Indian Journal of PsychiatryIndian Journal of Psychiatry
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Year : 2018  |  Volume : 60  |  Issue : 2  |  Page : 213-216

A perspective study of cutaneous manifestations in primary psychiatric disorders in a tertiary care hospital

1 Department of Dermatology, Justice KS Hegde Charitable Hospital, Deralakatte, Mangalore, Karnataka, India
2 Department of Psychiatry, Justice KS Hegde Charitable Hospital, Deralakatte, Mangalore, Karnataka, India

Correspondence Address:
Dr. Banavasi Shanmukha Girisha
Department of Dermatology, Justice KS Hegde Charitable Hospital, Deralakatte, Mangalore - 575 018, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/psychiatry.IndianJPsychiatry_156_18

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Background: Cutaneous disorders are frequently seen in psychiatric patients. This may be attributed to the common ectodermal origin of skin and neurons. There is a paucity of data on cutaneous comorbidity in primary psychiatric disorders. Aims: The aim of this study is to determine the pattern of cutaneous manifestations in patients with primary psychiatric disorders Settings and Design: This was a hospital-based observational study. Subjects and Methods: A total of 210 patients suffering from various psychiatric disorders along with associated skin disease were recruited. Patients with an age <18 years and with history of substance abuse were excluded from this study. Statistical Analysis: IBM SPSS Statistics, version 22 (IBM Corp, Armonk, NY, USA) was used for the statistical analysis. Results: A total of 314 cutaneous manifestations were observed in the psychiatric patients recruited in this study. Among the patients surveyed, 88 patients were male (41.9%) and the remaining 122 patients (58.1%) were female. Primary psychiatric conditions observed were schizophrenia (25.7%), major depressive disorder (23.8%), bipolar mood disorder (23.3%), and psychosis not otherwise specified (11.9%). A majority (63.06%) of the cutaneous manifestations were noninfective dermatoses, and the rest (36.94%) were infective dermatoses. Fungal skin infections and eczema were seen in 33.8% and 24.8% of the cases, respectively. Seborrheic dermatitis (16.2%) was the most common eczema encountered. Nearly 75.2% of cases were found to have an insight into their skin problems. The common medical comorbidities seen in our patients were diabetes mellitus and hypertension. Conclusions: In our study, cutaneous manifestations were quite common in primary psychiatric disorders. A collaborative approach, between psychiatry and dermatology, should be an integral part of management in such cases.



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