Koblenzer C S
University of Pennsylvania, Philadelphia.
Int J Psychiatry Med. 1992;22(1):47-63. doi: 10.2190/JMLB-UUTJ-40PN-KQ3L.
Patients whose psychopathology is expressed in cutaneous lesions often consult a dermatologist rather than a psychiatrist. Dermatologists may not be interested in working with these difficult patients. The need for liaison dermatology is becoming more widely recognized. This article discusses the place of psychiatric consultation in the dermatology setting, and describes the common dermatologic presentations of psychopathology: cutaneous delusions, obsessive-compulsive symptoms, expressions of depression, and dermatitis-artefacta. Diagnostic criteria for these conditions are outlined and a treatment approach, within the competence of the interested dermatologist, is offered.
心理病理学表现为皮肤损害的患者通常会咨询皮肤科医生而非精神科医生。皮肤科医生可能对治疗这些棘手的患者不感兴趣。联络皮肤科的需求正越来越得到广泛认可。本文讨论了精神科会诊在皮肤科环境中的作用，并描述了心理病理学常见的皮肤科表现：皮肤妄想、强迫症状、抑郁表现和人工皮炎。概述了这些病症的诊断标准，并提供了一种在感兴趣的皮肤科医生能力范围内的治疗方法。
