Psoriasis and Skin Treatment Center, Department of Dermatology, University of California, San Francisco, California, USA.
Department of Dermatology, University of Missouri School of Medicine, Columbia, Missouri, USA.
Pediatr Dermatol. 2022 Jan;39(1):12-16. doi: 10.1111/pde.14885. Epub 2021 Dec 29.
Pediatric psychodermatologic conditions encompass both primary dermatologic conditions with psychiatric comorbidities and primary psychiatric conditions with self-induced dermatologic manifestations. Detection, diagnosis, and management of primary psychiatric conditions with dermatologic manifestations are challenging due to patient-perceived stigma and lack of educational opportunities for dermatology providers. This two-part series highlights the most up-to-date evidence-based data and management techniques of some of the more common dermatoses of primary psychiatric conditions in children. Part I includes trichotillomania, skin picking disorder, and onychophagia, and part II covers dermatitis artefacta, body dysmorphic disorder, and delusions of parasitosis by proxy, with special considerations for family dynamics.
儿科心理皮肤病涵盖了既有精神共病的原发性皮肤病,也有伴有自身诱发皮肤病表现的原发性精神疾病。由于患者对精神疾病的污名化认知以及皮肤科医生缺乏教育机会,因此对伴有皮肤病表现的原发性精神疾病的发现、诊断和管理颇具挑战。本系列共两部分,重点阐述了一些儿童常见的原发性精神疾病相关皮肤病的最新循证医学数据和管理技术。第一部分包括拔毛癖、皮肤搔抓障碍和咬甲癖,第二部分涵盖了人工性皮炎、躯体变形障碍和代理型寄生虫妄想,同时特别考虑了家庭动态因素。