Psychodermatoses: Diagnostic and Therapeutic Challenges
Journal Title: Journal of Dermatology Research - Year 2025, Vol 6, Issue 1
Abstract
A complicated subgroup of psychodermatological conditions is self-induced dermatoses, which affect not only the skin but also its appendages (hair and nails). These conditions occur when people harm themselves due to underlying mental health issues. These disorders include Dermatitis Artefacta, Delusional Parasitosis, Trichotillomania, Onychotillomania and Excoriation Disorder, where patients simulate or create skin lesions. Often, there is no underlying organic skin disease and the patient’s denial of self-harm further complicates diagnosis and treatment. This article explores the clinical manifestations of self-induced dermatoses, the diagnostic difficulties they present and the essential role of both dermatologists and psychiatrists in managing these conditions. Recognizing the psychological factors behind these behaviors are vital for creating comprehensive treatment strategies that combine both medical and psychiatric care. Early diagnosis and collaboration between dermatologists and psychiatrists are fundamental to enhancing patient outcomes and reducing the risks of severe consequences, such as self-harm and suicide. Additionally, the article discusses emerging therapeutic approaches and cultural perspectives to ensure a global and forward-thinking understanding of psychodermatoses.
Authors and Affiliations
Maria Novosartyan1*, Hovhannes Hovhannisyan2
Keywords
Related Articles
- EP ID EP756104
- DOI https://doi.org/10.46889/JDR.2025.6102
- Views 28
- Downloads 0
Endothelial TLR4 Activation by Endogenous Ligands Contributes to Small Blood Vessels Formation in Angiolipoma
Angiolipomas are benign subcutaneous nodules characterized by the presence of mature adipocytes intermingled with cluster of small blood vessels, often displaying intraluminal fibrin microthrombi. It is known that fibrin...
The Risk of Creating Difficult-To-Treat Psoriasis by Switching Multiple Biologic Therapies: A Case Report and Relative Considerations
Despite the revolution represented by biologic drugs, it is safe to say that every dermatologist has known the frustrating experience of treating a “difficult” patient with psoriasis. Such patients may have been treated...
Successful Treatment of Nail Lichen Planus with Roflumilast 0.3% Cream: A Case Report
Nail lichen planus is considered a true nail emergency resulting in destruction of the nails. Nail lichen planus is frequently resistant to treatments and has a high recurrence rate. This is a case report of a patient wi...
Longer Intervals Between Sessions With Q-Switched and Picosecond Lasers Result in Enhanced Tattoo Ink Clearance: Case Study Series of 12 Patients
Twelve case studies are presented showing results following laser tattoo removal with Nd:YAG, ruby and alexandrite lasers utilising both nanosecond and picosecond pulsewidth modes in a range of applied radiant exposures...
Neutrophilic Sebaceous Adenitis A Challenger Diagnosis with Favorable Response to Dapsone, Contribution of Two News Cases
Neutrophilic Sebaceous Adenitis (NSA) is a rare disorder of unknown cause, characterized by circinate plaques on the face and histologically by neutrophilic inflammation of the sebaceous glands accompanied by necrotic se...