Psychocutaneous medicine: a psychopathology-based, problem-focused approach

  • George Kroumpouzos
    Address for Correspondence: George Kroumpouzos, MD, PhD, Warren Alpert Medical School at Brown University, Rhode Island Hospital, APC 10, 593 Eddy St, Providence, RI 02903, USA
    Department of Dermatology, Warren Alpert Medical School at Brown University, Providence, Rhode Island
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      Psychocutaneous medicine refers to the interface between psychiatry, psychology, and dermatology–this field appeals across disciplines, including internal medicine and pediatrics. It involves the complex interaction of the brain, cutaneous nerves, cutaneous immune system, and skin.1 In a survey by the British Association of Dermatologists, 8% of dermatology patients presented with worsening psychiatric problems, 3% had a primary psychiatric disorder, 17% needed psychologic support to help them with the distress secondary to a skin condition, and 14% had a psychologic condition exacerbating their skin disease.2 Eighty-five percent of dermatology patients indicated that the psychologic aspects of their skin disease are a significant component of their illness. Psychiatric conditions manifest with skin problems or conviction of having skin pathology.1 Basic knowledge of psychodermatology is essential in daily clinical practice.


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