Dermatological manifestations of psychic ailments

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An increase in the number of patients with psychodermatological manifestations and the identification of a certain comorbidity during the course of diseases in patients with a dermatological profile makes us take a fresh look at this problem. Psychodermatology is one of the relevant and, at the same time, the least studied areas of modern medicine, which is at the junction of psychiatry and dermatovenereology. Psychiatry and psychotherapy studies the inner world of a person; Dermatovenerology deals with the diagnosis and treatment of diseases of the human skin and its appendages, and psychodermatology combines these two sections of medicine. In the modern world, as a result of increasing the amount of incoming sensory information, accelerating the rhythm of life, the action of harmful environmental factors, a person can be subjected to excessive psycho-emotional stress, leading to the development of mental disorders. Often it is skin rashes that are an objective manifestation of such disorders. Early diagnosis of psychodermatosis and signs of obsessive-compulsive pathology in sick people contributes to the timely identification of the category of people at risk of psychotic reactions and mental illness. This is especially true for young patients. Against the background of hormonal changes in the body, the crisis of adolescence, the increased educational load on them at school, the destroyed institute of family and marriage, an overabundance of sensory information and physical inactivity, the incidence of psychodermatosis throughout the world, including in our country, is increasing.

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About the authors

Grigorii V. Prutyan

Branch No. 13, 442 Military Clinical Hospital

Author for correspondence.

Russian Federation, Leningrad Region, Gatchina


Alexander S. Zhukov

S.M. Kirov Military Medical Academy of the Russian Ministry of Defense


Russian Federation, Saint Petersburg

MD, PhD, Cand. Sci. (Med.), Doctoral Student of the Department of Skin and Veneral Diseases

Nikanor V. Lavrov

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation, Saint Petersburg


Russian Federation, Saint Petersburg

MD, PhD, Cand. Sci. (Med.), Associate Professor, Associate Professor of the Department of Pharmacology with a Course of Clinical Pharmacology and Pharmacoeconomics

Vladislav R. Khairutdinov

S.M. Kirov Military Medical Academy of the Russian Ministry of Defense


Russian Federation, Saint Petersburg

MD, PhD, Dr. Sci. (Med.), Associate Professor, Associate Professor of the Department of Skin and Veneral Diseases

Alexey V. Samtsov

S.M. Kirov Military Medical Academy of the Russian Ministry of Defense


Russian Federation, Saint Petersburg

MD, PhD, Dr. Sci. (Med.), Professor, Head of the Department of Skin and Veneral Diseases


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Supplementary files

Supplementary Files Action
Fig. 1. Numerous erosions, crusts, single comedones and papules

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Fig. 2. Neurotic excoriation. Erosion, peels, scars

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Fig. 3. Trichotillomania. The center, deprived of hair, on the skin of the occipital region of the head

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Fig. 4. Onychotillomania. Erosion, erythema, dryness, peeling of the skin of the distal nail phalanges

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Fig. 5. Median canal-like dystrophy of nails. Deformation of the nail plates of the first fingers

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Fig. 6. Dermatoscopic picture with trichotillomania. Arrows indicate hair with trichoptilosis. Broken hair stems of different lengths

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Fig. 7. Cheilofagiya. Dryness, linear cracks and crusts on the lips

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Fig. 8. Dermatozoic delirium. Multiple normotrophic scars and hyperpigmented spots at the site of previous trauma

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Fig. 9. Pathomimia. Numerous erosions and ulcers, crusts, scars on body areas available for exposure

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Fig. 10. Hanging lice. Multiple erosions, ulcers, crusts in places of tight clothing

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Fig. 11. Wegener’s granulomatosis. Multiple ulcers

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Copyright (c) 2020 Prutyan G.V., Zhukov A.S., Lavrov N.V., Khairutdinov V.R., Samtsov A.V.

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