Indian Journal of Dermatology
SYMPOSIUM
Year
: 2013  |  Volume : 58  |  Issue : 1  |  Page : 44--48

Primary psychiatric conditions: Dermatitis artefacta, trichotillomania and neurotic excoriations


Jillian W Wong1, Tien V Nguyen2, John YM Koo4 
1 School of Medicine, University of Utah, Salt Lake City, UT; Department of Dermatology, University of California, San Francisco, California, USA
2 Department of Dermatology, University of California, San Francisco, California; University of Texas, San Antonio School of Medicine, San Antonio, TX, USA

Correspondence Address:
Jillian W Wong
Department of Dermatology, UCSF Psoriasis and Skin Treatment Center, 515 Spruce Street, San Francisco, California 94118
USA

Primary psychiatric conditions encountered in dermatology include dermatitis artefacta, trichotillomania (TTM) and neurotic excoriations. For these disorders, the primary pathologic condition involves the psyche; therefore, any cutaneous findings are self-induced. Herein, we review common primary psychiatric conditions in dermatology - dermatitis artefacta, neurotic excoriations and TTM - and examine their epidemiology, clinical presentation, differential diagnosis and treatment strategies. For all primary psychiatric disorders, the most effective underlying strategy is to first establish a strong therapeutic rapport with the patient. Various pharmacologic and non-pharmacologic therapies can then be attempted afterwards to successfully manage these patients.


How to cite this article:
Wong JW, Nguyen TV, Koo JY. Primary psychiatric conditions: Dermatitis artefacta, trichotillomania and neurotic excoriations.Indian J Dermatol 2013;58:44-48


How to cite this URL:
Wong JW, Nguyen TV, Koo JY. Primary psychiatric conditions: Dermatitis artefacta, trichotillomania and neurotic excoriations. Indian J Dermatol [serial online] 2013 [cited 2019 Dec 13 ];58:44-48
Available from: http://www.e-ijd.org/article.asp?issn=0019-5154;year=2013;volume=58;issue=1;spage=44;epage=48;aulast=Wong;type=0