Simons Robert E, Zevy Danna L, Jafferany Mohammad
Central Michigan University College of Medicine, Department of Psychiatry, Saginaw, Michigan, USA.
Dermatol Ther. 2020 May;33(3):e13418. doi: 10.1111/dth.13418. Epub 2020 May 4.
Vitiligo is an autoimmune dermatologic disorder that causes chronic skin depigmentation, which affects an estimated 1% of the world's population. This disfiguring condition can have devastating psychological consequences on its sufferers. The field of psychodermatology examines psychiatric manifestations of dermatologic conditions. Although previous research in this area has been done on other skin disorders, no large-scale review exists on the dermatologic-psychiatric connection in vitiligo specifically. The current article will discuss the psychodermatology of vitiligo with an emphasis on depression, stress, and low self-esteem. The social and cultural considerations will also be explored. Finally, the implications of these psychiatric manifestations on treatment will be discussed, with the goal of implementing early psychiatric intervention for those with vitiligo.
白癜风是一种自身免疫性皮肤病，会导致慢性皮肤色素脱失，全球约1%的人口受其影响。这种毁容性疾病会给患者带来毁灭性的心理后果。心理皮肤病学领域研究皮肤病的精神表现。尽管此前已针对其他皮肤疾病开展了该领域的研究，但尚无专门针对白癜风皮肤与精神联系的大规模综述。本文将讨论白癜风的心理皮肤病学，重点关注抑郁、压力和自卑。还将探讨社会和文化因素。最后，将讨论这些精神表现对治疗的影响，目标是对白癜风患者实施早期精神干预。
