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

Primary psychiatric conditions: Dermatitis artefacta, trichotillomania and neurotic excoriations

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
3 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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.105287

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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.

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