Buteau Anna, Reichenberg Jason
Internal Medicine, Dell Medical School, The University of Texas at Austin, 601 East 15th Street, CEC C2.470, Austin, TX 78701, USA.
Dermatology, Dell Medical School, The University of Texas at Austin, 601 East 15th Street, CEC C2.470, Austin, TX 78701, USA.
Dermatol Clin. 2018 Jul;36(3):309-314. doi: 10.1016/j.det.2018.02.015.
Chronic itching can be frustrating for patients and providers, and patients are not always willing to accept that their psychiatric health has an impact on their skin. Psychogenic pruritus is defined as itch not related to dermatologic or systemic causes. When a patient presents with pruritus, regardless of the presumed cause, the standard work-up should include a thorough history, dermatologic examination, and laboratory examinations or biopsies as needed. If no medical source is found, the provider must work in partnership with the patient to explore other causes and that may include acknowledging and treating underlying psychiatric conditions.
慢性瘙痒对患者和医护人员来说都可能令人沮丧，而且患者并不总是愿意接受其心理健康会对皮肤产生影响。精神性瘙痒被定义为与皮肤病学或全身性病因无关的瘙痒。当患者出现瘙痒症状时，无论推测的病因是什么，标准的检查流程都应包括详尽的病史询问、皮肤科检查，以及根据需要进行实验室检查或活检。如果未发现医学病因，医护人员必须与患者合作，探索其他病因，这可能包括识别和治疗潜在的精神疾病。
