E-Book, Englisch, 596 Seiten
A Clinical Manual of Child and Adolescent Psychocutaneous Disorders
E-Book, Englisch, 596 Seiten
Reihe: Health, Medicine and Human Development
ISBN: 978-3-11-027393-9
Verlag: De Gruyter
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)
Zielgruppe
Pediatricians, Physicians, Family Physicians, Internists, Dermatologists, Psychiatrists, Psychologists, Psychodermatologists, and Paramedical Staff; Academic Libraries
Autoren/Hrsg.
Fachgebiete
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Pädiatrie, Neonatologie
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Allgemeinmedizin, Familienmedizin
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Dermatologie
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizinische Fachgebiete Kinder- & Jugendpsychiatrie
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizinische Fachgebiete Psychiatrie, Sozialpsychiatrie, Suchttherapie
- Sozialwissenschaften Psychologie Psychotherapie / Klinische Psychologie
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Innere Medizin
Weitere Infos & Material
1;Foreword I;23
2;Foreword II;27
3;Preface;29
4;Author index;37
5;Abbreviations;41
6;Part I: INTERFACE OF DERMATOLOGY AND PSYCHIATRY;47
6.1;1 Perspectives on management of pediatric dermatologie disorders;49
6.1.1;1.1 Introduction;49
6.1.2;1.2 Skin infections and infestations;49
6.1.2.1;1.2.1 Bacterial infections;49
6.1.2.2;1.2.2 Viral infections;61
6.1.3;1.3 HIV/AIDS;65
6.1.3.1;1.3.1 Non-infectious skin lesions;65
6.1.3.2;1.3.2 Bacterial infections in HIV;65
6.1.3.3;1.3.3 Viral infections in HIV;66
6.1.3.4;1.3.4 Fungal infections in HIV;66
6.1.3.5;1.3.5 Fungal infections;67
6.1.3.6;1.3.6 Topical antifungals;71
6.1.3.7;1.3.7 Infestations;72
6.1.4;1.4 Dermatitis;75
6.1.4.1;1.4.1 Irritant dermatitis;75
6.1.4.2;1.4.2 Dry-skin dermatitis;75
6.1.4.3;1.4.3 Seborrheic dermatitis;75
6.1.4.4;1.4.4 Allergic dermatitides;76
6.1.4.5;1.4.5 Idiopathic dermatitides;79
6.1.5;1.5 Hypersensitivity;79
6.1.5.1;1.5.1 Urticaria;79
6.1.5.2;1.5.2 Drug eruptions;81
6.1.6;1.6 Miscellaneous skin conditions;83
6.1.6.1;1.6.1 Acne vulgaris;83
6.1.6.2;1.6.2 Nevi;87
6.1.6.3;1.6.3 Papulosquamous disorders;90
6.1.6.4;1.6.4 Lichens;92
6.1.6.5;1.6.5 Psoriasis;95
6.1.7;1.7 Dermatologic manifestations of systematic disorders;98
6.1.7.1;1.7.1 Pruritus without rash;98
6.1.7.2;1.7.2 Inflammatory bowel disease (IBD);99
6.1.7.3;1.7.3 Erythema nodosum;99
6.1.7.4;1.7.4 Pyoderma gangrenosum;99
6.1.7.5;1.7.5 Less common skin manifestations;99
6.1.7.6;1.7.6 Management;99
6.1.8;1.8 Collagen vascular disease;100
6.1.8.1;1.8.1 Lupus erythematosus (SLE);100
6.1.8.2;1.8.2 Dermatomyositis;100
6.1.8.3;1.8.3 Juvenile idiopathic arthritis;100
6.1.8.4;1.8.4 Management;100
6.1.9;1.9 Endocrinologic disorders;101
6.1.9.1;1.9.1 Thyroid disorders;101
6.1.9.2;1.9.2 Diabetes mellitus;101
6.1.9.3;1.9.3 Adrenal disorders;101
6.1.9.4;1.9.4 Management;102
6.1.10;1.10 Hair and nails;102
6.1.10.1;1.10.1 Alopecia areata;102
6.1.10.2;1.10.2 Telogen effluvium;104
6.1.10.3;1.10.3 Androgenic alopecia;104
6.1.10.4;1.10.4 Trichotillomania;105
6.1.10.5;1.10.5 Traction alopecia;105
6.1.10.6;1.10.6 Hirsutism and hypertrichosis;105
6.1.10.7;1.10.7 Hair changes with systemic disease;106
6.1.10.8;1.10.8 Infection;106
6.1.10.9;1.10.9 Bacterial;108
6.1.10.10;1.10.10 Fungal;109
6.1.10.11;1.10.11 Onychodystrophy;110
6.1.10.12;1.10.12 Nail changes with systemic and nutritional disorders;111
6.2;2 Psychoneuroimmunology and other interactions between skin and psyche;115
6.2.1;2.1 Introduction;115
6.2.1.1;2.1.1 History of psychodermatology;116
6.2.1.2;2.1.2 Classification of psychodermatologic disorders;118
6.2.1.3;2.1.3 Psychological perspective of skin;118
6.2.1.4;2.1.4 Skin, mind, and the embryological embrace;120
6.2.2;2.2 Psychoneuroimmunology;121
6.2.2.1;2.2.1 Neuroendocrine response to stress;121
6.2.2.2;2.2.2 Immune response and central nervous system;122
6.2.2.3;2.2.3 Immune response and peripheral nervous system;123
6.2.2.4;2.2.4 Immune response and skin disease;123
6.2.2.5;2.2.5 Immune response and psychiatric disease;125
6.2.3;2.3 Conclusion;126
6.3;3 A clinician’s approach to psychocutaneous diseases in adolescents: Untying the Gordian knot;129
6.3.1;3.1 Introduction;129
6.3.1.1;3.1.1 History taking skills in adolescent patients;129
6.3.2;3.2 Interviewing the adolescent patient;131
6.3.2.1;3.2.1 Confidentiality;133
6.3.2.2;3.2.2 Parental confidentiality;133
6.3.2.3;3.2.3 Health questionnaires;133
6.3.2.4;3.2.4 Interview techniques;134
6.3.2.5;3.2.5 Active listening skills;135
6.3.3;3.3 Concepts of the physical examination;136
6.3.4;3.4 Successful management of the adolescent patient;136
6.3.4.1;3.4.1 Informed consent;136
6.3.4.2;3.4.2 Shared decision makings;137
6.3.4.3;3.4.3 Improving compliance;138
6.3.5;3.5 Conclusion;138
6.4;4 Quality of life issues in children and adolescents with dermatological conditions and their wider impact on the family and society;141
6.4.1;4.1 Introduction;141
6.4.2;4.2 Pediatric quality of life and its assessment;142
6.4.3;4.3 Skin disease and quality of life;143
6.4.3.1;4.3.1 Impact of skin diseases on children’s quality of life;143
6.4.3.2;4.3.2 Quality of life assessment in children with dermatological conditions;145
6.4.3.3;4.3.3 Children’s Dermatology Life Quality Index (CDLQI);146
6.4.3.4;4.3.4 Infant’s Dermatitis Quality of Life Index (IDQoL);146
6.4.3.5;4.3.5 Impact of skin disease on the quality of life of adolescents;147
6.4.4;4.4 Assessment of adolescents’ quality of life in dermatology;148
6.4.4.1;4.4.1 Teenager’s QoL questionnaire (T-QoL);148
6.4.4.2;4.4.2 Skindex-Teen;149
6.4.4.3;4.4.3 Impact of skin disease on family quality of life: The “greater patient” concept;150
6.4.5;4.5 Assessment of family quality in dermatology;152
6.4.5.1;4.5.1 Family Dermatology Life Quality Index (FDLQI);152
6.4.5.2;4.5.2 Dermatitis Family Impact questionnaire (DFI);153
6.4.5.3;4.5.3 Parents’ Index of Quality of Life in Atopic Dermatitis (PIQoL-AD);154
6.4.5.4;4.5.4 Childhood Atopic Dermatitis Impact Scale (CADIS);154
6.4.5.5;4.5.5 Psoriasis Family Index (PFI);155
6.4.6;4.6 Societal impact of childhood dermatological conditions;155
6.4.7;4.7 Conclusions;156
7;Part II: PSYCHOPHYSIOLOGIC DISORDERS;163
7.1;5 Atopic dermatitis: a psychocutaneous review;165
7.1.1;5.1 Introduction;165
7.1.1.1;5.1.1 Epidemiology;165
7.1.2;5.2 Pathophysiologic factors in atopic dermatitis;166
7.1.2.1;5.2.1 Genetic predisposition;166
7.1.2.2;5.2.2 Socio-economic status;166
7.1.2.3;5.2.3 Family size;166
7.1.2.4;5.2.4 Food allergens;166
7.1.3;5.3 Psychoneuroimmunologic factors;167
7.1.3.1;5.3.1 Breast feeding;167
7.1.3.2;5.3.2 Environmental allergens;167
7.1.4;5.4 Psychophysiological aspects of atopic dermatitis;168
7.1.4.1;5.4.1 Impact of stress on the immunological system;168
7.1.4.2;5.4.2 Psychoanalytic hypothesis;169
7.1.4.3;5.4.3 Biopsychosocial model;170
7.1.4.4;5.4.4 Psychological dysregulation due to atopic dermatitis;170
7.1.5;5.5 Clinical features;171
7.1.6;5.6 Diagnosis;171
7.1.6.1;5.6.1 Allergy Testing;173
7.1.6.2;5.6.2 Differential Diagnosis;174
7.1.7;5.7 Management;174
7.1.7.1;5.7.1 Prevention of relapse;174
7.1.7.2;5.7.2 Food allergens;175
7.1.7.3;5.7.3 Aeroallergens;175
7.1.7.4;5.7.4 Optimizing the epidermal barrier (EB);175
7.1.7.5;5.7.5 Hydration therapy;176
7.1.7.6;5.7.6 Management of pruritus;176
7.1.7.7;5.7.7 Topical corticosteroids;177
7.1.7.8;5.7.8 Topical immunomodulators;180
7.1.8;5.8 Systematic treatment of atopic dermatits;180
7.1.8.1;5.8.1 Antihistamines;180
7.1.8.2;5.8.2 Phototherapy;181
7.1.8.3;5.8.3 Antibiotics;181
7.1.8.4;5.8.4 Systemic corticosteroids;182
7.1.8.5;5.8.5 Immunomodulators;182
7.1.8.6;5.8.6 Cyclosporine;183
7.1.8.7;5.8.7 Azathioprine;183
7.1.8.8;5.8.8 Infliximab;183
7.1.8.9;5.8.9 Interferon-.;184
7.1.8.10;5.8.10 Leukotriene inhibitors;184
7.1.9;5.9 Psychiatric comorbidities;184
7.1.9.1;5.9.1 Family dynamics;185
7.1.9.2;5.9.2 Internalizing and externalizing behaviors;185
7.1.9.3;5.9.3 Anxiety and depression;186
7.1.9.4;5.9.4 Personality traits;186
7.1.10;5.10 Management of psychiatric comorbidities;187
7.1.10.1;5.10.1 Multidisciplinary approach;187
7.1.10.2;5.10.2 Psychoeducation;187
7.1.10.3;5.10.3 Psychosocial assessment;187
7.1.10.4;5.10.4 Psychiatric symptoms review;188
7.1.10.5;5.10.5 Quality of life assessment;188
7.1.10.6;5.10.6 Psychodynamic therapy;188
7.1.10.7;5.10.7 Cognitive behavioral therapy;189
7.1.10.8;5.10.8 Behavioral modifications;189
7.1.10.9;5.10.9 Psychotropic medications;189
7.1.11;5.11 Conclusion;190
7.2;6 Psoriasis and children: A psychological approach;193
7.2.1;6.1 Introduction;193
7.2.1.1;6.1.1 Epidemiology;194
7.2.2;6.2 Dermatological clinical features;194
7.2.2.1;6.2.1 Plaque psoriasis;195
7.2.2.2;6.2.2 Guttate psoriasis;195
7.2.2.3;6.2.3 Erythrodermic psoriasis;195
7.2.2.4;6.2.4 Pustular psoriasis;196
7.2.2.5;6.2.5 Psoriatic arthritis;197
7.2.2.6;6.2.6 Inverse psoriasis;197
7.2.3;6.3 Psychological clinical features;198
7.2.3.1;6.3.1 Differential diagnosis;200
7.2.3.2;6.3.2 Psychotherapeutic intervention;201
7.2.3.3;6.3.3 Psychotherapy;202
7.2.4;6.4 Conclusions;205
7.3;7 The acnes: Acne vulgaris, acne rosacea, and acne excoriée;209
7.3.1;7.1 Acne Vulgaris;209
7.3.1.1;7.1.1 Introduction;209
7.3.1.2;7.1.2 Epidemiology;209
7.3.1.3;7.1.3 Pathogenesis;213
7.3.1.4;7.1.4 Classification;214
7.3.1.5;7.1.5 Management;214
7.3.1.6;7.1.6 Teratogenicity and isotretinoin;225
7.3.1.7;7.1.7 Depression, suicidality, and isotretinoin;226
7.3.2;7.2 Acne Rosacea;230
7.3.2.1;7.2.1 Pathophysiology;231
7.3.2.2;7.2.2 Management of acne rosacea;232
7.3.3;7.3 Acne Variants;233
7.3.4;7.4 Conclusion;233
7.4;8 Psychogenic purpura (Gardner-Diamond syndrome);239
7.4.1;8.1 Introduction;239
7.4.2;8.2 History;239
7.4.3;8.3 Etiology and pathogenesis;240
7.4.4;8.4 Clinical features;241
7.4.5;8.5 Differential diagnosis;241
7.4.5.1;8.5.1 Disease course;241
7.4.5.2;8.5.2 Histopathology;241
7.4.5.3;8.5.3 Laboratory testings;242
7.4.5.4;8.5.4 Psychological disturbances;242
7.4.6;8.6 Treatment approaches and recommendations;242
7.4.7;8.7 Conclusion;243
8;Part III: PSYCHIATRIC DISORDERS WITH DERMATOLOGIC MANIFESTATIONS;245
8.1;9 Body dysmorphic disorder in adolescents;247
8.1.1;9.1 Introduction;247
8.1.2;9.2 Definition;248
8.1.2.1;9.2.1 Epidemiology;249
8.1.2.2;9.2.2 Clinical features;249
8.1.2.3;9.2.3 Differential diagnosis;250
8.1.3;9.3 Management;251
8.1.3.1;9.3.1 Preliminary considerations;251
8.1.3.2;9.3.2 The clinical interview;252
8.1.3.3;9.3.3 Assessment;252
8.1.3.4;9.3.4 Patient education;254
8.1.3.5;9.3.5 Treatment;254
8.1.4;9.4 Other treatment techniques;256
8.1.4.1;9.4.1 Anxiety management training (AMT);256
8.1.4.2;9.4.2 Eye movement desensitization and reprocessing (EMDR);257
8.1.4.3;9.4.3 Family therapy;257
8.1.4.4;9.4.4 Group therapy;257
8.1.4.5;9.4.5 Metaphors;257
8.1.4.6;9.4.6 Mindfulness;258
8.1.4.7;9.4.7 Intervention;258
8.1.4.8;9.4.8 Nonpsychiatric medical treatment;258
8.1.4.9;9.4.9 Final management considerations;259
8.1.5;9.5 Conclusions;259
8.2;10 Delusional infestation in childhood, adolescence, and adulthood;263
8.2.1;10.1 Introduction;263
8.2.2;10.2 How to diagnose a delusion;264
8.2.3;10.3 Primary and secondary delusional infestation;265
8.2.4;10.4 The context of children and adolescence;266
8.2.5;10.5 Clinical pictures;267
8.2.5.1;10.5.1 Case one;267
8.2.5.2;10.5.2 Case two;268
8.2.5.3;10.5.3 Case Three;269
8.2.5.4;10.5.4 Commentary on these three cases;270
8.2.6;10.6 Delusional elaboration (“Wahnarbeit”);270
8.2.7;10.7 Prevalence of delusional infestation;272
8.2.7.1;10.7.1 Treatment;273
8.2.7.2;10.7.2 Which antipsychotic in DI?;274
8.2.8;10.8 Antipsychotics;276
8.2.9;10.9 Conclusion;278
8.3;11 Dermatitis artefacta, skin picking, and other self-injurious behaviors: A psychological perspective;283
8.3.1;11.1 Introduction;283
8.3.2;11.2 Epidemiology;285
8.3.3;11.3 Etiology;287
8.3.4;11.4 Clinical features;289
8.3.4.1;11.4.1 Dermatitis Artefacta;291
8.3.4.2;11.4.2 Skin picking;292
8.3.4.3;11.4.3 Self-mutilation behavior;292
8.3.5;11.5 Differential diagnosis;294
8.3.6;11.6 Management;294
8.3.6.1;11.6.1 Pharmacological Treatment;297
8.3.6.2;11.6.2 Psychotherapy;297
8.3.6.3;11.6.3 Issues with Treatment;301
8.3.7;11.7 Conclusions;303
8.4;12 Trichotillomania;307
8.4.1;12.1 Introduction;307
8.4.2;12.2 Definition;307
8.4.3;12.3 Differential diagnosis;308
8.4.4;12.4 Assessment;310
8.4.5;12.5 Management;312
8.4.5.1;12.5.1 Psychotherapy;313
8.4.5.2;12.5.2 Medication;313
8.4.6;12.6 Conclusions: Future directions;314
8.5;13 Psychogenic pruritus with particular emphasis on children and adolescents;317
8.5.1;13.1 Introduction;317
8.5.2;13.2 Epidemiology;318
8.5.3;13.3 Clinical features;319
8.5.4;13.4 Differential diagnosis;320
8.5.5;13.5 Management;321
8.5.6;13.6 Conclusion;323
9;Part IV: DERMATOLOGIC DISORDERS PREDISPOSING TO PSYCHIATRIC DISORDERS;327
9.1;14 Disorders of hair loss;329
9.1.1;14.1 Introduction;329
9.1.2;14.2 Causes of hair loss;329
9.1.3;14.3 Diagnostic approach to hair loss;331
9.1.3.1;14.3.1 History;331
9.1.3.2;14.3.2 Examination;331
9.1.3.3;14.3.3 Laboratory investigation;332
9.1.4;14.4 Tinea capitis;332
9.1.5;14.5 Telogen effluvium;333
9.1.6;14.6 Alopecia areata;333
9.1.7;14.7 Male pattern hair loss;334
9.1.8;14.8 Hair Loss due to Chemotherapy;334
9.1.9;14.9 Psychiatric aspects;334
9.1.9.1;14.9.1 Psychological treatment approaches;336
9.1.10;14.10 Conclusion;337
9.2;15 Disorders of skin pigmentation;341
9.2.1;15.1 Introduction;341
9.2.2;15.2 Disorders of hypopigmentation;342
9.2.2.1;15.2.1 Vitiligo;342
9.2.2.2;15.2.2 Albinism;344
9.2.2.3;15.2.3 Postinflammatory hypopigmentation;344
9.2.2.4;15.2.4 Pityriasis alba;345
9.2.2.5;15.2.5 Tinea versicolor;345
9.2.3;15.3 Disorders of hyperpigmentation;346
9.2.3.1;15.3.1 Postinflammatory hyperpigmentation;346
9.2.3.2;15.3.2 Melasma;346
9.2.3.3;15.3.3 Hyperpigmentation associated with medical disorders;346
9.2.3.4;15.3.4 Café-au-lait spots;347
9.2.3.5;15.3.5 Lentigines;347
9.2.4;15.4 Psychological aspects of disorders of pigmentations;347
9.2.4.1;15.4.1 Psychosocial management of disorders of pigmentation;349
9.2.5;15.5 Conclusion;350
9.3;16 Skin adnexal disorders;353
9.3.1;16.1 Hidradenitis suppurativa (HS);353
9.3.1.1;16.1.1 Introduction;353
9.3.1.2;16.1.2 Diagnosis;353
9.3.1.3;16.1.3 Etiology;354
9.3.1.4;16.1.4 Clinical features;355
9.3.1.5;16.1.5 Differential Diagnosis;356
9.3.2;16.2 Hyperhidrosis;357
9.3.2.1;16.2.1 Definition;357
9.3.2.2;16.2.2 Epidemiology;358
9.3.2.3;16.2.3 Etiology;358
9.3.2.4;16.2.4 Clinical features;359
9.3.2.5;16.2.5 Differential diagnosis;359
9.3.2.6;16.2.6 Management;360
9.3.3;16.3 Anhidrotic ectodermal dysplasia;362
9.3.3.1;16.3.1 Definition;362
9.3.3.2;16.3.2 Epidemiology;362
9.3.3.3;16.3.3 Clinical features;362
9.3.3.4;16.3.4 Differential diagnosis;362
9.3.3.5;16.3.5 Management;363
9.3.4;16.4 Nevus sebaceous;363
9.3.4.1;16.4.1 Definition;363
9.3.4.2;16.4.2 Epidemiology;363
9.3.4.3;16.4.3 Clinical features;363
9.3.4.4;16.4.4 Differential diagnosis;364
9.3.4.5;16.4.5 Management;364
9.3.5;16.5 Conclusion;364
10;Part V: SYSTEMATIC DISEASES WITH PSYCHODERMATOLOGIC MANIFESTATIONS;367
10.1;17 Neurocutaneous disorders;369
10.1.1;17.1 Introduction;369
10.1.2;17.2 Neurofibromatosis;369
10.1.2.1;17.2.1 Clinical features;371
10.1.2.2;17.2.2 Neuropsychiatric aspects of neurofibromatosis type 1;371
10.1.2.3;17.2.3 Management;372
10.1.2.4;17.2.4 NF1 summary;374
10.1.3;17.3 Tuberous Sclerosis Complex (TSC);374
10.1.3.1;17.3.1 Introduction;374
10.1.3.2;17.3.2 Clinical features of TSC;375
10.1.3.3;17.3.3 Neurologic lesions;375
10.1.3.4;17.3.4 Psychiatric symptoms;375
10.1.3.5;17.3.5 Management;376
10.1.3.6;17.3.6 Treatment of neuropsychiatric problems;376
10.1.4;17.4 Conclusion;378
10.2;18 Collagen vascular disorders: Psychiatric and dermatologic manifestations;381
10.2.1;18.1 Lupus erythematosus (LE);381
10.2.1.1;18.1.1 Epidemiology;381
10.2.1.2;18.1.2 Clinical features;381
10.2.1.3;18.1.3 Cutaneous manifestations;382
10.2.1.4;18.1.4 Neuropsychiatric systemic lupus erythematosus (NPSLE);383
10.2.1.5;18.1.5 Differential diagnosis;386
10.2.1.6;18.1.6 Clinical diagnosis;386
10.2.1.7;18.1.7 Diagnostic workup;388
10.2.1.8;18.1.8 Management;388
10.2.1.9;18.1.9 Treatment of cutaneous lupus lesions;389
10.2.1.10;18.1.10 Treatment of NPSLE;389
10.2.2;18.2 Dermatomyositis;390
10.2.2.1;18.2.1 Epidemiology;390
10.2.2.2;18.2.2 Clinical features;391
10.2.2.3;18.2.3 Cutaneous manifestations;391
10.2.2.4;18.2.4 Psychiatric manifestations;392
10.2.2.5;18.2.5 Management;393
10.2.3;18.3 Rheumatoid Arthritis;394
10.2.3.1;18.3.1 Epidemiology;394
10.2.3.2;18.3.2 Etiopathogenesis;395
10.2.3.3;18.3.3 Clinical features;395
10.2.3.4;18.3.4 Cutaneous manifestations;395
10.2.3.5;18.3.5 Psychiatric manifestations;397
10.2.3.6;18.3.6 Laboratory findings;399
10.2.3.7;18.3.7 Management;400
10.2.3.8;18.3.8 Management of psychiatric issues;402
10.3;19 Psychocutaneous manifestations of endocrine disorders;407
10.3.1;19.1 Introduction;407
10.3.2;19.2 Diabetes Mellitus;407
10.3.2.1;19.2.1 Clinical features;408
10.3.2.2;19.2.2 Dermatological manifestations;409
10.3.2.3;19.2.3 Psychiatric manifestations;411
10.3.2.4;19.2.4 Management of psychiatric conditions;412
10.3.3;19.3 Disorders of growth hormone;413
10.3.3.1;19.3.1 Acromegaly;413
10.3.3.2;19.3.2 Dermatological manifestations;413
10.3.3.3;19.3.3 Psychiatric manifestations;414
10.3.3.4;19.3.4 Diagnostic workup;415
10.3.3.5;19.3.5 Clinical management;415
10.3.3.6;19.3.6 Management of dermatological manifestations;416
10.3.3.7;19.3.7 Management of psychiatric manifestations;416
10.3.4;19.4 Thyroid hormone disorders;416
10.3.4.1;19.4.1 Hypothyroidism;416
10.3.4.2;19.4.2 Hyperthyroidism;417
10.3.4.3;19.4.3 Clinical features of thyroid disorders;417
10.3.4.4;19.4.4 Dermatological manifestations of hypothyroidism;418
10.3.4.5;19.4.5 Dermatological manifestations of hyperthyroidism;419
10.3.4.6;19.4.6 Psychiatric manifestations;419
10.3.4.7;19.4.7 Diagnostic workup;421
10.3.4.8;19.4.8 Management of hypothyroidism;421
10.3.4.9;19.4.9 Management of hyperthyroidism;421
10.3.4.10;19.4.10 Management of psychiatric disorders;423
10.3.5;19.5 Adrenal gland disorders;424
10.3.5.1;19.5.1 Hypoadrenocorticism (adrenal insufficiency [AI] or Addison disease [AD]);424
10.3.5.2;19.5.2 Hyperadrenocorticism (Cushing syndrome);426
10.3.6;19.6 Disorders of parathyroid glands;430
10.3.6.1;19.6.1 Hypoparathyroidism;430
10.3.6.2;19.6.2 Hyperparathyroidism;434
10.3.7;19.7 Disorders of hormones of the reproductive system;436
10.3.8;19.8 Androgen disorders;436
10.3.8.1;19.8.1 Hypogonadism in males;436
10.3.8.2;19.8.2 Androgen disorders in Females;437
10.3.9;19.9 Estrogen disorders;440
10.3.9.1;19.9.1 Estrogen disorders in males;440
10.3.9.2;19.9.2 Estrogen disorders in females;440
10.3.9.3;19.9.3 Psychiatric manifestations of disorders of androgen and estrogens;441
10.3.10;19.10 Conclusion;442
10.4;20 Inborn errors of metabolism with psychiatric and dermatologic features;449
10.4.1;20.1 Introduction;449
10.4.2;20.2 Phenylketonuria [PKU];449
10.4.2.1;20.2.1 Genetics and pathophysiology;450
10.4.2.2;20.2.2 Clinical features;451
10.4.2.3;20.2.3 Cutaneous manifestations;452
10.4.2.4;20.2.4 Psychiatric manifestations;452
10.4.2.5;20.2.5 Laboratory diagnosis;453
10.4.2.6;20.2.6 Management;453
10.4.3;20.3 Hartnup disease;455
10.4.3.1;20.3.1 Genetics and pathophysiology;455
10.4.3.2;20.3.2 Cutaneous manifestations;455
10.4.3.3;20.3.3 Psychiatric manifestations;455
10.4.3.4;20.3.4 Laboratory findings;456
10.4.3.5;20.3.5 Management;456
10.4.4;20.4 Homocystinuria;456
10.4.4.1;20.4.1 Genetics and pathophysiology;456
10.4.4.2;20.4.2 Clinical features;456
10.4.4.3;20.4.3 Cutaneous manifestations;457
10.4.4.4;20.4.4 Psychiatric Manifestations;457
10.4.4.5;20.4.5 Management;458
10.4.5;20.5 Porphyrias;458
10.4.5.1;20.5.1 Genetics and prevalence;458
10.4.5.2;20.5.2 Clinical features;459
10.4.5.3;20.5.3 Cutaneous manifestations;459
10.4.5.4;20.5.4 Psychiatric manifestations;460
10.4.5.5;20.5.5 Laboratory diagnosis;461
10.4.5.6;20.5.6 Management;461
10.4.6;20.6 Conclusion;462
11;Part VI: SPECIAL ISSUES IN MANAGEMENT OF PSYCHOCUTANEOUS DISORDERS;467
11.1;21 Psychiatric complications of dermatological treatments;469
11.1.1;21.1 Introduction;469
11.1.2;21.2 Epidemiology;469
11.1.3;21.3 Clinical features by medication category;470
11.1.3.1;21.3.1 Antibacterial agents;470
11.1.3.2;21.3.2 Antiviral agents;471
11.1.3.3;21.3.3 Corticosteroids;472
11.1.3.4;21.3.4 Dapsone;472
11.1.3.5;21.3.5 Antimalarial agents;472
11.1.3.6;21.3.6 Retinoids;473
11.1.3.7;21.3.7 Interferons;474
11.1.3.8;21.3.8 Other agents;474
11.1.4;21.4 Differential diagnosis;474
11.1.5;21.5 Management;474
11.1.5.1;21.5.1 Drug-drug interactions;475
11.1.5.2;21.5.2 Non-pharmacologic interventions;475
11.1.6;21.6 Conclusion;476
11.2;22 Dermatologic manifestations of psychotropic medications;479
11.2.1;22.1 Introduction;479
11.2.1.1;22.1.1 Epidemiology;479
11.2.2;22.2 Diagnosis;480
11.2.3;22.3 Pathogenesis;481
11.2.4;22.4 Categories;482
11.2.5;22.5 Common adverse cutaneous reactions;482
11.2.5.1;22.5.1 Pruritus;482
11.2.5.2;22.5.2 Exanthematous eruptions;482
11.2.5.3;22.5.3 Urticaria and angioedema;496
11.2.5.4;22.5.4 Fixed drug eruptions;497
11.2.5.5;22.5.5 Photosensitivity;497
11.2.5.6;22.5.6 Pigmentation;498
11.2.5.7;22.5.7 Diaphoresis;498
11.2.5.8;22.5.8 Alopecia;498
11.2.6;22.6 Serious and life-threatening cutaneous reactions;499
11.2.6.1;22.6.1 Erythema multiforme;499
11.2.6.2;22.6.2 Stevens-Johnson Syndrome and Toxic Epidermolysis Necrolysis;499
11.2.6.3;22.6.3 Drug hypersensitivity syndrome;500
11.2.6.4;22.6.4 Vasculitis;501
11.2.6.5;22.6.5 Exfoliative dermatitis;501
11.2.6.6;22.6.6 Anaphylactoid reactions;502
11.2.7;22.7 General dermatologic conditions;502
11.2.7.1;22.7.1 Acneiform eruptions;502
11.2.7.2;22.7.2 Psoriasiform eruption;503
11.2.7.3;22.7.3 Seborrheic eruption;503
11.2.7.4;22.7.4 Lichenoid eruption;503
11.2.8;22.8 Conclusion;504
11.3;23 Non-pharmacological approaches to treat psychocutaneous disorders;507
11.3.1;23.1 Introduction;507
11.3.2;23.2 Non-pharmacological modalities;508
11.3.2.1;23.2.1 Acupuncture;508
11.3.2.2;23.2.2 Aromatherapy;508
11.3.2.3;23.2.3 Biofeedback;509
11.3.2.4;23.2.4 Brief dynamic psychotherapy;510
11.3.2.5;23.2.5 Cognitive behavioral therapy methods;510
11.3.2.6;23.2.6 Emotional freedom techniques (EFT);510
11.3.2.7;23.2.7 Eye Movement Desensitizing and Reprocessing (EMDR);511
11.3.2.8;23.2.8 Hypnosis;511
11.3.2.9;23.2.9 Music;512
11.3.2.10;23.2.10 Placebo;513
11.3.2.11;23.2.11 Suggestion;513
11.3.3;23.3 Conclusion;513
11.4;24 Psychiatric disorders frequently encountered in dermatology practices;517
11.4.1;24.1 Introduction;517
11.4.1.1;24.1.1 Epidemiology;518
11.4.2;24.2 Mood disorders;518
11.4.2.1;24.2.1 Epidemiology;518
11.4.2.2;24.2.2 Diagnosis of depressive disorders;521
11.4.2.3;24.2.3 Differential diagnosis of depressive disorders;522
11.4.2.4;24.2.4 Management of depressive disorders;522
11.4.3;24.3 Bipolar spectrum disorders;523
11.4.3.1;24.3.1 Types of bipolar disorders;524
11.4.3.2;24.3.2 Diagnosis of bipolar disorders;526
11.4.3.3;24.3.3 Differential diagnosis of bipolar disorders;527
11.4.4;24.4 Anxiety spectrum disorders;531
11.4.4.1;24.4.1 Obsessive compulsive disorder;532
11.4.4.2;24.4.2 Social anxiety disorder (SAD);534
11.4.4.3;24.4.3 Eating disorders;537
11.4.5;24.5 Personality disorders (PDs);540
11.4.5.1;24.5.1 Introduction;540
11.4.5.2;24.5.2 Clinical diagnosis;541
11.4.6;24.6 Conclusion;544
12;APPENDIX;547
12.1;25 About the editors;549
12.2;26 FDA approved psychotropic medication indications for children and adolescents;553
12.3;27 Common psychiatric terms;555
12.4;28 Common dermatotologic lesions;559
13;Index;565
14;Plate section;573