Cortés Hernán, Rojas-Márquez Martín, Del Prado-Audelo María L, Reyes-Hernández Octavio D, González-Del Carmen Manuel, Leyva-Gómez Gerardo
Laboratorio de Medicina Genómica, Departamento de Genómica, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, Mexico.
Hospital Psiquiátrico Infantil Dr. Juan N. Navarro, Secretaría de Salud, Mexico City, Mexico.
Int J Dermatol. 2022 Jul;61(7):783-791. doi: 10.1111/ijd.15852. Epub 2021 Aug 17.
The presence of lesions in visible areas of skin may cause emotional troubles in patients, including low self-worth, embarrassment, sorrow, and social isolation. Those alterations may predispose to psychiatric disorders such as anxiety, depression, and even suicidal ideation, severely affecting patients' health state and quality of life (QoL). In this article, we focus on dermatologic patients that present with secondary mental health alterations. Thus, we offer a detailed description of mental disorders observed in patients with acne vulgaris, atopic dermatitis, psoriasis, ichthyosis, vitiligo, and hidradenitis suppurativa. Moreover, we point out the relationship between the severity of the cutaneous symptoms with mental illnesses and QoL decline. Our objective was to highlight the importance of mental health care for patients with skin diseases. The impact of skin alterations on the mental health of dermatological patients should be a central concern. Likewise, the timely identification and treatment of mental disorders are essential for the comprehensive management of these skin diseases.
皮肤可见部位出现病变可能会给患者带来情绪问题，包括自我价值感低、尴尬、悲伤和社交孤立。这些改变可能会引发精神障碍，如焦虑、抑郁，甚至自杀念头，严重影响患者的健康状况和生活质量（QoL）。在本文中，我们关注出现继发性心理健康改变的皮肤科患者。因此，我们详细描述了寻常痤疮、特应性皮炎、银屑病、鱼鳞病、白癜风和化脓性汗腺炎患者中观察到的精神障碍。此外，我们指出了皮肤症状的严重程度与精神疾病和生活质量下降之间的关系。我们的目的是强调皮肤病患者心理健康护理的重要性。皮肤改变对皮肤科患者心理健康的影响应成为核心关注点。同样，及时识别和治疗精神障碍对于这些皮肤病的综合管理至关重要。
