Trastornos psiquiátricos primarios en dermatología

-A A +A
Artículo de revisión
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.
PDF del articulo
AsoColDerma
AsoColDerma
Trastornos psiquiátricos primarios en dermatología
Trastornos psiquiátricos primarios en dermatolog...

Referencias

  1. França K, Chacón A, Ledon J, Savas J, Nouri K. Pyschodermatology: A trip through history. An Bras Dermatol. 2013;88:842-3.
  2. Jafferany M, Stoep Vander A, Dumitrescu A, Hornung RL. The knowledge, awareness, and practice patterns of dermatologists toward psychocutaneous disorders: Results of a survey study. Int J Dermatol. 2010;49:784-9.
  3. Basavaraj KH, Navya MA, Rashmi R. Relevance of psychiatry in dermatology: Present concepts. Indian J Psychiatry. 2010;52:270-5.
  4. Yadav S, Narang T, Kumaran MS. Psychodermatology: A comprehensive review. Indian J Dermatol Venereol Leprol. 2013;79:176-92.
  5. Blancas F. Dermatología integral. Dermatología Rev Mex. 2005;49:193-5.
  6. O’Sullivan RL, Lipper G, Lerner EA. The neuro-immuno-cutaneous-endocrine network: Relationship of mind and skin. Arch Dermatol. 1998;134:1431-5.
  7. Brazzini B, Ghersetich I, Hercogova J, Lotti T. The neuro-immuno-cutaneous-endocrine network: Relationship between mind and skin. Dermatol Ther. 2003;16:123-31.
  8. Arck PC, Slominski A, Theoharides TC, Peters EMJ, Paus R. Neuroimmunology of stress: Skin takes center stage. J Invest Dermatol. 2006;126:1697-704.
  9. Locala JA. Current concepts in psychodermatology. Curr Psychiatry Rep. 2009;11:211-8.
  10. Leon A, Levin E, Koo J. Psychodermatology: An overview. Semin Cutan Med Surg. 2013;32:64-7.
  11. Software - historias clínicas Dynamica Gerencial®, Departamento de Sistemas, Centro Dermatológico Federico Lleras Acosta, 2016.
  12. Freudenmann RW, Lepping P. Delusional infestation. Clin Microbiol Rev. 2009;22:690-732.
  13. Heller MM, Wong JW, Lee ES, Ladizinski B, Grau M, Howard JL, et al. Delusional infestations: Clinical presentation, diagnosis and treatment. Int J Dermatol. 2013;52:775-83.
  14. Lepping P, Freudenmann RW. Delusional parasitosis: A new pathway for diagnosis and treatment. Clin Exp Dermatol. 2008;33:113-7.
  15. Ahmed A, Bewley A. Delusional infestation and patient adherence to treatment: An observational study. Br J Dermatol. 2013;169:607-10.
  16. Lee CS. Delusions of parasitosis. Dermatol Ther. 2008;21:2-7.
  17. Zomer SF, De Wit RFE, van Bronswijk JEHM, Nabarro G, van Vloten WA. Delusions of parasitosis. A psychiatric disorder to be treated by dermatologists? An analysis of 33 patients. Br J Dermatol. 1998;138:1030-2.
  18. Bhatia MS, Jhanjee A, Srivastava S. Delusional infestation: A clinical profile. Asian J Psychiatr. 2013;6:124-7.
  19. Middelveen MJ, Mayne PJ, Kahn DG, Stricker RB. Characterization and evolution of dermal filaments from patients with Morgellons disease. Clin Cosmet Investig Dermatol. 2013;6:1-21.
  20. Pearson ML, Selby JV, Katz KA, Cantrell V, Braden CR, Parise ME, et al. Clinical, epidemiologic, histopathologic and molecular features of an unexplained dermopathy. PLoS One. 2012;7:e29908.
  21. Trabert W. 100 years of delusional parasitosis. Meta-analysis of 1,223 case reports. Psychopathology. 1995;28:238-46.
  22. Muñoz H, Bayona L. Síndrome de Ekbom: a propósito de un caso. Rev Colomb Psiquiat. 2014;4:61-5.
  23. Hylwa SA, Bury JE, Davis MDP, Pittelkow M, Bostwick JM. Delusional infestation, including delusions of parasitosis: Results of histologic examination of skin biopsy and patient-provided skin specimens. Arch Dermatol. 2011;147:1041-5.
  24. Rodríguez-Cerdeira C, Pera JT, Arenas R. El síndrome de Ekbom: un trastorno entre la dermatología y la psiquiatría. Rev Colomb Psiquiat. 2010;39:440-
  25. Ladizinski B, Elpern DJ. Dermoscopy in delusions of parasitosis. Int J Dermatol. 2013;52:838-9.
  26. Wong JW, Koo JYM. Psychopharmacological therapies in dermatology. Dermatol Online J. 2013;19:1-19.
  27. Gupta MA, Gupta AK. Current concepts in psychodermatology. Curr Psychiatry Rep. 2014;16:449.
  28. Mufaddel A, Osman OT, Almugaddam F, Jafferany M. A review of body dysmorphic disorder and its presentation in different clinical settings. Prim Care Companion CNS Disord. 2013;15:12r01464.
  29. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th edition. Arlington: American Psychiatric Association; 2014.
  30. Ghosh S, Behere R, Sharma P, Savitha S. Relevant issues in pharmacotherapy of psycho-cutaneous disorders. Indian J Dermatol. 2013;58:61-4.
  31. Ipser J, Sander C, Stein D. Pharmacotherapy and psychotherapy for body dysmorphic disorder. Cochrane Database Syst Rev. 2009;21.
  32. Shoenfeld N, Rosenberg O, Kotler M, Dannon PN. Tricotillomania: Pathopsychology theories and treatment possibilities. Isr Med Assoc J. 2012;14:125-9.
  33. Franklin ME, Zagrabbe K, Benavides KL. Trichotillomania and its treatment: A review and recommendations. Expert Rev Neurother. 2011;11:1165-74.
  34. Harrison JP, Franklin ME. Pediatric trichotillomania. Curr Psychiatry Rep. 2012;14:188-96.
  35. Snorrason I, Berlin G, Lee H. Optimizing psychological interventions for trichotillomania (hair-pulling disorder): An update on current empirical status. Psychol Res Behav Manag. 2015;8:105-13.
  36. Wong JW, Nguyen T V, Koo JY. Primary psychiatric conditions: Dermatitis artefacta, trichotillomania and neurotic excoriations. Indian J Dermatol. 2013;58:44-8.
  37. Ospina J, Jose VJ. Síndrome de Rapunzel reporte de caso y revisión de la literatura. Rev Col Gastroenterol. 2011;26:30-3.
  38. Walsh KH, Mcdougle CJ. Trichotillomania. Presentation, etiology, diagnosis and therapy. Am J Clin Derm. 2001;2:327-33.
  39. Rakowska A, Slowinska M, Olszewska M, Rudnicka L. New trichoscopy findings in trichotillomania: Flame hairs, V-sign, hook hairs, hair powder, tulip hairs. Acta Derm Venereol. 2014;94:303-6.
  40. Jain N, Doshi B, Khopkar U. Trichoscopy in alopecias: Diagnosis simplified. Int J Trichology. 2013;5:170-8.
  41. Elston DM. What’s new in the histologic evaluation of alopecia and hair-related disorders?. Dermatol Clin. 2012;30:685-94.
  42. Lachapelle JM, Pierard GE. Traumatic alopecia in trichotillomania: A pathogenic interpretation of histologic lesions in the pilosebaceous unit. J Cutan Pathol. 1977;4:51-67.
  43. Bergfeld W, Mulinari-Brenner F, McCarron K, Embi C. The combined utilization of clinical and histological findings in the diagnosis of trichotillomania. J Cutan Pathol. 2002;29:207-14.
  44. Starcevic V. Trichotillomania: Impulsive, compulsive or both? Aust N Z J Psychiatry. 2015;49:660-1.
  45. Rozenman M, Peris TS, González A, Piacentini J. Clinical characteristics of pediatric trichotillomania: Comparisons with obsessive-compulsive and tic disorders. Child Psychiatry Hum Dev. 2016;47:124-32.
  46. Rothbart R, Stein DJ. Pharmacotherapy of trichotillomania (hair pulling disorder): An updated systematic review. Expert Opin Pharmacother. 2014;15:2709-19.
  47. Rothbart R, Amos T, Siegfried N, Ipser J, Fineberg N, Chamberlain S, et al. Pharmacotherapy for trichotillomania. Cochrane Rev. 2013;11:CD007662.
  48. Harth W, Taube KM, Gieler U. Facticious disorders in dermatology. J Dtsch Dermatol Ges. 2010;8:361-74.
  49. Gieler U, Consoli SG, Tomas-Aragones L, Linder DM, Jemec GBE, Poot F, et al. Self-inflicted lesions in dermatology: Terminology and classification - A position paper from the European Society for Dermatology and Psychiatry (ESDaP).
.
Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 78/144-145
Disseminated juvenile xanthogranuloma associated with insect bites
Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 141-143
Acquired trichorrhexis nodosa
Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 138-140
Subcutaneous Sweet syndrome associated to myelodysplastic syndrome
Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 135-137
Gorlin syndrome with metastatic basocelular carcinoma in treatment with vismodegib
Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 127-132
Cutaneous angiosarcoma associated with systemic sclerosis
Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 122-126
Primary psychiatric disorders in dermatology
Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 105-121
Cutaneous graft versus host disease
Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 90-102.
.
Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 88-89
Patch test results in patients with allergic contact dermatitis in Medellín, Colombia, 2006-2013
Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 81-87
.
Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 78/144-145
.
Rev Asoc Colomb Dermatol. 2016; 24: 2 (Abril-Junio), 76-77.

PATROCINADORES PRINCIPALES

  • MEDIHEALTH
  • SESDERMA
  • MD FARMACIA MAGISTRAL
  • EPIDERMIQUE
  • ISDIN
  • GALDERMA