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Dermatology
Psychocutaneous Diseases
Built from Dermatology, 5th Edition
What’s inside
6 sections · 100 slides
Overview
- What this topic covers
Overview
Two ways to make sense of the many disorders where mind and skin meet
- What psychodermatology means
- The dermatologist's role
- Two ways to classify psychodermatologic disorders
- Classification of psychodermatologic disorders
- Four categories of psychodermatologic disorders
- Four psychopathology patterns behind these disorders
- Matching medication to the underlying pattern
- Psychopathologic patterns and psychotropic medications used in dermatology
- Psychopathologic patterns and psychotropic medications used in dermatology (continued)
- Psychopathologic patterns and psychotropic medications used in dermatology (continued)
- Psychopathologic patterns and psychotropic medications used in dermatology (continued)
- Psychopathologic patterns and psychotropic medications used in dermatology (continued)
- Psychopathologic patterns and psychotropic medications used in dermatology (continued)
- Psychopathologic patterns and psychotropic medications used in dermatology (continued)
- Psychopathologic patterns and psychotropic medications used in dermatology (continued)
- Psychopathologic patterns and psychotropic medications used in dermatology (continued)
Delusional Infestation
A fixed false belief of skin infestation, and how to manage it without confrontation
- Delusional infestation: definition and key features
- How the name for this condition evolved
- Where delusional infestation sits in DSM-5
- Epidemiology
- DSM-5 criteria and the nature of the belief
- How patients present
- Delusional infestation: excoriations and the matchbox sign
- When the delusion spreads to others
- Differential diagnosis
- Building the therapeutic relationship
- Choosing an antipsychotic: two options
- Use of risperidone in dermatology
- Monitoring a patient on risperidone or another antipsychotic
- Monitoring guidelines for antipsychotic therapy
- Abnormal Involuntary Movement Scale examination procedure
- Abnormal Involuntary Movement Scale rating form
- Risperidone: contraindications and drug interactions
- Comparing side effects across antipsychotics
- Side effects of pimozide
- Side effects of second-generation antipsychotic drugs
- Side effects of second-generation antipsychotic drugs (continued)
- Why the QT interval matters
- Effect of psychotropic drugs on the QT interval (QTc)
- Delusional infestation: course and prognosis
Obsessive-Compulsive and Related Disorders
Body-focused repetitive behaviors, body dysmorphic disorder, and skin picking
- Obsessions and compulsions, defined
- Body-focused repetitive behaviors (BFRBs)
- Bite fibroma and habit-tic nail deformity
- Nail biting and a habit-related knuckle pad
- Body-focused repetitive behaviors (BFRBs) and associated mucocutaneous findings
- Body-focused repetitive behaviors (BFRBs) and associated mucocutaneous findings (continued)
- Body dysmorphic disorder: definition and key features
- Body dysmorphic disorder: epidemiology
- Body dysmorphic disorder: clinical features
- Two treatment subtypes of body dysmorphic disorder
- Body dysmorphic disorder: treatment
- Trichotillomania: definition and key features
- Trichotillomania: epidemiology
- How patients pull, and what they do with the hair
- Hairs of varying length in trichotillomania
- Diagnosis: trichoscopy and simple bedside tests
- Trichotillomania: histopathology findings
- Histopathology of trichotillomania: pigmented follicular cast
- Trichotillomania: differential diagnosis
- Trichotillomania: treatment
- Excoriation (skin-picking) disorder: definition and key features
- Excoriation disorder: epidemiology
- Excoriation disorder: clinical features
- Excoriation disorder: picking at a mosquito bite
- Excoriation disorder affecting the face
- Excoriation disorder of the back and chest
- Excoriation disorder: differential diagnosis
- Excoriation disorder: treatment
- Acne excoriée: definition and key features
- Acne excoriée: compulsive picking at acne lesions
- Acne excoriée: treatment
Dermatitis Artefacta and Related Conditions
Factitious skin disease, somatic symptom disorders, and nonsuicidal self-injury
- Dermatitis artefacta: definition and key features
- Dermatitis artefacta: epidemiology
- Dermatitis artefacta: clinical features
- Dermatitis artefacta: erosions and ulcers with angulated edges
- Dermatitis artefacta on the leg of a teenage girl
- Dermatitis artefacta: pathology
- Histopathology of dermatitis artefacta
- Dermatitis artefacta: differential diagnosis
- Dermatitis artefacta: treatment
- Somatic symptom and illness anxiety disorders
- Two opposite behavior patterns, same underlying anxiety
- Somatic symptom and illness anxiety disorders: treatment
- Nonsuicidal self-injury: definition and key features
- Nonsuicidal self-injury: epidemiology and clinical features
- Nonsuicidal self-injury: scars from repeated self-cutting
- Nonsuicidal self-injury: treatment
- Excessive tanning behavior
Secondary Psychodermatologic Disorders
When distress develops because of a skin disease, not before it
- Secondary psychodermatologic disorders
- Adjustment disorder
- Managing adjustment disorder
- A practical approach to psychocutaneous disease
- Key takeaways
- References
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- Dermatology, 5th Edition (2-Volume Set)