Skin and Hair Conditions in Women with Schizophrenia or Related Disorders (original) (raw)

The prevalence of skin disorders in patients with schizophrenia

2023

There is ample evidence suggesting the presence of various multisystemic comorbidities in patients with schizophrenia. However, data on dermatological comorbidities in these patients are scarce. The present study aimed to analyze the profile of cutaneous conditions in patients with schizophrenia and contribute to the existing evidence in this area. A total of 102 consecutive adult patients with schizophrenia, who were attending the follow-up service at the outpatient clinic of the Department of Psychiatry in a tertiary hospital in North India, were evaluated by a dermatologist for the presence of any skin disorder. Dermatological findings were noted in 70% of patients and 38% had multiple skin conditions. Infections were the most prevalent diagnosis, with fungal infections being commonly observed. Other common dermatoses included nevi, age-related cutaneous changes, dyschromia, and drug-induced acne. The present study concluded that there is a high prevalence of dermatological diseases in patients with schizophrenia. Caregivers and psychiatrists managing these patients should familiarize themselves with these conditions, and dermatology consultation should be sought for prompt diagnosis and management.

A study of skin manifestations in patients with psychiatric disorders

International Journal of Research in Dermatology

Background: The interaction between psychological factors and skin diseases has long been hypothesized. Considerations of psychiatry and psychosocial factors are important for better management of dermatological disorders as coexistence of psychiatric and dermatological disorders are mostly seen. The aim of the study was to identify skin manifestations in individuals suffering from psychiatric disorders.Methods: A total of 100 patients attending dermatology OPD were screened for history of any psychiatric illness and patients with a positive history of psychiatric illness were recruited into study. The skin lesions were categorised as per the classification of psychodermatology and results were analysed accordingly.Results: The patients recruited belonged to age groups ranging from 12 to 70 with a higher female to male ratio (54% females and 46% males). The psychophysiological disorders constituted 29 %, among them chronic urticaria (34.4%) followed by psoriasis (27.58%) constituted...

A study of skin disorders in patients with primary psychiatric conditions

Indian journal of dermatology, venereology and leprology

The skin occupies a powerful position as an organ of communication and plays an important role in socialization throughout life. The interface between dermatology and psychiatry is complex and of clinical importance. To document the incidence of cutaneous disorders in patients with primary psychiatric conditions. Three hundred patients with a primary psychiatric condition who had cutaneous disease were entered into the study group. The patients were classified appropriately based on the classification of psychocutaneous disorders. The control group included 300 patients presenting with a skin disorder and without any known psychiatric complaint. The majority of the cases in the study group were in the 3rd-5th decade. In this study, the most common primary psychiatric conditions were manic depressive psychosis (53.33%), depression (36.33%), schizophrenia (8.33%) and anxiety (2%). Of the study group, 68.66% patients had infective dermatoses and the rest had non-infective dermatoses. A...

Dermatoglyphics in patients with schizophrenia - findings in the macedonian population

Prilozi / Makedonska akademija na naukite i umetnostite, Oddelenie za biološki i medicinski nauki = Contributions / Macedonian Academy of Sciences and Arts, Section of Biological and Medical Sciences, 2013

The human palms and soles are textured with skin different to that of the other body surface. Instead of sebaceous glands or hairs, there are sweat glands opening into epidermal ridges. They are variously oriented, thus forming different patterns. The aim of the study was to assess some dermatoglyphic patterns, the TRC and the a-b ridge count in a sample of patients and a control group of healthy examinees. Material and method: 59 male and 50 female patients with schizophrenia and 60 healthy male and 50 female individuals as a control group were included in the study. Hand prints were taken using the method of Cummins and Midlo; pattern types were determined and classified using the Henry classification. An analysis of pattern frequency in schizophrenia compared to the normal controls was conducted. Results: The patterns most frequently present are loops (ulnar) with greater incidence and whorls with smaller incidence in patients with schizophrenia compared to the healthy individuals. The number of arches is higher in male patients and lower in female patients. Complex patterns are rare. TRC in females has lower values found in patients. The a-b ridge count has significant difference in male and female patients; higher values in male and lower in female patients. Conclusion: There is some association between the frequency of certain dermatoglyphic characteristicss and schizophrenia. Our findings form a useful database for the dermatoglyphic marks present in patients with schizophrenia and healthy subjects of Macedonian nationality.

Dermatitis artefacta as a symptom of schizophrenia?

Advances in Dermatology and Allergology, 2014

Dermatitis artefacta is a disease that occurs as a result of a self-inflicted injury of the skin. The skin lesions are most often located on the areas within easy reach of the patient's dominant hand sparing the middle part of the back. Dermatitis artefacta may coexist with psychiatric disorders and imitate many dermatologic diseases. As most of the patients with self-inflicted dermatoses usually initially deny any psychiatric problems, what delays psychiatric intervention, they are typically first seen by dermatologists. We are reporting a case of a 35-year-old man with a 3-year-long history of schizophrenia who has been treated at a dermatologist's office sequentially with acne, bacterial lesions, suspected tuberculosis. However, the treatment was ineffective. He was diagnosed with dermatitis artefacta after 7 years of disease duration. During this time he was treated with many medicines e.g. isotretinoin, which is contraindicated in psychosis as it worsens the course of disease. After establishing the correct diagnosis and antipsychotic treatment, a significant improvement was obtained in both skin condition and mental state. These are the reasons why we would like to recommend close cooperation between dermatologists and psychiatrists.

A STUDY OF CUTANEOUS MANIFESTATIONS OF PATIENTS WITH PSYCHIATRIC DISORDER

Skin is an organ that has a primary function of tactile receptivity and reacts to both external and internal emotional stimuli. Dermatological practice certainly embeds a psychosomatic dimension. A relationship between psychological factors and skin diseases has long been hypothesized. AIMS AND OBJECTIVES The aim of present study is to evaluate the prevalence of cutaneous manifestations in patients with psychiatric disorder. MATERIALS AND METHODS Twenty five psychiatric in-patients admitted in the psychiatry ward of a Tertiary Care Hospital were examined for the presence of cutaneous manifestation over a period of 6 months. Appropriate laboratory investigations such as scraping for Acarus, skin biopsy etc. were performed wherever required. The observations were noted. RESULTS The commonest cutaneous manifestations seen in this study were (i) Parasitic infestations like scabies (20%), pediculosis capitis (16%), (ii) Xerosis (28 %), (iii) Prurigo nodularis (4%), (iv) Lichen simplex chronicus (4%), (v) Venereophobia (4%) and (vi) Delusion of parasitosis (4%). CONCLUSION A high incidence of parasitic infestations was noted in our study. The healthcare personnel should be sensitized on the significance of such parasitic infestations in institutionalized patients and the importance of early detection and treatment.

Secondary psychiatric disorders and the skin

Dermatological Reviews, 2023

Background: Remarkable is the mind-skin connection, that lies in the profound impact that mental health can have on the skin and specific skin diseases on the mental health. This intricate relationship gives rise to a burgeoning field of study known as psychodermatology, which is a rapidly evolving field that explores the intricate relationship between dermatological conditions and psychological factors. Aims: In this article we summarize some of these diseases, as vitiligo, alopecia areata, psoriasis, acne vulgaris, albinism, rhinophyma, hidradenitis suppurative. Materials & Methods: We searched on databases like PubMed, Scopus, Web of Science and analyzed scientific articles to summarize information needed for this review. We conducted qualitative content analysis to summarize the main results

Skin diseases in patients with primary psychiatric conditions: A hospital based study

Journal of Epidemiology and Global Health, 2013

Background: Although the relationship between skin diseases in patients with primary psychiatric conditions is important for patient management, studies on this issue are limited. Objective: To detect the frequency and type of cutaneous disorders among patients with primary psychiatric conditions. Subjects and methods: This analytic cross-sectional study was conducted on a total of 400 subjects-200 patients with primary psychiatric disorders and 200 age and sex matched individuals free from primary psychiatric disorders. Patients included in the study were diagnosed according to The Diagnostic and Statistical Manual of Mental Disorders (DMS IV) Criteria. A specially designed questionnaire including socio-demographic data, medical history, family history and dermatological examination was applied. The data were statistically analyzed. Results: There was a significant statistical increase in the prevalence of skin diseases in general and infectious skin diseases in particular in psychiatric patients compared with non-psychiatric patients (71.5% versus 22%, P < 0.001