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. 2020 Feb;17(2):157-162.
doi: 10.30773/pi.2019.0193. Epub 2020 Feb 25.

Skin Diseases in Patients with Primary Psychiatric Disorders

Paraskevi Mavrogiorgou  1 , Corinna Mersmann  1 , Gabriele Gerlach  2 , Stephan Herpertz  2 , Georg Juckel  1
Affiliations

Skin Diseases in Patients with Primary Psychiatric Disorders

Paraskevi Mavrogiorgou et al. Psychiatry Investig. 2020 Feb.

Abstract

Objective: The few psychodermatological studies of primary psychiatric populations so far suggest that parasitic-infectious skin diseases are the most common dermatological comorbidity in more than 70% of psychiatric patients, which should be studied here in a large data bank outside dermatological treatment facilities.

Methods: In a descriptive-explorative and retrospective study, more than 17,000 patients with primary psychiatric disorders were examined to investigate dermatological comorbidities.

Results: The proportion of patients with primary mental disorders and additional dermatological disease was 1.24% (n=212). Here, psoriasis (35.4%) and atopic dermatitis (22.6%) were the most frequent dermatological diseases among these 212 patients. Infectious-parasitic skin diseases were present in 13.2% of comorbid patients. The most common mental disorder was a depressive illness, seen in 42.5% (n=90) of patients.

Conclusion: Our results confirmed the frequent association of depression with psoriasis and atopic dermatitis, indicating the need for the early detection and treatment of such comorbid patients. In contrast, psychiatric inpatients do not appear to suffer from predominantly infectious-parasitic dermatoses.

Keywords: Depression; Psychiatric disorders; Psychodermatology; Skin diseases.

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Conflict of interest statement

The authors have no potential conflicts of interest to disclose.

Figures

Figure 1.
Figure 1.
Flow diagram to identify patients groups being comorbid with psychiatric and dermatological disorders.
Figure 2.
Figure 2.
Frequency of psychiatric disorders (ICD-10: F00–F99).
Figure 3.
Figure 3.
Frequency of dermatological disorders.
See this image and copyright information in PMC

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