Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
Psychopathological Disorders5The educated among the physicians make an effort into an understanding of the mind.Aristotle (384-322 BC). Nicoinachean E Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2EthicsIt is a common experience among dermatologists that a significant number of their patients have psychological overlays to their chief complaints. This particularly holds true for complaints related to conditions of the hair and scalp. The exact incidence in any particular dermatologic practice Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2 most likely depends on the dermatologist’s interest: however, even for those dermatologists who are not specially interested in the psychological aspEbook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
ects of dermatologic disease, some patients have such overt psychopathologic conditions, such as trichotillomania, factitial dermatitis, or delusions Psychopathological Disorders5The educated among the physicians make an effort into an understanding of the mind.Aristotle (384-322 BC). Nicoinachean E Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2d be accomplished simply through referral of the patient to a mental health professional. In reality, the majority of psychodermatologic patients are reluctant to be referred to a psychiatrist. Many lack the insight regarding the psychological contribution to their dermatologic complaints; others fe Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2ar the social stigmatization of coming under the care of a psychiatrist.The dermatologist is often the physician designated by the patient to handle tEbook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
heir chiefcomplaint, even if the main disorder is a psychological one. Therefore, it is essential for dermatologists dealing with such patients to expPsychopathological Disorders5The educated among the physicians make an effort into an understanding of the mind.Aristotle (384-322 BC). Nicoinachean E Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2, the following steps are required:I.Learn to classify and diagnose psycho-dermatologic disorders. Because so many different types of conditions lie in between the fields of dermatology and psychiatry, it is paramount to have classification systems that will help clinicians understand what they are Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2dealing with. There are two ways to classify psychocutaneous cases: first, by the category of the dermatologic presentation. e.g., neurotic excoriatioEbook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
n, and, second, by the nature of the underlying psychopathologic condition, e.g., depressive disorder, generalized anxiety disorder, or obsessive-compPsychopathological Disorders5The educated among the physicians make an effort into an understanding of the mind.Aristotle (384-322 BC). Nicoinachean E Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2opecia and Related Conditions, DOI 10.1007/978-3-319-19701 -2_51391405 Psychopathological Disorders2Become familiar with the various therapeutic options available, both nonphar-macologic and psychopharmacologic.3Recognize the limits of what can be accomplished in a dermatologic practice'. Typically, Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2 a dermatologist does not have the time, training, or inclination necessary to administer most nonphar-macologic approaches. If a dermatologist seriouEbook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
sly considers the challenge of treating these patients with psychophar-macologic agents, the selection of appropriate agents is dictated by the naturePsychopathological Disorders5The educated among the physicians make an effort into an understanding of the mind.Aristotle (384-322 BC). Nicoinachean E Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2have a basic understanding of the pharmacology of psychotropic agents.4Optimize working relationships with psychiatrists. since dermatologists and psychiatrists tend to have different perspectives when analyzing a clinical situation, different styles of communication, and different approaches to man Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2agement.5.1ClassificationMost psychocutaneous conditions of the hair and scalp can be grouped into the following four categories:Psychophysiological dEbook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
isorders, in which the scalp disorder is exacerbated by emotional factors, e.g.. hyperhidrosis, atopic dermatitis, psoriasis, and seborrheic dermatitiPsychopathological Disorders5The educated among the physicians make an effort into an understanding of the mind.Aristotle (384-322 BC). Nicoinachean E Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2richotillomania, neurotic excoriations, factitial dermatitis.delusion of parasitosis, or psychogenic pseudoeffluviumCutaneous sensory disorders, in which the patient has various abnormal sensations of the scalp with no primary dermatologic lesions and no diagnosable internal medical condition respon Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2sible for the sensationsSecondary psychiatric disorders, in which patients develop emotional problems as a result of hair loss, usually as a consequenEbook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
ce of disfigurement5.2Psychophysiological DisordersPsychophysiological disorders is the term used for psychocutaneous cases in which specific dermatolPsychopathological Disorders5The educated among the physicians make an effort into an understanding of the mind.Aristotle (384-322 BC). Nicoinachean E Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2 scalp include hyperhidrosis, atopic dermatitis, psoriasis, and seborrheic dermatitis. In each of these conditions, one comes across two types of patients: those who experience a close chronologic association between stressful experiences and exacerbation of their dermatologic condition and those fo Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2r whom the emotional state seems not to influence the natural course of their disease. These two groups are referred to as "stress responders" and "noEbook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
n-stress responders." respectively. The relative proportion of stress responders versus nonstress responders varies among the different psychophysioloPsychopathological Disorders5The educated among the physicians make an effort into an understanding of the mind.Aristotle (384-322 BC). Nicoinachean E Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2with emotional trigger to be 100 % in patients with hyperhidrosis. 70 % in those with atopic dermatitis. 62 % with psoriasis, and 41 % with seborrheic dermatitis.5.2 Psychophysiological Disorders141This category also includes the psychosomatic disorders - the physical symptomatic representation of u Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2nsolved emotional conflicts. For classification. we may consider the different levels of psychosomatic disorder:The first level is physiological and iEbook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
ncludes bodily sensations in response to emotional shifts, great or small. In health these bodily sensations make little or no impact on consciousnessPsychopathological Disorders5The educated among the physicians make an effort into an understanding of the mind.Aristotle (384-322 BC). Nicoinachean E Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2oint, attempts to analyze them, and becomes anxious that they might signify some serious organic disease.The third level is the important one. at which internal somatic medicine and psychiatry meet. The organs and parts of the body have enormous elasticity and rebound, but if the underlying emotiona Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2l distress is too prolonged, they supposedly lose their elasticity, no longer being able to cope, and finally protest in terms of the psychosomatic orEbook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
gan lesion or organ pathology.It has long been recognized that psychosomatic factors play a role in dermatologic disease. Il has been hypothesized thaPsychopathological Disorders5The educated among the physicians make an effort into an understanding of the mind.Aristotle (384-322 BC). Nicoinachean E Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2d by the central nervous system; intrapsychic processes such as self-concept, identity, and eroticism; specific correlations between the emotional drive and the target organ, i.e.. social values and standards linked with the organ system; and a constitutional vulnerability of the target organ.5.2.1 Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2Folliculitis NecroticaFolliculitis necrotica is a peculiar dermatosis of the scalp that preferentially affects adult males, with chronic symptoms thatEbook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
wax and wane over time. Traditionally, the condition has been nosologically classified among the primary scarring alopecias. There is circumstantial Psychopathological Disorders5The educated among the physicians make an effort into an understanding of the mind.Aristotle (384-322 BC). Nicoinachean E Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2 ery thematous papules and pustules of the scalp that may become sore and enisled due to repeated scratching. The lesions may concentrate along the frontal hairline but can appear anywhere on the scalp, varying in number from just a few to numerous lesions covering the scalp (Fig. 5.1). The disease Ebook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2has been classified into acne necrotica miliaris and acne necnotica varioliformis. The former affects the superficial portion of the hair follicle, alEbook The difficult hair loss patient - Guide to successful management of alopecia and related conditions: Part 2
lowing for hair regrowth after successful treatment. Miliaris refers to a millet, a term fora small seed. The latter represents deeper lesions that prPsychopathological Disorders5The educated among the physicians make an effort into an understanding of the mind.Aristotle (384-322 BC). Nicoinachean EGọi ngay
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