Clinical Cases in Psychocutaneous Disease

Tien V. Nguyen, M.D., Department of Dermatology, University of New Mexico, Albuquerque, NM, Jillian W. Wong, M.D., Department of Dermatology, University of California in Davis, Sacramento, CA, John Koo, M.D., Department of Dermatology, University of California, San Francisco, CA.

• Preface.- Part I: Psychologically Challenging Patient Encounters in Dermatology.- The “long list” patient.- The “Will you be my PCP?” patient.- The patient with unusual demands.- The fearful patient.- The patient with a chronic disease.- The angry patient.- The distrustful and poorly compliant patient.- Part II: Psychocutaneous Disease in Geriatric Patients.- Delusions of parasitosis in geriatric patients.- Neurotic excoriations and the elderly.- The geriatric patient with neurodermatitis.- Part III: Cases of Psychocutaneous Disease.- Formication without delusions.- The slightly delusional patient.- The delusional but hopeful patient.- The hopelessly delusional patient.- Drug-induced formication and delusions of parasitosis.- Other delusionoid beliefs.- Neurotic excoriations secondary to cutaneous dysesthesia.- Neurotic excoriations secondary to underlying major depression.- Neurotic excoriations with underlying psychosis.- Acne excoriée.- Trichotillomania.- Body dysmorphic disorder.- Factitial dermatitis.- Hyperhidrosis and an anxiety disorder.- Atopic dermatitis and a major depressive disorder.- Psoriasis and excessive stress.