RESUMEN
Delusions of parasitosis (DOP), which is also called Morgellons disease or delusional infestation, can be one of the most challenging clinical encounters in a dermatologist's practice. One reason for this is lack of education during dermatology residency and a paucity of resources for the practicing dermatologist such as specialized psychodermatology clinics for these patients. To help close this knowledge gap, an interview was conducted with 3 experts in the field of psychodermatology and their responses were recorded and edited with goal of improving care for patients suffering from DOP by educating the busy, practicing dermatologist. The experts discussed many topics regarding DOP including the difference between primary and secondary DOP, how to build a good rapport with DOP patients, why the condition is seen mostly in older woman, and which medications are effective for treatment. The interview ends with a few high-yield practical treatment tips.
RESUMEN
Hawai'i's Pacific Islander (PI) population has suffered a higher burden of coronavirus disease 2019 (COVID-19) infections, hospitalizations, and deaths compared to other groups in the state. The Hawai'i Emergency Management Agency Community Care Outreach Unit conducted an assessment across the state to gain an understanding of the impact of the COVID-19 pandemic on the health and social welfare of households. Survey data was collected from individuals across the state during a period of 3 weeks (August 12-September 5, 2020). The following are resulting recommendations from the Pacific Island community to mitigate the impact and disparities of the pandemic as immediate and medium-term structural requests: (1) ensure that Pacific Island communities are proactively represented in state and county committees that develop health interventions to ensure that relevant language and culturally tailored communications and strategies are included, (2) provide consistent funding and community centered support to ensure consistent COVID-19 impact services for the Pacific Island families, (3) enhance the capacity of PI health care navigators and interpreters through increased funding and program support, and (4) engage state policy makers immediately to understand and address the systemic structural barriers to health care and social services for Pacific Islanders in Hawai'i. These recommendations were developed to address the generational inequities and disparities that exist for Pacific islanders in Hawai'i which were exacerbated by the COVID-19 pandemic.
Asunto(s)
COVID-19 , Pandemias , Hawaii/epidemiología , Humanos , SARS-CoV-2 , Bienestar SocialRESUMEN
Psychotropic medications are an essential piece to the treatment of psychodermatologic disorders. Patients often refuse psychiatric evaluation, and thus dermatologists are often required to prescribe these medications. Comfort and knowledge of their indications and uses can help dermatologists combat both primary and secondary psychodermatologic pathology.
Asunto(s)
Dermatología/métodos , Trastornos Psicóticos , Psicotrópicos/uso terapéutico , Enfermedades de la Piel , Humanos , Psiquiatría/métodos , Trastornos Psicóticos/complicaciones , Trastornos Psicóticos/tratamiento farmacológico , Trastornos Psicóticos/psicología , Enfermedades de la Piel/complicaciones , Enfermedades de la Piel/tratamiento farmacológico , Enfermedades de la Piel/psicologíaRESUMEN
Patients seeking cosmetic surgery commonly present with psychiatric disorders including body dysmorphic disorder, narcissistic personality disorder, and histrionic personality disorder. A basic understanding of the characteristic features of these conditions and the importance of specialized screening questionnaires and preoperative interview questions are valuable to dermatologic surgeons as the information extracted can help provide clinicians with the most appropriate management including referral for psychiatric intervention.