Western University of Health Sciences, Lebanon, Oregon, USA.
Dermatol Online J. 2021 Oct 15;27(10). doi: 10.5070/D3271055620.
Psychodermatological problems are prevalent in dermatology practices. Among those, delusional infestation (DI) is the subject of one of the most challenging patient encounters practicing dermatologists may experience. This difficulty arises, at least partly, from the unavailability of psychiatric knowledge and skillset necessary to properly manage these patients, reflecting that most dermatology residency programs are unable to provide training in psychodermatology. This relates to the lack of faculty available with such expertise. This article reviews various suggestions made in the medical literature to try to improve this current unfortunate situation. However, the more common suggestion regarding organizing a multidisciplinary psychodermatologic clinic may be difficult to achieve as reflected by the scarcity of such clinics in the U.S. The authors offer alternative suggestions beyond the idea of organizing a multidisciplinary clinic.
精神皮肤病学问题在皮肤科实践中很常见。在这些问题中，妄想性寄生虫病（DI）是皮肤科医生可能遇到的最具挑战性的患者之一。这种困难至少部分源于缺乏适当管理这些患者所需的精神病学知识和技能，这反映出大多数皮肤科住院医师培训计划无法提供精神皮肤病学方面的培训。这与缺乏此类专业知识的教师有关。本文回顾了医学文献中提出的各种建议，试图改善当前这种不幸的情况。然而，正如美国此类诊所稀缺所反映的那样，组织多学科精神皮肤病诊所的建议可能很难实现。作者提出了除组织多学科诊所之外的其他建议。
