Citation

Mercan S. Turkderm Deri Hastaliklari ve Frengi Arsivi 2010; 44(Suppl 1): 16-24.

Copyright

(Copyright © 2010)

DOI

10.4274/turkderm.s44.16

PMID

unavailable

Abstract

The etiology of these dermatological diseases is entirely psychiatric origin. These patients show overconcern to their skin or self inflicted dermatoses unconsciously instead of facing with their real problems. In this group, delusions, dermatitis artefacta, trichotillomania, body dysmorphic disorder can be seen. They use denial as defence mechanism to their real psychiatric problems and prefer to apply dermatology instead of psychiatry. Dermatologist should be very careful before asking psychiatric consultation. Denial mechanism help patients to overcome agressive impulses like suicide or prevent further psychiatric damage like psychosis. Dermatologist should see these patients with short and frequent intervals with a good empathic approach. This will help to progress a powerful patient doctor relationship which will lead to a psychiatric evaluation.

Language: tr

Keywords

human; psychiatry; Psychosis; psychosis; suicidal behavior; review; mental disease; consultation; delusion; doctor patient relation; denial; body dysmorphic disorder; Body dysmorphic disorder; dermatitis; Dermatitis artefacta; trichotillomania; dermatology; clinical evaluation; dermatitis artefacta; Delusional parasitosis; Trichotillomania