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Biomedical subjects

C S Koblenzer

Publications and source records attributed to C S Koblenzer.

At least 19 recordsLinked to original sources
PubMed1999

Itching and the atopic skin.

Itching is one of the major diagnostic criteria of atopic dermatitis and one of its most troublesome symptoms. The symptom of itching may reflect skin disease, internal disease, or emotional disease. Although itching is symptomatic of many inflammatory and psychophysiologic dermatoses, in atopic dermatitis it is a cardinal feature of the disease. Effective control of itching can go a long way towards controlling the eruption itself; it can also make a major contribution to the physical and emotional well-being of the patient and the patient's total environment.

Adult↗
PubMed1996

Neurotic excoriations and dermatitis artefacta.

Patients with different psychiatric disorders produce artefacts on the skin, each requiring a different therapeutic approach. These different disorders are outlined briefly. The clinical picture, pathology, psychopathology, differential diagnosis, treatment, course, and prognosis of dermatitis artefacta and neurotic excoriations are reviewed in greater detail.

Dermatitis↗
PubMed1995

Psychotherapy for intractable inflammatory dermatoses.

BACKGROUND: Most patients with inflammatory dermatoses respond to conventional treatment. Recalcitrance may indicate underlying emotional factors after infection, contact allergy, and noncompliance have been ruled out. Psychiatric treatment has been reported to be effective. OBJECTIVE: The purpose was to determine whether insight-oriented psychotherapy, by effecting last change, would provide long-term cutaneous and psychiatric improvement. METHODS: On the basis of emotional distress attributed to a recalcitrant inflammatory dermatosis, four patients were referred for psychiatric evaluation. The effect of adding insight-oriented psychotherapy as the only change in the treatment regimen of each patient was studied. Each patient served as his or her own control. RESULTS: In each patient clearing of the previously recalcitrant dermatosis accompanied psychiatric improvement. CONCLUSION: In selected cases of recalcitrant inflammatory dermatoses, insight-oriented psychotherapy may provide lasting cutaneous improvement and improved life adjustment and psychologic well-being.

Acne Vulgaris↗
PubMed1995

Neuropeptides.

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Humans↗
PubMed1994

Chronic cutaneous dysesthesia syndrome: a psychotic phenomenon or a depressive symptom?

A 54-year-old woman had a 4-month history of sensitivity to all forms of light. Evaluation revealed no detectable abnormalities. A diagnosis of chronic cutaneous dysesthesia syndrome was made, and the patient experienced slow, steady resolution with oral pimozide. We discuss the classification, diagnostic categories, treatment principles, and prognosis of this disorder and summarize our experience with 13 other patients.

Adult↗
PubMed1994

Managing the 'difficult' patient in the dermatology office.

Certain dermatology patients present management problems. It is important for dermatology nurses to understand and implement strategies to facilitate interaction between these difficult patients and help to create a therapeutic environment.

Adaptation, Psychological↗
PubMed1993

Gratteurs de papier.

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Delivery of Health Care↗
PubMed1992

Cutaneous manifestations of psychiatric disease that commonly present to the dermatologist--diagnosis and treatment.

Patients whose psychopathology is expressed in cutaneous lesions often consult a dermatologist rather than a psychiatrist. Dermatologists may not be interested in working with these difficult patients. The need for liaison dermatology is becoming more widely recognized. This article discusses the place of psychiatric consultation in the dermatology setting, and describes the common dermatologic presentations of psychopathology: cutaneous delusions, obsessive-compulsive symptoms, expressions of depression, and dermatitis-artefacta. Diagnostic criteria for these conditions are outlined and a treatment approach, within the competence of the interested dermatologist, is offered.

Delusions↗