Mavrogiorgou Paraskevi, Mersmann Corinna, Gerlach Gabriele, Herpertz Stephan, Juckel Georg
Department of Psychiatry, Ruhr University Bochum, LWL-Universitätsklinikum, Bochum, Germany.
Department of Psychotherapy and Preventive Medicine, Ruhr University Bochum, LWL-Universitätsklinikum, Bochum, Germany.
Psychiatry Investig. 2020 Feb;17(2):157-162. doi: 10.30773/pi.2019.0193. Epub 2020 Feb 25.
The few psychodermatological studies of primary psychiatric populations so far suggest that parasitic-infectious skin diseases are the most common dermatological comorbidity in more than 70% of psychiatric patients, which should be studied here in a large data bank outside dermatological treatment facilities.
In a descriptive-explorative and retrospective study, more than 17,000 patients with primary psychiatric disorders were examined to investigate dermatological comorbidities.
The proportion of patients with primary mental disorders and additional dermatological disease was 1.24% (n=212). Here, psoriasis (35.4%) and atopic dermatitis (22.6%) were the most frequent dermatological diseases among these 212 patients. Infectious-parasitic skin diseases were present in 13.2% of comorbid patients. The most common mental disorder was a depressive illness, seen in 42.5% (n=90) of patients.
Our results confirmed the frequent association of depression with psoriasis and atopic dermatitis, indicating the need for the early detection and treatment of such comorbid patients. In contrast, psychiatric inpatients do not appear to suffer from predominantly infectious-parasitic dermatoses.
迄今为止，针对原发性精神疾病患者的少数心理皮肤病学研究表明，寄生虫感染性皮肤病是70%以上精神疾病患者中最常见的皮肤合并症，应在皮肤科治疗机构以外的大型数据库中对此进行研究。
在一项描述性探索性回顾性研究中，对17000多名原发性精神疾病患者进行检查，以调查皮肤合并症。
原发性精神障碍合并其他皮肤病的患者比例为1.24%（n = 212）。在这212名患者中，银屑病（35.4%）和特应性皮炎（22.6%）是最常见的皮肤病。13.2%的合并症患者患有感染性寄生虫皮肤病。最常见的精神障碍是抑郁症，见于42.5%（n = 90）的患者。
我们的结果证实了抑郁症与银屑病和特应性皮炎之间的频繁关联，表明需要对这类合并症患者进行早期检测和治疗。相比之下，精神科住院患者似乎并非主要患有感染性寄生虫皮肤病。
