variabilidade de diagnósticos psicológicos frente à avaliação dermatológica da escoriação psicogênica variability of psychological diagnosis in patients with psychogenic excoriation

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ID: 135592
2009
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Abstract
Dentre as dermatoses psiquiátricas, a escoriação psicogênica caracteriza-se pela confissão do paciente de provocar as lesões, sem apresentar doença dermatológica de base. Verificou-se que o assunto tem sido pouco abordado na literatura, com enfoque nos diagnósticos psicológicos. Dados epidemiológicos indicaram uma prevalência de 2 a 3 %, em relação à população geral, 2%, entre pacientes dermatológicos, e 9%, em pacientes com prurido, com predomínio significativo em mulheres. O artigo relata três casos brasileiros e discute o plano terapêutico constituído de equipe interdisciplinar, permitindo indicações psicoterapêuticas e medicamentosas específicas a cada caso.
Among psychiatric dermatoses, the psychogenic excoriation is characterized by patient's confession to provoking the lesions, without presenting any dermatological underlying pathology. This topic has been rarely approached in the literature, focusing on the diversity of psychological diagnoses. Epidemiological data indicated that prevalence varies from 2 to 3% in the general population, 2% among dermatological patients and 9% in patients with itching, with significant prevalence in women. The present article report three Brazilian cases and discusses the therapeutic plan based on multidisciplinary teamwork,including indications of psychotherapy and specific drug therapy to each case.
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Authors ;Cinthia Janine Meira Alves;Antônio Carlos Ceribelli Martelli;Renata Bilion Ruiz Prado;Mariane da Silva Fonseca
Journal Theriogenology
Year 2009
DOI
10.1590/S0365-05962009000500016
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962009000500016
Keywords
dermatology psychology diagnosis diagnóstico

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