Andreoli E, Finore E D, Provini A, Paradisi M
Istituto Dermopatico dell'Immacolata IDI, IRCCS Roma, Rome.
Minerva Pediatr. 2008 Jun;60(3):355-9.
The skin is an organ that has a primary function in the tactile receptivity and also reacts significantly to emotional stimuli. The high visibility of the dermatological diseases makes the skin a privileged target for feelings and actions that reflect behavioural problems. The tendency to self-harm can be expressed with remarkable frequency through dermatological lesions; among them neurotic excoriations are a clinical frame in which patients, unlike for other ''similar'' pathologies, succeed however in recognizing their own role in the development of the cutaneous lesions. This pathology is not frequent in paediatric age; the highest statistical frequency, however, is to be found in the adolescence period of development. The authors describe a multidisciplinary, dermatological and psychological intervention on a child who intensifies a pre-existing dermatological symptom for psychological reasons.
皮肤是一种器官，其主要功能是触觉感受，并且对情绪刺激也有显著反应。皮肤病的高可见性使皮肤成为反映行为问题的情感和行为的特殊目标。自我伤害的倾向可以通过皮肤病变以相当高的频率表现出来；其中，神经性擦伤是一种临床情况，与其他“类似”病症不同，患者能够认识到自己在皮肤病变发展中的作用。这种病症在儿童期并不常见；然而，统计频率最高的是在青春期发育阶段。作者描述了对一名因心理原因加剧已有皮肤症状的儿童进行的多学科、皮肤科和心理干预。
