Gupta Madhulika A
Department of Psychiatry, University of Western Ontario, London, Ontario, Canada.
Int Rev Psychiatry. 2006 Feb;18(1):41-7. doi: 10.1080/09540260500466832.
This paper reviews a wide range of somatization-related symptoms that are encountered in dermatology. These include the unexplained cutaneous sensory syndromes especially the cutaneous dysesthesias associated with pain, numbness and pruritus; traumatic memories in post-traumatic stress disorder (PTSD) which are experienced on a sensory level as 'body memories' and may present as local or generalized pruritic states, urticaria and angioedema; and unexplained flushing reactions and profuse perspiration, in addition to unexplained exacerbations of stress-reactive dermatoses such as psoriasis and atopic eczema secondary to the autonomic hyperarousal in PTSD; classic 'pseudoneurologic' symptoms associated with dissociation including unexplained loss of touch or pain, in addition to the self-induced dermatoses such as dermatitis artefacta and trichotillomania that are encountered with dissociative states; and body dysmorphic disorder where the patient often presents with a somatic preoccupation involving the skin or hair.
本文综述了皮肤科中遇到的一系列与躯体化相关的症状。这些症状包括无法解释的皮肤感觉综合征，尤其是与疼痛、麻木和瘙痒相关的皮肤感觉异常；创伤后应激障碍（PTSD）中的创伤记忆，这些记忆在感觉层面上作为“身体记忆”被体验到，可能表现为局部或全身性瘙痒状态、荨麻疹和血管性水肿；无法解释的潮红反应和大量出汗，以及PTSD中自主神经高度兴奋继发的应激反应性皮肤病（如银屑病和特应性皮炎）的无法解释的加重；与分离相关的典型“假性神经症状”，包括无法解释的触觉或疼痛丧失，以及分离状态下出现的自我诱导性皮肤病，如人工皮炎和拔毛癖；还有身体变形障碍，患者常表现出涉及皮肤或头发的躯体先占观念。
