare it with the control group. To find out if any relationship exists between the two groups. The study included 103 patients diagnosed with psychiatric conditions who also presented with cutaneous diseases, constituting the study group. These patients were categorized according to the ICD-11 classification of psychocutaneous disorders. Additionally, a control group comprising 312 patients seeking care at the dermatology outpatient department due to various skin disorders, with no documented history of psychiatric conditions, was included in the study for comparative analysis. The majority of cases within the study group fell within the age range of the 2nd to the 4th decade. Among the study group patients, 54% exhibited infective dermatoses, while the remaining presented non-infective dermatoses. Notably, a high prevalence of 'dermatophyte' infections was observed among male patients, while 'infestations' were more frequent among female patients in the study group. Within the non-infective dermatoses category, 19% of patients were diagnosed with eczema, and primary psychocutaneous disorders were identified in 7% of the study group. In conclusion, the study group exhibited a significantly higher incidence of infestations, genodermatoses, and dermatophyte infections. Additionally, patients with polysubstance abuse had a heightened occurrence of non-infective dermatoses, notably eczema. The most prevalent psychogenic skin disorder in the study group was 'Trichotillomania,' followed by 'Delusion of parasitosis' and 'Dermatitis Artifact.'
References
2. Basavaraj KH, Navya MA, Rashmi R. Relevance of psychiatry in dermatology: Present concepts. Indian J Psychiatry. 2010;52(3):270-275. doi:10.4103/0019-5545.70992
3. Jhangiani DR, Tarry DH. 3.3 The Social Self: The Role of the Social Situation. Published online January 26, 2022. Accessed September 25, 2023. https://opentextbc.ca/socialpsychology/chapter/the-social-self-the-role-of-the-social-situation/
4. Gunduz S, Usak E, Ozen S, Gorpelioglu C. Obsessive Compulsive Symptoms and Quality of Life in mothers of Children With Atopic Dermatitis. Actas Dermosifiliogr. 2017;108(5):432-437. doi:10.1016/j.ad.2017.01.004
5. Jafferany M. Psychodermatology: A Guide to Understanding Common Psychocutaneous Disorders. Prim Care Companion J Clin Psychiatry. 2007;9(3):203-213.
6. Koo J, Lebwohl A. Psycho dermatology: the mind and skin connection. Am Fam Physician. 2001;64(11):1873-1878.
7. Rahman SM, Abduelmula A, Jafferany M. Psychopathological symptoms in dermatology: A basic approach toward psychocutaneous disorders. Int J Dermatol. 2023;62(3):346-356. doi:10.1111/ijd.16344
8. Kuruvila M, Gahalaut P, Zacharia A. A study of skin disorders in patients with primary psychiatric conditions. Indian J Dermatol Venereol Leprol. 2004;70:292.
9. George A, Girisha BS, Rao S. A perspective study of cutaneous manifestations in primary psychiatric disorders in a tertiary care hospital. Indian J Psychiatry. 2018;60(2):213-216. doi:10.4103/psychiatry.IndianJPsychiatry_156_18
10. Moftah NH, Kamel AM, Attia HM, El-Baz MZ, Abd El–Moty HM. Skin diseases in patients with primary psychiatric conditions: A hospital based study. J Epidemiol Glob Health. 2013;3(3):131-138. doi:10.1016/j.jegh.2013.03.005
11. Khalid N, Rogers T, Torguson R, Zhang C, Shea C, Shlofmitz E, Chen Y, Musallam A, Wermers JP, Case B, Hashim H. Feasibility and safety of high-risk percutaneous coronary intervention without mechanical circulatory support. Circ Cardiovasc Interv. 2021;14(9):e011275. doi:10.1161/CIRCINTERVENTIONS.121.011275
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Kiran J Dange
Assistant Professor, Department of Dermatology, B J Medical College, Pune, Maharashtra- 411001.
Dr Kanchan Bala Rathore
Department of Ophthalmology, Symbiosis Medical College for Women, Symbiosis International (Deemed) University, Lavale, Mulshi, Pune - 412115, India.
Avinash D Karde
Assistant Professor , Department of Psychiatry, B J Medical College, Pune, Maharashtra- 411001.