The cutaneous stigmata of aging may affect an individual's mental well-being, body image, and quality of life. Before proceeding with treatment, the dermatologist should take into consideration the patient's overall life situation and evaluate whether or not there is severe psychopathology and body image distortion.

OBJECTIVE Psychocutaneous diseases constitute a large proportion of psychosomatic disorders, with psoriasis being one of the most typical cases. Though alteration of Hypothalamic-Pituitary-Adrenal (HPA) axis function has been suggested as underlying several psychiatric disorders and psychosomatic diseases, there is little evidence of reduced response of the HPA axis in psoriasis after psychosoc...

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 1873 Classification Psychodermatologic disorders can be broadly classified into three categories: psychophysiologic disorders, primary psychiatric disorders and secondary psychiatric disorders. The term “psychophysiologic disorder” refers to a skin disorder, such as eczema or psoriasis, that is worsened by emotional stress (Figure 1). “Primary psychiat...

Background: Lichen simplex chronicus (LSC), nodular prurigo (NP), and neurotic excoriation (NE) are considered as psychogenic pruritus disorders. Atopic dermatitis (AD) is also classified by some as a psychocutaneous disorder to point out the influence of psychologic factors in its recurrence, persistence and precipitation. AD and psychogenic pruritus share many common features including ...

Background: On average, one-third of patients seeking treatment for skin problems have associated psychological stress or psychiatric disease. Most psychodermatologic visit a dermatologist instead psychiatrist. It is important to recognize the signs and symptoms immediately, make prompt diagnosis do comprehensive that involves multi-disciplinary approach, including dermatology, psychiatry other...

Psoriasis is a chronic, relapsing, cutaneous condition with a I%-2% prevalence in thegeneral population. About 40% of psoriafics report that psychosocial stress significantly exacerbates their condition. However, the clinical characferistics of the subgroup of psoriatic patients who are stress reactors have not been delineated. At a practical clinical level if is fherefore difficult to implemen...

Observation: Dermatitis artefacta is a psychocutaneous disorder which includes both psychiatric and dermatologic pathologies. It is known to be a rare and difficult condition for diagnosis and treatment mostly because of the patient's denial. It consists of self-induced skin lesions often involving a more elaborate method for damaging the skin, such as the use of a sharp instrument. We present ...