Publications by authors named "Mohammad Jafferany"

144 Publications

A Brief Review of Dermatitis Artefacta and Management Strategies for Physicians.

Prim Care Companion CNS Disord 2021 07 1;23(4). Epub 2021 Jul 1.

Beautiful Mind Healthcare, Bengaluru, Karnataka, India.

Dermatitis artefacta, an enigmatic entity with often bizarre and widely variable presentations, can be a challenge to diagnose and treat. Although it is classified as a primary psychiatric disorder, patients are often oblivious that the lesions are self-inflicted and thus consult a physician. Therefore, it becomes imperative to be aware of this condition and to build a good rapport with patients so as to counsel them on the need to seek care for their underlying psychiatric stressors. This narrative review focuses on reaching a proper diagnosis, addressing associated psychological morbidity, and formulating treatment approaches.
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http://dx.doi.org/10.4088/PCC.20nr02858DOI Listing
July 2021

Psychodermatology in the Era of COVID-19.

J Clin Aesthet Dermatol 2021 Mar 1;14(3 Suppl 1):S24-S27. Epub 2021 Mar 1.

Dr. Ferreira is with the University of Brest, Laboratoire Interactions Épithéliums-neurones (LIEN) in Brest, France, and with the Department of Dermatology at Centre Hospitalier de Mouscron in Réseau Santé Louvain, Belgium.

The impact of the coronavirus disease 2019 (COVID-19) pandemic on mental health has been reflected in different populations worldwide. It has caused significant psychopathological consequences in general population, healthcare professionals (e.g., dermatologists), patients with COVID-19, and patients with other diagnoses, including skin diseases. The prevalence of psychiatric comorbidities in dermatology has long been reported to be at least 30 percent. It is important to investigate the pandemic's impact on comorbid psychosocial and psychopathological symptoms seen in dermatology, including expected short- and long-term mental health consequences. The authors seek to raise awareness among healthcare professionals of the impact that COVID-19 is having on existing psychodermatological conditions and discuss the practical implications of this relationship in dermatology.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8211322PMC
March 2021

Cosmetic Presentations and Challenges of Body Dysmorphic Disorder and Its Collaborative Management.

J Cutan Aesthet Surg 2021 Jan-Mar;14(1):20-25

Beautiful Mind Healthcare, Bangalore, Karnataka, India.

In recent times, there has been a huge surge in the demand for cosmetology. However, not every patient is an ideal candidate for cosmetic interventions, and this needs to be carefully evaluated at outpatient visit. Various patients have underlying undetected psychiatric co-morbidities which prompt them to seek cosmetic care. One such condition is body dysmorphic disorder in which patients are present with marked anxiety which seems out of proportion to their apparently trivial complaints. These patients are also often unsatisfied with their cosmetic outcome, sometimes turning violent or pressing legal charges against their treatment providers. It is therefore of utmost importance for dermatologists and cosmetic surgeons to be aware of this condition and work in liaison with psychiatrists to provide holistic care to these patients. A literature search of PubMed-indexed journals using keywords "body dysmorphic disorder," "BDD in dermatology," and "BDD in cosmetic surgery" was carried out from the year 2000 up to date for this review.
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http://dx.doi.org/10.4103/JCAS.JCAS_180_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8149991PMC
June 2021

Psychiatric morbidity, stress and quality of life among geriatric dermatology patients: Therapeutic considerations from an Indian perspective.

Dermatol Ther 2021 Jun 2:e15018. Epub 2021 Jun 2.

Department of Psychiatry, Central Michigan University, Saginaw, Michigan, USA.

We aimed to determine the prevalence of psychiatric morbidities, stress and quality of life, the pattern of skin diseases and associated psychosocial factors in geriatric population. Patients aged 60 years and older were recruited. Demographics and dermatological history and findings were collected using a preset Proforma. Geriatric depression scale (GDS), hospital anxiety and depression scale (HADS), perceived stress scale (PSS), and dermatology life quality index (DLQI) were instituted in all the patients. A total of 310 patients were included in the study, 173 males and 137 females. Infectious diseases (39.6%), papulosquamous diseases (17.1%), and eczema (15.5%) were common disorders. 45.5% were depressed and 43.2% had anxiety (hospital anxiety and depression scale). 55.8% had depression (geriatric depression rating scale), 20.3% had high stress and 11% had extremely large effect on DLQI. Divorced/widowed patients experienced more depression (p = 0.037) and had more impairment in quality of life (p = 0.05). Patients living in three generation family experienced more impairment in quality of life (p = 0.000). Our study demonstrated high prevalence of psychiatric morbidities in geriatric dermatology patients. It implies the need of special care with more attention to psychiatric co morbidities. The role of psychiatry-dermatology liaison clinic may benefit these patients.
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http://dx.doi.org/10.1111/dth.15018DOI Listing
June 2021

Classification of psychodermatological disorders.

J Cosmet Dermatol 2021 Jun 6;20(6):1622-1624. Epub 2021 Apr 6.

Department of Psychiatry, Central Michigan University, Saginaw, MI, USA.

Currently, psychodermatological disorders are classified under different criteria exhibiting several limitations, and no single universal classification system exists. Herein, we discuss previous suggested classifications in psychodermatology, highlighting their limitations, and we propose a new classification system, without redundant information and with accurate terminology, incorporating the relevance of the terms "disorder," "disease," and "illness" in psychodermatology. In this new classification, the following three groups are then suggested: "primary psychodermatological disease," to include primary dermatoses, where psychological stress, a psychological mechanism, and/or psychopathology are some of the main elements that are recognized in the etiopathogenesis (which may induce and/or worsen a primary dermatosis); "primary psychodermatological illness," to include skin symptoms, with or without secondary self-induced skin lesions (such as excoriations), without a primary dermatosis, and where psychopathology, psychological characteristics, and/or a neuropathic mechanism, where stress plays a relevant role, are key features responsible for the skin symptoms and the secondary skin lesions; and "secondary psychodermatological disorder," to include medications prescribed in dermatology with psychiatric consequences and medications prescribed in psychiatry with dermatologic consequences. Our goal with this system is to broaden the recognition of psychodermatology and improve patient management, with practical and scientific relevance for dermatologists, psychiatrists, and psychologists working in psychodermatology, but also for general practitioners, physicians from other medical and surgical specialties as well as specialists in esthetic dermatology, who frequently encounter patients with psychodermatological disorders.
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http://dx.doi.org/10.1111/jocd.14112DOI Listing
June 2021

Psychological aspects of COVID-19.

J Cosmet Dermatol 2020 Sep 24;19(9):2169-2173. Epub 2020 Jul 24.

Central Michigan University, Saginaw, Michigan, USA.

Background: COVID-19 pandemic has affected the world from every aspect. Individuals are drained from social, financial, and emotional percussion of this pandemic. Psychosocial consequences are far greater than are being perceived. It is anticipated that once the pandemic is over the psycho-emotional turbulence would shake the whole populations of affected countries.

Aims And Objectives: To review the psychological consequences of COVID-19 pandemic.

Methods: A literature search was conducted on major databases from January 2020 to April 2020 with the search terms of Covid-19, Corona virus, psychological, depression, anxiety, phobias, obsessive behaviors, paranoia, parental relationship, marital life and maternal and fetal bond.

Conclusion: Patients with COVID-19 infection are more likely to suffer from a myriad of psychological consequences, and this infection may have profound effect on parenting, relationships, marital life, elderly, and maternal-fetal bond.
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http://dx.doi.org/10.1111/jocd.13601DOI Listing
September 2020

Psychodermatology knowledge and awareness in Chinese dermatologists: Results of a survey study.

Dermatol Ther 2021 01 5;34(1):e14668. Epub 2021 Jan 5.

Department of Dermatology, Xuanwu Hospital, Capital Medical University, Beijing, China.

To assess the knowledge, awareness, practice patterns, and attitudes of Chinese dermatologists toward psychocutaneous disorders and explore their interest in continuing medical education (CME) of psychodermatology. An online survey study was conducted from October to November 2019. The survey questionnaire link was sent to the members of the national and local association of dermatology through a social media App. After confirming the informed consent to enrol in the study, the participants filled out the online questionnaire anonymously. About 1047 dermatologists completed the survey. The most common diagnoses referred to the psychiatrist from Chinese dermatologists were venereal phobia (51.77%), delusion of parasitosis (44.03%), and trichotillomania (32.28%). Compared with dermatologists, Traditional Chinese Medicine (TCM) dermatologists had less training experience on psychodermatologic CME (4.21% vs 8.34% who had attending more than twice CME, P < .05). Although TCM dermatologist experience more frequency with psychodermatology (24.21% TCM vs 15.71% dermatologists), they had lower comfort level in treating psychodermatologic patients (51.58% TCM vs 58.89% dermatologist) (P > .05). While 818 (78.13%) dermatologists never received any training course, 84.53% of the dermatologists expressed interest in attending CME events on psychodermatology. The most popular CME themes of psychodermatology were emotional disorders related to skin diseases, delusion of parasitosis, and trichotillomania. Chinese dermatologists have insufficient knowledge and awareness toward psychodermatology. TCM dermatologists have higher awareness on psychocutaneous diseases compared with dermatologists. Psychodermatology continuing medical education programs should be carried out as soon as possible.
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http://dx.doi.org/10.1111/dth.14668DOI Listing
January 2021

Laser treatment of acne conglobatа with concomitant oral isotretinoin use.

Dermatol Ther 2021 01 25;34(1):e14553. Epub 2020 Nov 25.

Department of Psychiatry, College of Medicine, Central Michigan University, Saginaw, Michigan, USA.

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http://dx.doi.org/10.1111/dth.14553DOI Listing
January 2021

Therapeutic implications of dermoscopic findings in acanthosis nigricans: A clinical and histopathological study.

Dermatol Ther 2020 11 26;33(6):e14521. Epub 2020 Nov 26.

Central Michigan University/CMU Medical Education Partners Saginaw, Michigan, USA.

Acanthosis nigricans is associated with numerous systemic disorders. These include endocrinological conditions such as, diabetes, acromegaly, Cushing's syndrome, thyroid dysfunction, as well as metabolic abnormalities like obesity and polycystic ovarian disease. Its association with visceral malignancy is known. Moreover, Acanthosis nigricans is known to be a cutaneous marker of insulin resistance (IR) and hyperinsulinemia. The primary aim of this study was to study clinical and histopathological patterns of acanthosis nigricans and its correlation with dermoscopic patterns and treatment implications. 103 patients clinically diagnosed as acanthosis nigricans were enrolled in the study. Clinical evaluation, dermoscopy, and skin biopsy was done for histopathological evaluation. Consistency was observed in the changes seen on dermoscopy with clinical and histopathological findings. Common dermoscopy findings were Crista Cutis, Sulcus Cutis, Papillary projections, hyperpigmented dots, crypts, and blotching Dermoscopic findings can be correlated with histopathological features. Dermoscopy allows visualization on higher magnification which helps to pick up subtle changes which are not visible to naked eye. Dermoscopy can be a useful tool to distinguish acanthosis nigricans from other pigmentary disorders in patients who are not willing for histopathological examination and helps in treatment making decisions.
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http://dx.doi.org/10.1111/dth.14521DOI Listing
November 2020

Therapeutic considerations related to stress levels associated with hand eczema: A clinico-etiological study.

Dermatol Ther 2020 11 12;33(6):e14508. Epub 2020 Nov 12.

Department of Psychiatry, Central Michigan University, Saginaw, Michigan, USA.

Understanding the etiological factors, stress and quality of life have important implications in the management. There is dearth of the literature in this subject, assessing the stress levels in hand eczema and disparities exist in results of the available literature. Primary objective of this study is to assess the clinico-etiological factors in cases of hand eczema. The secondary objectives include to find any correlation between morphological types and the etiological factors, and to determine the role of stress level in these patients. Patients with hand eczema who attended the outpatient department of our tertiary care institution were enrolled in this descriptive study. Sociodemographic and clinico-etiologic data were collected and patch testing of all patients were done. Stress levels were assessed with Perceived stress scale (PSS). Among the 62 patients enrolled, allergic contact dermatitis predominated with 37 (59.7%) cases and patch test was positive in 41 (66.1%). Potassium dichromate was the most common allergen in males, and fragrance mix in females. Significant levels of stress were seen in 67.7% of the subjects. There was no significant correlation between morphological subtypes and the identified aetiologies. Hand eczema is most commonly due to allergic contact dermatitis, and patch testing is helpful in reaching an etiological diagnosis in most of the cases. A large proportion of patients have high stress levels, and hence stress management should also be a part of treatment in addition to traditional treatment.
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http://dx.doi.org/10.1111/dth.14508DOI Listing
November 2020

Delusional infestation: Clinical presentations, diagnosis, and management.

J Cosmet Dermatol 2020 Dec 24;19(12):3183-3188. Epub 2020 Oct 24.

Department of Psychiatry, Central Michigan University, Mount Pleasant, MI, USA.

Background: Delusional infestation is a primary psychiatric disorder characterized by a somatic-type delusional disorder (primary delusional infestation) that may lead to self-induced cutaneous lesions which are often difficult to recognize and treat properly. It may be also secondary to other psychiatric disorders, medical diseases, or substance abuse.

Aims: This review will describe prevalence, common clinical features, different clinical presentations, differential diagnoses, and treatment recommendation. Special focus has been put on psychological aspects.

Methods: We conducted a literature search on PubMed from January 2001 to June 2020 with the search terms of delusional parasitosis, delusional infestation, psychological, Reference lists of identified articles were examined for further relevant studies. The search was limited to English language articles. No specified quality criteria were used for study inclusion.

Results: The clinical manifestations of delusional infestation are very important in the differential diagnosis and its psychological implications and management perspectives.

Conclusion: This article presents an update regarding the clinical aspects and treatment options of delusional infestation in order to provide an up-to-date review for dermatologists and general practitioners.
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http://dx.doi.org/10.1111/jocd.13786DOI Listing
December 2020

A Study to Evaluate Depression and Perceived Stress Among Frontline Indian Doctors Combating the COVID-19 Pandemic.

Prim Care Companion CNS Disord 2020 Oct 8;22(5). Epub 2020 Oct 8.

Department of Dermatology, KPC Medical College and Hospital, Kolkata, West Bengal, India.

Objective: Amid the ongoing coronavirus disease 2019 (COVID-19) pandemic, health care workers of multiple disciplines have been designated as frontline doctors. This unforeseen situation has led to psychological problems among these health care workers. The objective of this study was to evaluate the mental health status of pan-Indian frontline doctors combating the COVID-19 pandemic.

Methods: A cross-sectional, observational study was conducted among frontline doctors of tertiary care hospitals in India (East: Kolkata, West Bengal; North: New Delhi; West: Nagpur, Maharashtra; and South: Thiruvananthapuram, Kerala) from May 23, 2020, to June 6, 2020. Doctors involved in clinical services in outpatient departments, designated COVID-19 wards, screening blocks, fever clinics, and intensive care units completed an online questionnaire. The 9-item Patient Health Questionnaire and the Perceived Stress Scale were used to assess depression and perceived stress.

Results: The results of 422 responses revealed a 63.5% and 45% prevalence of symptoms of depression and stress, respectively, among frontline COVID-19 doctors. Postgraduate trainees constituted the majority (45.5%) of the respondents. Moderately severe and severe depression was noted in 14.2% and 3.8% of the doctors, respectively. Moderate and severe stress was noted in 37.4% and 7.6% of participants, respectively. Multivariate regression analysis showed working ≥ 6 hours/day (adjusted odds ratio: 3.5; 95% CI, 1.9-6.3; P < .0001) to be a significant risk factor for moderate or severe perceived stress, while single relationship status (adjusted odds ratio: 2.9; 95% CI, 1.5-5.9; P = .002) and working ≥ 6 hours/day (adjusted odds ratio: 10.3; 95% CI, 4.3-24.6; P < .0001) significantly contributed to the development of moderate, moderately severe, or severe depression.

Conclusions: The pandemic has taken a serious toll on the physical and mental health of doctors, as evident from our study. Regular screening of medical personnel involved in the diagnosis and treatment of patients with COVID-19 should be conducted to evaluate for stress, anxiety, and depression.
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http://dx.doi.org/10.4088/PCC.20m02716DOI Listing
October 2020

Psychodermatology of acne: Psychological aspects and effects of acne vulgaris.

J Cosmet Dermatol 2021 Apr 23;20(4):1080-1083. Epub 2020 Oct 23.

Mansoura Dermatology, Venerology and Leprology Hospital, Mansoura, Egypt.

Introduction: Acne is a chronic inflammatory skin condition seen commonly in adolescence and young adulthood. Despite being a frequent and nonthreatening life condition, acne has a significant psychological impact and comorbidity.

Aims: This review will describe prevalence, common clinical features, different clinical presentations, differential diagnoses, and treatment recommendation. Special focus has been put on psychological aspects.

Methods: We conducted a literature search on PubMed from January 2001 to June 2020 with the search terms of Acne vulgaris, psychological, adolescents, anxiety, suicide, mood disorders. Reference lists of identified articles were examined for further relevant studies. The search was limited to English language articles. No specified quality criteria were used for study inclusion.

Results: The clinical manifestations of acne are very important in the differential diagnosis and its psychological implications.

Conclusion: Through this article, we conclude that despite being a frequent and nonthreatening life condition, acne has a significant psychological impact which requires effective treatment to improve the patient's skin and self-esteem.
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http://dx.doi.org/10.1111/jocd.13765DOI Listing
April 2021

Management and prevention of laser complications in aesthetic medicine: An analysis of the etiological factors.

Dermatol Ther 2021 01 19;34(1):e14373. Epub 2020 Oct 19.

University of Guglielmo Marconi, Rome, Italy.

Growing popularity of laser treatment has understandably resulted in increased incidence of potential complications. The analysis of complications, taking into account the causes of their occurrence, is of particular interest. The identification of etiological factors and the development of a step-by-step prophylactic algorithm with their consideration is the way to reduce the number of possible complications in future practice. In this article, we present a classification of the causes of complications associated with various types of laser procedures. This classification was developed on the basis of a review of last 20 years' literature and our own experience in a network of clinics "Linline" in Russia. We identified six groups of the etiological classification of laser complications: errors of patient selection, errors of treatment tactics, wrong choice of device and technology, neglect of treatment protocol, inadequate post-procedural care, individual response of the patient. The causes of all specified groups of complication, except the last one, are preventable causes.
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http://dx.doi.org/10.1111/dth.14373DOI Listing
January 2021

Complication of Soft Tissue Fillers: Prevention and Management Review.

J Drugs Dermatol 2020 Sep;19(9):829-832

The use of dermal fillers has increased manifold over the past decade, which has been attributed to the ever-increasing need of the population for being young. Fillers have become quite popular both among patients and treating physicians due to their quick and quite predictable results. Filler injection is a safe procedure in the hands of an experienced provider using appropriate technique. Nevertheless, various adverse effects to fillers have been reported that range from mild injection site complications, such as pain and bruising, to severe complications, like tissue necrosis, retinal artery occlusion, and infections. The esthetic provider should be aware of and be able to quickly recognize such complications, and be confident in managing them. In this article we highlight the various adverse effects noted with the use of fillers and discuss prevention and management. J Drugs Dermatol. 2020;19(9):829-832. doi:10.36849/JDD.2020.5084.
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http://dx.doi.org/10.36849/JDD.2020.10.36849/JDD.2020.5084DOI Listing
September 2020

Hair-pulling disorder (Trichotillomania): Etiopathogenesis, diagnosis and treatment in a nutshell.

Dermatol Ther 2021 01 15;34(1):e13466. Epub 2020 Oct 15.

Department of Psychiatry, Central Michigan University, Mount Pleasant, Michigan, USA.

Hair-pulling disorder (Trichotillomania) is a disabling mental disorder. Patient's behavior is characterized by the recurrent pulling of own hair with hair loss and a marked dysfunction in various areas of daily life. Trichotillomania is a relatively common disorder with pediatric onset, often associated with significant morbidity, comorbidity, and functional decline. Surprisingly, children or adolescents have been little studied in the research studies on the pathophysiology and psychopathology of trichotillomania. Furthermore, more evidences regarding the effective and evidence-based pharmacological interventions for the treatment of this condition are encouraged. This narrative review will report on the etiopathogenesis and clinical manifestations of trichotillomania including criteria for diagnosis and treatment issues of this complex mental disorder.
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http://dx.doi.org/10.1111/dth.14366DOI Listing
January 2021

Depression, psychiatric comorbidities, and psychosocial implications associated with acne vulgaris.

J Cosmet Dermatol 2020 Dec 15;19(12):3177-3182. Epub 2020 Oct 15.

Beautiful Mind Healthcare, Bangalore, India.

Background: Acne vulgaris is a highly prevalent skin condition associated with considerable psychological burden. Acne and its sequelae can affect many domains of life leading to social dysfunction, psychiatric issues and educational shortcomings. Psychiatric conditions like depression is found to be more prevalent in acne patients as compared to general population.

Aims: To evaluate importance of screening for depression in acne patients since screening tools in outpatient departments can help dermatologists assess the psychological state of the patient.

Method: Papers selected for the review included review articles in English language and all original research relevant to the topic, in the form of cohort studies, and case-control studies.

Conclusions: This article studies the impact of acne across the various aspects of life and highlights the importance of a timely diagnosis and referral. This can be helpful in preventing the long-term consequences of acne in terms of physical as well as psychological health.
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http://dx.doi.org/10.1111/jocd.13753DOI Listing
December 2020

Therapeutic implications of prevalence and predictor risk factors for burn out syndrome in Egyptian dermatologists: A cross sectional study.

Dermatol Ther 2020 11 8;33(6):e14327. Epub 2020 Oct 8.

Central Michigan University College of Medicine, Saginaw, Michigan, USA.

Burnout among physicians and dermatologists is gaining a wide attention in the recent decade. The aim of this cross sectional study was to assess the prevalence and predicting factors for burnout among Egyptian dermatologists. A cross sectional study was designed and data were collected using structured open access survey. A total of 144 dermatologists completed the full questionnaire. The majority of dermatologists completing the survey 85 (59%) were between 30 and 40 years age group while those above 50 years of age represented a minority 10 (6.9%). The Mean score of emotional exhaustion was 29.24 ± 12.73 (high) while that of personal accomplishment was 29.14 ± 9.24 (moderate) and for depersonalization was 10.07 ± 6.46 (moderate). We demonstrated high burnout prevalence among Egyptian dermatologist that needs to be further verified by other randomized studies. Being a resident dermatologist living in a rural locality and with more than 8 daily working hours were significant predictors of increased burnout rates.
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http://dx.doi.org/10.1111/dth.14327DOI Listing
November 2020

Bupropion in dermatology: A brief update.

Dermatol Ther 2021 01 22;34(1):e14303. Epub 2020 Sep 22.

Department of Psychiatry, School of Medical Sciences, National University of Asunción, San Lorenzo, Paraguay.

There is currently an interest in evaluating the role that antidepressants may play in the treatment of primary cutaneous disorders. It has been proposed that antidepressants could have anti-inflammatory effects, but the clinical relevance of this effect has not been adequately established. In the case of bupropion, evidence for its specific use in dermatologic conditions currently come only from a pilot study and a case report. While this level of evidence is unlikely to be sufficient to guide clinical practice, the authors of this brief update hope to sort the available information to serve as a guide and provide a structure for future research.
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http://dx.doi.org/10.1111/dth.14303DOI Listing
January 2021

Effectiveness of psychopharmacotherapy in psoriasis patients with associated anxiety and depression.

Dermatol Ther 2020 11 20;33(6):e14292. Epub 2020 Sep 20.

Central Michigan University, College of Medicine, Saginaw, Michigan, USA.

Psoriasis is associated with psychological comorbidities. We evaluated the effectiveness of additional psychopharmacotherapy on the clinical severity and associated anxiety and depression in psoriasis. 173 patients were enrolled with psoriasis and associated anxiety and depression. Spielberger State-Trait Anxiety Inventory (STAI) and The Beck Depression Scale (BDI) were used to assess anxiety and depression parameters. The IA main group included patients with anxiety disorders who received Mebicar. The IB main group consisted of patients with anxiety and depressive disorders who received Mianserin. The II group comprised patients with anxiety disorders (IIA comparison group) and patients with anxiety and depressive disorders (IIB comparison group), who received only traditional therapy. The level of anxiety in patients of the IA and IB main groups decreased by 2.1 times. The level of depression in the IB main group significantly decreased by 1.7 times, while in the IIB comparison group, this indicator remained almost at the same level. Patients of the IA and IB main groups had PASI50 on average on 15 to 16 days of treatment. PASI50 was achieved in the both comparison groups only at 21 to 22 days. PASI75 occurred in the IA and IIB main groups almost simultaneously on 28 to 29 days of treatment. But in the IIA and IIB comparison groups, these positive changes occurred significantly later than in patients of the main groups (on 34-35 days of treatment). Additional psychopharmacotherapy significantly reduced anxiety and depression in both groups IA and IB, as compared to patients in groups IIA and IIB who received only traditional therapy.
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http://dx.doi.org/10.1111/dth.14292DOI Listing
November 2020

Psychodermatology knowledge and awareness: A cross-sectional Egyptian perspective.

Dermatol Ther 2020 11 14;33(6):e14239. Epub 2020 Sep 14.

Central Michigan University College of Medicine, Saginaw, Michigan, USA.

The merging of psychiatry and dermatology has resulted in a relatively newer emerging field known as psychodermatology (PD). The aim of this cross sectional study was to assess knowledge, attitudes, and practice patterns of Egyptian dermatologists towards psychodermatology. A cross sectional study was designed and data were collected using structured self-administered online questionnaires. A total of 212 dermatologists completed the full questionnaire. Those with incomplete or partially answered responses were excluded. 171 (81.1%) were females and 40 (18.9%) were males. The majority (n = 109;51.4%) of dermatologists completing the survey were between 30 and 40 years age group while those between 40 and 50 years of age accounted for 48 (22.6%). The vast majority of respondent dermatologists never referred (n = 87; 41%) or very rarely referred (n = 58; 27.5%) any psychocutaneous patients to a psychiatrist. Almost 75% of responding dermatologists were not aware of available community or educational resources for PD and 157 (74.1%) expressed interest in receiving continuing medical education (CME) programs. In conclusion, psychodermatology training among dermatologists shall enhance and improve their approach to psychocutaneous conditions.
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http://dx.doi.org/10.1111/dth.14239DOI Listing
November 2020

Special Consideration for Patients With Morgellons Disease, Even Among Psychodermatology Patients?-Reply.

JAMA Dermatol 2020 10;156(10):1142-1143

Central Michigan University, College of Medicine, Saginaw, Michigan.

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http://dx.doi.org/10.1001/jamadermatol.2020.2260DOI Listing
October 2020

Psychodermatology of acne: Dermatologist's guide to inner side of acne and management approach.

Dermatol Ther 2020 11 7;33(6):e14150. Epub 2020 Sep 7.

Department of Psychodermatology, Central Michigan University, Saginaw, Michigan, USA.

Acne vulgaris (AV) is a skin disease that is commonly seen and causes scar formation especially when left untreated. It can cause serious psychological comorbidities due to the intense involvement of appeared areas such as face and also being common in adolescence in which the body perception is not yet well established. Although psychiatric comorbidities frequently accompany AV patients in dermatology, they almost never directed to dermatology-psychiatry liaison clinics. Depression, anxiety, stress, decreased self-esteem, suicidal thoughts and even suicide attempts are too frequent to ignore in these patients, and many studies have been conducted on the positive or controversial effects of acne treatments. For this reason, serious responsibilities fall to dermatologists. They should not treat AV lesions only, but also to determine the AV patients' psychological conditions and to direct them to get help when necessary.
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http://dx.doi.org/10.1111/dth.14150DOI Listing
November 2020

A 37-year-old woman with dermatitis artefacta: A case report.

Dermatol Ther 2020 11 4;33(6):e14139. Epub 2020 Sep 4.

Dermatology, Department of Dermatology, Medical College and Hospital, Kolkata, West Bengal, India.

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http://dx.doi.org/10.1111/dth.14139DOI Listing
November 2020

COVID-19 and immunosuppressive therapy in dermatology.

Dermatol Ther 2020 11 3;33(6):e14140. Epub 2020 Sep 3.

University of Studies Guglielmo Marconi, Rome, Italy.

Coronavirus 2019 (COVID 19) was first detected in December 2019 in China. It has become a pandemic. With concern about therapies that may decrease immunity and enhance the severity of an individual's COVID-19 infection, leading to a possibly fatal outcome, use of immunosuppressants has become an important concern. This work focuses on management of various skin diseases individuals lacking immunity to COVID-19 but requiring a systemic immunosuppressant, keeping in view the challenge of the COVID 19 pandemic and that our knowledge of this virus and its effects on the immune system are incomplete including knowledge as to an individual's immunity after COVID-19 infection.
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http://dx.doi.org/10.1111/dth.14140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7435553PMC
November 2020

Therapeutic management of psychological morbidity and impaired quality of life in patients with persistent dermatophytoses.

Dermatol Ther 2020 11 3;33(6):e14124. Epub 2020 Sep 3.

College of Medicine, Central Michigan University, Saginaw, Michigan, USA.

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http://dx.doi.org/10.1111/dth.14124DOI Listing
November 2020

Nonsteroidal anti-inflammatory drugs (NSAIDs) consideration by dermatologists during the COVID19 pandemic.

J Dermatolog Treat 2020 Aug 4:1-2. Epub 2020 Aug 4.

Mother Theresa Hospital, Tirana, Albania.

Nonsteroidal anti-inflammatory drugs (NSAIDs) have been an important therapy in the treatment of a large number of cutaneous pathologies for more than three decades. Concerns have been raised that NSAIDs may be associated with an increased risk of adverse effects when used in patients with acute viral respiratory infections. Given the current SARS-CoV-2 (COVID-19) pandemic, the availability of reliable information for clinicians and patients is of extreme importance Although accumulating evidence support the existence of a harmful effect of NSAIDs in some infectious settings, no clinical studies demonstrating that such risk applies in case of COVID-19. Pending further research, a pragmatic and cautionary approach would be to avoid regular NSAID use or as first line option in suspicion of COVID19 symptoms.
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http://dx.doi.org/10.1080/09546634.2020.1800580DOI Listing
August 2020

"The unfair drive to be fair": Psychosocial aspects and implications of the use of skin lightening agents.

Dermatol Ther 2020 11 24;33(6):e14091. Epub 2020 Aug 24.

Central Michigan University, Saginaw, Michigan, USA.

The quest to be fair is not a concept of the new world. For centuries untold, having a lighter skin tone has been considered as a trait of beauty and supremacy. Society implicates fairness as a factor for getting a prospective life partner. Media portrays fair skin tone as a predecessor for success. These subtle influences affect young minds and drive them towards wanting fair skin. Physicians observe that it is one of the most common forms of body dysmorphic disorder. This article aims to highlight the psychosocial factors that mold this mentality and the possible ill effects it can have on a person, both psychologically as well as physically.
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http://dx.doi.org/10.1111/dth.14091DOI Listing
November 2020

Relaxation therapy in the management of psoriasis.

Dermatol Ther 2020 11 17;33(6):e14030. Epub 2020 Aug 17.

Department of Psychiatry, Central Michigan University, Saginaw, Michigan, USA.

Several studies have demonstrated a direct link between psoriasis, stress and psychiatric comorbidity. We assessed the effect of relaxation therapy on psoriasis severity, quality of life, stress level and psychiatric comorbidity. Patients were assessed for stress, anxiety, depression, quality of life and severity of disease, using standard instruments. Patients were divided into two as cases and pair matched controls. The first group was given relaxation therapy in addition to the standard dermatology treatment and the second group was given only the standard dermatology treatment. The patients were followed up on first week, second week, first month and second month. Twenty one out of 30 cases (70%) achieved PASI 50 at the end of 2 months. While only 4 out of 30 (13.3%) of the control group achieved the same at the end of the study. There was statistically significant difference between cases and controls in PASI, DLQI, HADS scores with a P value of .000 each at the end of the study. But there was no statistically significant difference in perceived stress score between cases and controls. Psoriasis has significant impact in the quality of life and psychiatric comorbidity. Psychological interventions like relaxation therapy can decrease disease severity and improve quality of life.
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http://dx.doi.org/10.1111/dth.14030DOI Listing
November 2020
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