Psychocutaneous Diseases: A Clinical Dermatological Approach

Angelini, Gianni, Bonamonte, Domenico, Belloni Fortina, Anna

  • 出版商: Springer
  • 出版日期: 2025-01-01
  • 售價: $5,690
  • 貴賓價: 9.5$5,406
  • 語言: 英文
  • 頁數: 225
  • 裝訂: Hardcover - also called cloth, retail trade, or trade
  • ISBN: 3031702956
  • ISBN-13: 9783031702952
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相關主題

商品描述

The 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.

商品描述(中文翻譯)

皮膚科的虛構疾病的術語、分類、診斷和治療,屬於自我誘發皮膚病的廣泛範疇,仍然是公開辯論的主題。這一主題的複雜性也與不同健康專業的參與有關,這些專業人員往往參考不同的分類,而這些疾病的患者則需要一致的多學科方法。本研究的目的,基於數十年的實地經驗以及皮膚科醫生和精神科醫生的共同努力,是澄清這些疾病的術語,並且最重要的是詳細分析它們的臨床特徵,這是懷疑和診斷的首要和關鍵標誌。

人工性皮膚炎是由各種手段和多種目的自我誘發的疾病。疾病可以被模仿以達到非法目的,或是利用專業情況(如獲得病假延長、將病情認定為職業病、達到更高的殘疾等級)。在這些情況下,模擬者是清楚自己行為及其目的的。相反,還有一些自我誘發的皮膚炎是由精神問題引起的,例如精神病、智力障礙和人格障礙。這些病變的內在動機是不同的:患者意圖引起注意,或因為面對困難的環境情況而不自覺地將情緒表現為皮膚症狀。具有非法意圖的皮膚人工品是真正的“模擬”,而由心理障礙患者無意識造成的病變則是“病態模仿”。除了真正的模擬和“病態模仿”這兩組,還有一組自我誘發的皮膚病是由強迫性習慣(抓傷、抽搐)造成的,這些患者是有意識的,並認識到自我傷害行為的緊迫性。《心理皮膚病》為人工品的臨床特徵和動機留出了空間,這些人工品既可以施加於自己,也可以施加於他人(“代理”虛構疾病)。該主題還通過精神科專家的章節進一步補充,以解決病因學問題和治療指導,並整合醫療法律專業的貢獻。

本研究將支持皮膚科醫生的診斷,但也包括精神科醫生、心理學家、內科醫生、法醫和全科醫生。

作者簡介

Domenico Bonamonte holds an honors degree in Medicine and Surgery and a specialist qualification in dermatology and venereology. He is Member of the Restricted College of the Doctoral School / PhD School in Public Health, Clinical Medicine and Oncology, University of Bari Aldo Moro. He holds a PhD in Allergology, is a Research Fellow and, since 2013, an Associate Professor of Dermatology and Venereology at the University of Bari. He is the author of several scientific publications, including monographs and book chapters. His research focuses on experimental, clinico-experimental and clinical studies investigating various fields in dermatology, particularly etiopathogenetic aspects. He has also conducted in-depth studies in the areas of contact dermatitis, both occupational and non-occupational dermatoses, aquatic dermatitis (mainly of marine origin), dermatitis in the sports environment, inherited bullous epidermolysis and pediatric dermatology. Currently, President of the "Italian Society of Pediatric Dermatology" .

Giovanni Angelini is a Full Professor of Clinical Dermatology and Head of the Division Unit of Dermatology at the University of Bari, Italy, specializing in dermatology and venereal diseases. He retired as a Full Professor of Dermatology in the Clinic Dermatology of Bari in 2011. He is a former member of the editorial boards of various international and Italian dermatological journals, and Past President of the Italian Society of Allergy-related, Occupational and Environmental Dermatology. He is the author of over 600 scientific publications, including books on general dermatology, allergy-related and occupational dermatology, aquatic dermatology, mycobacterial skin infections, and chapters in volumes on dermatology, immunology and occupational medicine. His main research interests include the areas of immunological, allergic and environmental diseases.

Iria Neri is Associate Medical Director of the Pediatrics Dermatology Clinic and Manager of the Dermatology Clinic and the Rare diseases Clinic at Sant'Orsola Malpighi University Hospital, Bologna, Italy. Her teaching activities include the course of Pediatric Dermatology (integration to the Dermatology Clinic course, held during IV year) at the Specialization school in Dermatology and Venereology in Bologna. Additionally, she acts as Chief of the referring center of the Emilia Romagna district for the treatment of infantile hemangiomas, coordinates the clinical research at the Dermatology Unit of the University Hospital. Prof. Neri is peer-reviewer for "The Lancet" journal and reviewer for: Journal of the American Academy of Dermatology, Pediatric Dermatology, International Journal of Dermatology, Journal of Pediatric Infectious Diseases, Journal of the European Academy of Dermatology and Venereology, Giornale Italiano di Dermatologia e Venereologia, Pediatric Dermatology. She is member or chair in the following scientific associations: SIDeMaST, SIDerP, SISAV, ADOI, GIDEP, SFD, ESPD, the International Pediatrics Dermatology Society, member of Scientific Committee of Tuberous Sclerosis Association, of the network of Italian Laminopathies and of the Scientific Committee of Italian Society of vascular Anomalies. Prof. Neri has authored over 294 peer-reviewed papers in national and international journals, contributed to 12 books and participated to over 145 conferences.

Anna Belloni Fortina is an Associate Professor of Dermatology and Venereology at the Department of Medicine, at the University of Padova (UNIPD), Italy, and Past President of the Italian Society for Pediatric Dermatology. After graduating in medicine, she specialized in dermatology and venereology, and became the Regional Coordinator for Rare Pediatric Skin Diseases at the Veneto Regional Center. In 2006 she was nominated Head of the Veneto Regional Center for Pediatric Dermatology and Genodermatoses. After spending a year as an International Clinical Observer in Pediatric and Adolescent Dermatology at the Unit of Pediatric Dermatology, Rady Children's Hospital, University of California - San Diego, USA, she was elected Head of the ERN Skin (European Reference Network) for Padova University Hospital, were her clinical and research interests led her to head the local mastocytosis registry for the European Competence Network on Mastocytosis, and to be appointed as Director of the Dermatology Residency Training Program.

Luca Stingeni is Associate Professor at Perugia University for the scientific sector MED/35 Skin and Venereal Diseases. Head of the Dermatology Section of Medicine and Surgery Department of Perugia University and of the Dermatology Unit of the Perugia Santa Maria della Misericordia Hospital. Head of the Resident School in Dermatology and Venereology of Perugia University. Member of the Restricted College of the Doctoral School / PhD School of Clinical and Molecular Medicine of the University of Perugia. Dermatology Professor in the Degrees Courses of Medicine and Surgery; Dentistry; Nurse; Obstetrician and in the Resident Schools of Dermatology and Venereology; Internal Medicine; Cardiovascular Diseases; Occupational Medicine and in the 2nd level International Master in "Diagnostic and therapeutic paths related to medical and health needs in tropical environments". He published 275 papers in indexed international Journals, 10 contributions in books and presented more than 500 communications in national and international congresses. His main topics of research are inflammatory skin diseases (contact dermatitis, atopic dermatitis, urticaria-angioedema syndrome, psoriasis, adverse drug reactions, arthropod dermatitis. Luca Stingeni attended to many clinical studies carried out in GCPs and in several RCTs as Principal Investigator.

作者簡介(中文翻譯)

Domenico Bonamonte 擁有醫學和外科的榮譽學位,以及皮膚病學和性病學的專業資格。他是巴里阿爾多·莫羅大學公共衛生、臨床醫學和腫瘤學博士學校的限制學院成員。他擁有過敏學的博士學位,並且是研究員,自2013年以來擔任巴里大學皮膚病學和性病學的副教授。他是多篇科學出版物的作者,包括專著和書籍章節。他的研究專注於實驗性、臨床實驗性和臨床研究,探討皮膚病學的各個領域,特別是病因病理學方面。他還在接觸性皮膚炎(包括職業性和非職業性皮膚病)、水生皮膚炎(主要是海洋來源)、運動環境中的皮膚炎、遺傳性水泡性表皮溶解症和小兒皮膚病學等領域進行了深入研究。目前,他是「意大利小兒皮膚病學會」的會長。

Giovanni Angelini 是意大利巴里大學臨床皮膚病學的全職教授及皮膚病學部門負責人,專注於皮膚病學和性病。他於2011年退休,曾擔任巴里臨床皮膚病學的全職教授。他是多本國際和意大利皮膚病學期刊的編輯委員會成員,並曾擔任意大利過敏相關、職業和環境皮膚病學會的前會長。他是600多篇科學出版物的作者,包括有關一般皮膚病學、過敏相關和職業皮膚病學、水生皮膚病學、分枝桿菌皮膚感染的書籍,以及皮膚病學、免疫學和職業醫學的書籍章節。他的主要研究興趣包括免疫學、過敏和環境疾病的領域。

Iria Neri 是博洛尼亞聖奧爾索拉·馬爾皮基醫院小兒皮膚病學診所的副醫療主任,並負責皮膚病學診所和罕見疾病診所。她的教學活動包括在博洛尼亞皮膚病學和性病學專業學校教授小兒皮膚病學課程(作為皮膚病學診所課程的補充,於四年級進行)。此外,她還擔任艾米利亞-羅馬涅地區治療嬰兒血管瘤的轉診中心負責人,並協調醫院皮膚病學部的臨床研究。Neri 教授是《柳葉刀》期刊的同行評審人,並擔任以下期刊的評審:美國皮膚病學學會期刊、小兒皮膚病學、國際皮膚病學期刊、小兒傳染病期刊、歐洲皮膚病學和性病學學會期刊、意大利皮膚病學和性病學期刊、小兒皮膚病學。她是以下科學協會的成員或主席:SIDeMaST、SIDerP、SISAV、ADOI、GIDEP、SFD、ESPD、國際小兒皮膚病學會、結節性硬化症協會科學委員會成員、意大利膜病網絡成員及意大利血管畸形學會科學委員會成員。Neri 教授在國內外期刊上發表了294篇同行評審的論文,參與了12本書籍的編寫,並參加了145場會議。

Anna Belloni Fortina 是意大利帕多瓦大學醫學系的皮膚病學和性病學副教授,並曾擔任意大利小兒皮膚病學會的前會長。她在醫學畢業後專攻皮膚病學和性病學,並成為威尼托地區罕見小兒皮膚病的區域協調員。2006年,她被任命為威尼托地區小兒皮膚病學和基因皮膚病的負責人。