An observational study on prevalence of skin diseases in psychiatric patients
DOI:
https://doi.org/10.18203/2320-6012.ijrms20252411Keywords:
Infectious dermatological diseases, Psychiatric disorders, PsychodermatosesAbstract
Background: Skin diseases and psychiatric disorders are related to each other because of common ectodermal origin. The aim of this study was to study the prevalence and distribution of skin diseases in patients with primary psychiatric disorders.
Methods: The 100 patients diagnosed with primary psychiatric disorders who gave consent were studied for dermatological diseases.
Results: Of these 100 patients, 36 (36%) were diagnosed with schizophrenia, 24 (24%) with bipolar disorder, 14 (14%) with major depressive disorders, 14 (14%) with anxiety disorders and 12 (12%) with obsessive-compulsive disorder. Of these patients, 72 (72%) had dermatological disorders. Non-infectious dermatological disorders constituted 59.72% of the total skin diseases and infectious 40.28% of the total patients. Amongst non-infectious dermatoses, eczematous disorders were most prevalent (13.88%), while amongst infectious dermatoses, folliculitis and furunculosis were most commonly encountered (9.72% each).
Conclusions: Infectious and non-infectious skin diseases were common in patients with primary psychiatric diseases.
Metrics
References
Basavaraj KH, Navya MA, and Rashmi R. Relevance of psychiatry in dermatology: Present concepts: Indian J Psychiatry. 2010;52(3):270-5. DOI: https://doi.org/10.4103/0019-5545.70992
Elenkov IJ, Chrousos GP. Stress system-organization, physiology and immunoregulation. Neuroimmunomodulation. 2006;13(5-6):257-67. DOI: https://doi.org/10.1159/000104853
Mavogiorgou P, Mersmann C, Gerlach G, Herpertz S, Juckel G. Skin diseases in patients with primary psychiatric disorders. Psychiat Investig. 2020;17(2):157-62. DOI: https://doi.org/10.30773/pi.2019.0193
Savin JA, Cotterill JA. Psychocutaneous disorders. In: Champion RH, Burton JL, Ebling FJ, editors. Rook/Wilkinson/Ebling. Textbook of dermatology. 5th ed. Oxford: Blackwell Scientific Textbook of Dermatology. 7th ed. Oxford: Blackwell Scientific Publications. 2004;16.
Picardi A, Abeni D, Melchi CF, Puddu P, Pasquini P. Psychaitric morbidity in dermatological outpatients:An issue to be recognized. Br J Dermatol. 2000;143(5):983-91. DOI: https://doi.org/10.1046/j.1365-2133.2000.03831.x
Cotterill JA. Body dysmorphic disorder. Dermatol Clin. 1996;14(3):457-45. DOI: https://doi.org/10.1016/S0733-8635(05)70373-9
Koo J, Lee CS. Psychotropic agents. In: Koo J, editor. Comprehensive Dermatologic Drug Therapy. 1st ed. Philadelphia: WB Saunders Company. 2001;402-22.
Attah Johnson FY, Mostaghini H. Co-Morbidity between Dermatologic Diseases and Psychiatric Disorders in Papua New Guinea. Int J Dermatol. 1995;34(4):244-8. DOI: https://doi.org/10.1111/j.1365-4362.1995.tb01589.x
Kuruvila M, Gahalaut P, Zacharia A. A study of skin disorder sin patients with primary psychiatric conditions. Indian J Dermatol Venereol Leprol. 2004;70:292-5.
Alshima M, Mostafa A, Saleh S. Dermatological diseases among patients with psychiatric disorders. Egypt J Psychiat. 2018;39(2):53-6. DOI: https://doi.org/10.4103/ejpsy.ejpsy_44_17
Moftah NH, Kamel AM, Attia HM, El-Baz MZ, Abd El-Moty HM. Skin diseases in patients with primary psychiatric conditions: a hospital-based study. J Epidemiol Glob Health. 2013;3(3):131-8. DOI: https://doi.org/10.1016/j.jegh.2013.03.005
Mookhoek EJ, van De Kerkhof PC, Hovens JE, Brouwers JR, Loonen AJ. Skin disorders in chronic psychiatric illness. J Eur Acad Dermatol Venereol. 2010;24(10):1151-6. DOI: https://doi.org/10.1111/j.1468-3083.2010.03609.x
Segerstrom SC, Miller GE. Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychol Bull. 2004;130(4):601-30. DOI: https://doi.org/10.1037/0033-2909.130.4.601
Koblenzer CS. Psychiatric syndromes of interest to dermatologists. Int J Dermatol. 1993;32(2):82-8. DOI: https://doi.org/10.1111/j.1365-4362.1993.tb01440.x
Gupta MA, Gupta AK. Psychodermatology: An Update. J Am Acad Dermatol. 1996;34(6):1030-46. DOI: https://doi.org/10.1016/S0190-9622(96)90284-4
Seville RH. Psoriasis and Stress. Br J Dermatol. 1977;97(3):297-302. DOI: https://doi.org/10.1111/j.1365-2133.1977.tb15186.x
Nyfors A, Lemholt K. Psoriasis in children. Br J Dermatol. 1975;92(4):437-42. DOI: https://doi.org/10.1111/j.1365-2133.1975.tb03105.x
Fabisch W. Psychiatric aspects of Dermatitis Artefacta. Br J Dermatol. 1980;102(1):29-34. DOI: https://doi.org/10.1111/j.1365-2133.1980.tb05668.x
Hatch ML, Paradis C, Friedman S, Popkin M, Shalita AR. Obsessive–compulsive disorder in patients with chronic pruritic conditions: Case studies and discussion. J Am Acad Dermatol. 1992;26(4):549-51. DOI: https://doi.org/10.1016/0190-9622(92)70078-T
Christenson GA, Mackenzie TB, Mitchell JE. Characteristics of 60 adult chronic hair pullers. Am J Psychiat. 1991;148(3):365-70. DOI: https://doi.org/10.1176/ajp.148.3.365