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Dermatology

Psychocutaneous Diseases

Built from Dermatology, 5th Edition

The first 25 slides of Psychocutaneous Diseases
The first 25 slides, exactly as they appear. The full deck has 100 content slides.

What’s inside

6 sections · 100 slides

  1. 01

    Overview

    • What this topic covers

    1 slide

  2. 02

    Overview

    Two ways to make sense of the many disorders where mind and skin meet

    • What psychodermatology means
    • The dermatologist's role
    • Two ways to classify psychodermatologic disorders
    • Classification of psychodermatologic disorders
    • Four categories of psychodermatologic disorders
    • Four psychopathology patterns behind these disorders
    • Matching medication to the underlying pattern
    • Psychopathologic patterns and psychotropic medications used in dermatology
    • Psychopathologic patterns and psychotropic medications used in dermatology (continued)
    • Psychopathologic patterns and psychotropic medications used in dermatology (continued)
    • Psychopathologic patterns and psychotropic medications used in dermatology (continued)
    • Psychopathologic patterns and psychotropic medications used in dermatology (continued)
    • Psychopathologic patterns and psychotropic medications used in dermatology (continued)
    • Psychopathologic patterns and psychotropic medications used in dermatology (continued)
    • Psychopathologic patterns and psychotropic medications used in dermatology (continued)
    • Psychopathologic patterns and psychotropic medications used in dermatology (continued)

    16 slides

  3. 03

    Delusional Infestation

    A fixed false belief of skin infestation, and how to manage it without confrontation

    • Delusional infestation: definition and key features
    • How the name for this condition evolved
    • Where delusional infestation sits in DSM-5
    • Epidemiology
    • DSM-5 criteria and the nature of the belief
    • How patients present
    • Delusional infestation: excoriations and the matchbox sign
    • When the delusion spreads to others
    • Differential diagnosis
    • Building the therapeutic relationship
    • Choosing an antipsychotic: two options
    • Use of risperidone in dermatology
    • Monitoring a patient on risperidone or another antipsychotic
    • Monitoring guidelines for antipsychotic therapy
    • Abnormal Involuntary Movement Scale examination procedure
    • Abnormal Involuntary Movement Scale rating form
    • Risperidone: contraindications and drug interactions
    • Comparing side effects across antipsychotics
    • Side effects of pimozide
    • Side effects of second-generation antipsychotic drugs
    • Side effects of second-generation antipsychotic drugs (continued)
    • Why the QT interval matters
    • Effect of psychotropic drugs on the QT interval (QTc)
    • Delusional infestation: course and prognosis

    24 slides

  4. 04

    Obsessive-Compulsive and Related Disorders

    Body-focused repetitive behaviors, body dysmorphic disorder, and skin picking

    • Obsessions and compulsions, defined
    • Body-focused repetitive behaviors (BFRBs)
    • Bite fibroma and habit-tic nail deformity
    • Nail biting and a habit-related knuckle pad
    • Body-focused repetitive behaviors (BFRBs) and associated mucocutaneous findings
    • Body-focused repetitive behaviors (BFRBs) and associated mucocutaneous findings (continued)
    • Body dysmorphic disorder: definition and key features
    • Body dysmorphic disorder: epidemiology
    • Body dysmorphic disorder: clinical features
    • Two treatment subtypes of body dysmorphic disorder
    • Body dysmorphic disorder: treatment
    • Trichotillomania: definition and key features
    • Trichotillomania: epidemiology
    • How patients pull, and what they do with the hair
    • Hairs of varying length in trichotillomania
    • Diagnosis: trichoscopy and simple bedside tests
    • Trichotillomania: histopathology findings
    • Histopathology of trichotillomania: pigmented follicular cast
    • Trichotillomania: differential diagnosis
    • Trichotillomania: treatment
    • Excoriation (skin-picking) disorder: definition and key features
    • Excoriation disorder: epidemiology
    • Excoriation disorder: clinical features
    • Excoriation disorder: picking at a mosquito bite
    • Excoriation disorder affecting the face
    • Excoriation disorder of the back and chest
    • Excoriation disorder: differential diagnosis
    • Excoriation disorder: treatment
    • Acne excoriée: definition and key features
    • Acne excoriée: compulsive picking at acne lesions
    • Acne excoriée: treatment

    31 slides

  5. 05

    Dermatitis Artefacta and Related Conditions

    Factitious skin disease, somatic symptom disorders, and nonsuicidal self-injury

    • Dermatitis artefacta: definition and key features
    • Dermatitis artefacta: epidemiology
    • Dermatitis artefacta: clinical features
    • Dermatitis artefacta: erosions and ulcers with angulated edges
    • Dermatitis artefacta on the leg of a teenage girl
    • Dermatitis artefacta: pathology
    • Histopathology of dermatitis artefacta
    • Dermatitis artefacta: differential diagnosis
    • Dermatitis artefacta: treatment
    • Somatic symptom and illness anxiety disorders
    • Two opposite behavior patterns, same underlying anxiety
    • Somatic symptom and illness anxiety disorders: treatment
    • Nonsuicidal self-injury: definition and key features
    • Nonsuicidal self-injury: epidemiology and clinical features
    • Nonsuicidal self-injury: scars from repeated self-cutting
    • Nonsuicidal self-injury: treatment
    • Excessive tanning behavior

    17 slides

  6. 06

    Secondary Psychodermatologic Disorders

    When distress develops because of a skin disease, not before it

    • Secondary psychodermatologic disorders
    • Adjustment disorder
    • Managing adjustment disorder
    • A practical approach to psychocutaneous disease
    • Key takeaways
    • References
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • Dermatology, 5th Edition (2-Volume Set)

    11 slides