05109nam a22005415i 4500001001800000003000900018005001700027007001500044008004100059020003700100024003500137050001200172072001600184072002300200072001500223245018800238250001800426264006900444300005400513336002600567337002600593338003600619347002400655505057200679520241001251650002403661650002303685650002303708650002803731650002403759650002303783650002303806650004903829700008603878700008903964700009104053700008004144700008404224710003404308773002604342776003604368776003604404776003604440856004604476912001404522912001404536999001704550978-3-031-70296-9DE-He21320251030114551.0cr nn 008mamaa241129s2024    sz |    s    |||| 0|eng d  a97830317029699978-3-031-70296-97 a10.1007/978-3-031-70296-92doi 4aRL1-803 7aMJK2bicssc 7aMED0170002bisacsh 7aMJK2thema10aPsychocutaneous Diseasesh[electronic resource] :bA Clinical Dermatological Approach /cedited by Gianni Angelini, Domenico Bonamonte, Anna Belloni Fortina, Iria Neri, Luca Stingeni.  a1st ed. 2024. 1aCham :bSpringer Nature Switzerland :bImprint: Springer,c2024.  aXIV, 211 p. 80 illus. in color.bonline resource.  atextbtxt2rdacontent  acomputerbc2rdamedia  aonline resourcebcr2rdacarrier  atext filebPDF2rda0 a1. Psychodermatology: When Psyche And Skin Interact -- 2. Psychocutaneous Diseases -- 3. Self-Inflicted Skin Disorders: Diagnosis And Management -- 4. Factitious Skin Disorders Without External Incentives -- 5. Factitious Skin Disorders With External Incentives -- 6. Psychocutaneous diseases in children: a clinical dermatological approach -- 7. Compulsive skin disorders -- 8. Cutaneous diseases precipitated or perpetuated by emotional factors -- 9. Group and mass population disorders -- 10. Medicolegal implications in the management of psychocutaneous diseases.  aThe terminology, classification, diagnosis and treatment of dermatological factitious disorders, falling within the broad scope of self-induced dermatological diseases, are the subject of open debate. The complexity of the topic is also linked to the involvement of different health professions who often refer to different classifications, whereas patients with these conditions need a consistent multidisciplinary approach. The purpose of this work, resulting in decades of field experience and of the joint efforts of both dermatologists and psychiatrists, is to clarify the terminology of these disorders and, above all, to analyze their clinical characteristics in detail, the first and pivotal sign of suspicion and diagnosis. Artificial dermatitis are self-induced diseases caused by various means and for diverse purposes. Illness can be mimicked with unlawful purposes, or to take advantage of professional situations (obtaining extension of illness, recognition of the condition as an occupational disease, reaching a higher class of invalidity). In these cases, the simulators are aware of their own action and its purposes. Conversely, there are cases of self-induced dermatitis dictated by psychiatric problems, such as psychosis, intellectual disability and personality disorders. Intrinsic motivation of such lesions is different: patient intends to draw attention, reacts to difficult environmental situations by involuntary somatization of the skin. Skin artifacts of illicit intent are true "simulations", while the lesions caused unconsciously by subjects with psychological disorders are "pathomimies". In addition to the groups of true simulation and “pathomimia”, another group of self-provoked dermatoses is due to coercive habits (excoriations, tics) in conscious subjects who recognize the urgency of a self-harming action. Psychocutaneous Diseases leaves room to the clinic features and motivations of artifacts, both perpetuated on oneself and on other people ("by proxy" factitious disorders). The topic is completed by the addition of chapters by psychiatric specialists, in order to address pathogenetic problems and therapeutic guidelines, as well as contributions that integrate the approach with medico-legal expertise. This work will support diagnosis by dermatologists, but also psychiatrists, psychologists, internists, forensic doctors and general practitioners. . 0aDermatology.972926 0aPediatrics.964087 0aPsychiatry.970761 0aFamily medicine.96333914aDermatology.97292624aPediatrics.96408724aPsychiatry.97076124aGeneral Practice and Family Medicine.9732911 aAngelini, Gianni.eeditor.4edt4http://id.loc.gov/vocabulary/relators/edt9882321 aBonamonte, Domenico.eeditor.4edt4http://id.loc.gov/vocabulary/relators/edt9882331 aBelloni Fortina, Anna.eeditor.4edt4http://id.loc.gov/vocabulary/relators/edt9882341 aNeri, Iria.eeditor.4edt4http://id.loc.gov/vocabulary/relators/edt9882351 aStingeni, Luca.eeditor.4edt4http://id.loc.gov/vocabulary/relators/edt9882362 aSpringerLink (Online service)0 tSpringer Nature eBook08iPrinted edition:z978303170295208iPrinted edition:z978303170297608iPrinted edition:z978303170298340uhttps://doi.org/10.1007/978-3-031-70296-9  aZDB-2-SME  aZDB-2-SXM  c65301d65301