OBERMAYER M E
Calif Med. 1961 Feb;94(2):61-5.
Self-induced eruptions are always expressions of an emotionally disturbed person. They cover a wide variety of injuries and include aggravation of preexisting dermatoses, neurotic excoriations, mucocutaneous changes from compulsive movements, factitial dermatitis and trichotillomania. The emotional disturbances in such patients range from mild psychoneuroses to severe psychoses. Attention should be focused primarily on the emotional disturbance. The management of psychotic patients is the domain of the psychiatrist. But those unsuitable for psychiatric care and persons with mild psychoneuroses-who fortunately constitute the majority among patients with self-inflicted eruptions-should remain with their dermatologist or general physician and get from him effective supportive psychotherapy in addition to such treatment for the self-induced damage to the skin as may be indicated.
自我诱发的皮疹总是情绪紊乱者的表现。它们涵盖了各种各样的损伤，包括原有皮肤病的加重、神经性擦伤、强迫性动作引起的黏膜皮肤改变、人工皮炎和拔毛癖。这类患者的情绪紊乱范围从轻度精神神经症到重度精神病。应主要关注情绪紊乱。精神病患者的治疗是精神科医生的领域。但那些不适合精神科护理的患者以及患有轻度精神神经症的人——幸运的是，他们在自我诱发皮疹的患者中占大多数——应继续由皮肤科医生或全科医生诊治，除了对皮肤自我损伤进行必要治疗外，还应从他们那里获得有效的支持性心理治疗。
