Articulo científico de dermatología sobre Trastornos psiquiátricos primarios en dermatología pdf

Volumen 24, Número 2 Abril-Junio 2016

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Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 105-121

Trastornos psiquiátricos primarios en dermatología

Primary psychiatric disorders in dermatology

Autor(es):

John Fredy Ballén

jjobaf@gmail.com

Médico, residente de Dermatología, Fundación Universitaria Sanitas, Bogotá, D.C., Colombia

Lizeth Milena Pinzón

Médica, residente de Psiquiatría, Fundación Universitaria Sanitas, Bogotá, D.C., Colombia

Ángel Omar Jaimes

Médico dermatólogo, Universidad CES, Centro Dermatológico Federico Lleras Acosta, Bogotá, Colombia

Álvaro José Tovar

Médico dermatólogo de planta, Centro Dermatológico Federico Lleras Acosta, Bogotá, Colombia.

Resumen:

Los trastornos psiquiátricos primarios relevantes en el contexto de la dermatología, comprenden un grupo de enfermedades caracterizadas por una alteración mental, asociada a afecciones cutáneas secundarias y autoinducidas. Aunque la consulta dermatológica puede ser el primer contacto médico de estos pacientes, la gran mayoría requiere el apoyo integral de otras disciplinas como la psiquiatría. Es por esto que el uso de herramientas clave en el acto médico son esenciales para identificar el tipo de trastorno y generar empatía con el paciente, lo que permitirá un adecuado manejo y la aceptación de una futura remisión al psiquiatra, para evitar complicaciones graves como la perpetuación de la enfermedad y el suicidio, entre otras. En este trabajo se pretende dilucidar las principales características clínicas y el abordaje de estas complejas enfermedades.

Palabras clave:

conducta autodestructiva, delirio de parasitosis, trastorno dismórfico corporal, trastornos fingidos, tricotilomanía.

Summary:

The main primary psychiatric disorders in dermatology are a group of diseases characterized by a disturbance in the psyche, associated with secondary skin conditions and self-induced injury. Although the dermatologist may be the first physician in contact with these patients, support from other specialties such as psychiatry may be necessary. The acquisition of abilities in the medical act is essential to identify the type of disorder and to generate empathy, allowing proper management and acceptance of a possible referral to a psychiatrist. All this is very important to avoid serious complications such as the perpetuation of the disorder or even suicide. This work aims to elucidate the clinical features and management of these complex diseases

Key words:

Body dysmorphic disorders, delusional parasitosis, factitious disorders, self-injurious behavior, trichotillomania.

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Trastornos psiquiátricos primarios en dermatolog...

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