Weber Magda Blessmann, Recuero Júlia Kanaan, Almeida Camila Saraiva
Dermatology Service, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.
Dermatology Service, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.
An Bras Dermatol. 2020 Mar-Apr;95(2):133-143. doi: 10.1016/j.abd.2019.12.002. Epub 2020 Feb 18.
Patients with psychocutaneous disorders often refuse psychiatric intervention in their first consultations, leaving initial management to the dermatologist. The use of psychotropic agents in dermatological practice, represented by antidepressants, antipsychotics, anxiolytics, and mood stabilizers, should be indicated so that patients receive the most suitable treatment rapidly. It is important for dermatologists to be familiar with the most commonly used drugs for the best management of psychiatric symptoms associated with dermatoses, as well as to manage dermatologic symptoms triggered by psychiatric disorders.
患有精神皮肤疾病的患者在首次就诊时往往拒绝精神科干预,因此最初的治疗由皮肤科医生负责。在皮肤科实践中使用以抗抑郁药、抗精神病药、抗焦虑药和心境稳定剂为代表的精神药物,应予以明确,以便患者能迅速获得最合适的治疗。皮肤科医生熟悉最常用药物对于最佳管理与皮肤病相关的精神症状以及处理由精神障碍引发的皮肤症状非常重要。