Functional symptoms in dermatology: Part 2

S. L. Ball (Lead / Corresponding author), C. Howes, A. G. Affleck

    Research output: Contribution to journalReview article

    Abstract

    Functional disorders within dermatology present as various constellations of skin symptoms, but without evidence of organic pathology. Examples can include mucocutaneous pain syndromes, functional pruritus, somatoform pain disorder and rarer entities, such as undifferentiated somatoform idiopathic anaphylaxis and multiple chemical sensitivity syndrome. These conditions can have a significant impact on a patient’s quality of life, and can present challenges in communication, investigation and management. The aetiology of functional disorders is not fully understood, but with an effective collaborative approach, a psychological explanation for these symptoms is often found. A structured approach to assessment can lead to a confident diagnosis, and understanding a patient’s belief system and the impact of symptoms on their functioning can give better grounding for successful management. Treatment is dependent on the level of the patient’s engagement with healthcare professionals, and often takes a measured and rehabilitative approach. Psychological therapies have been shown to be effective, often alongside both psychopharmacological and topical medications.

    Original languageEnglish
    Number of pages5
    JournalClinical and Experimental Dermatology
    Early online date29 Aug 2019
    DOIs
    Publication statusE-pub ahead of print - 29 Aug 2019

    Fingerprint

    Somatoform Disorders
    Dermatology
    Multiple Chemical Sensitivity
    Psychology
    Patient Participation
    Anaphylaxis
    Pruritus
    Communication
    Quality of Life
    Pathology
    Delivery of Health Care
    Pain
    Skin
    Therapeutics

    Cite this

    Ball, S. L. ; Howes, C. ; Affleck, A. G. / Functional symptoms in dermatology : Part 2. In: Clinical and Experimental Dermatology. 2019.
    @article{b09fef662a534df38d7cce15f66d8139,
    title = "Functional symptoms in dermatology: Part 2",
    abstract = "Functional disorders within dermatology present as various constellations of skin symptoms, but without evidence of organic pathology. Examples can include mucocutaneous pain syndromes, functional pruritus, somatoform pain disorder and rarer entities, such as undifferentiated somatoform idiopathic anaphylaxis and multiple chemical sensitivity syndrome. These conditions can have a significant impact on a patient’s quality of life, and can present challenges in communication, investigation and management. The aetiology of functional disorders is not fully understood, but with an effective collaborative approach, a psychological explanation for these symptoms is often found. A structured approach to assessment can lead to a confident diagnosis, and understanding a patient’s belief system and the impact of symptoms on their functioning can give better grounding for successful management. Treatment is dependent on the level of the patient’s engagement with healthcare professionals, and often takes a measured and rehabilitative approach. Psychological therapies have been shown to be effective, often alongside both psychopharmacological and topical medications.",
    author = "Ball, {S. L.} and C. Howes and Affleck, {A. G.}",
    year = "2019",
    month = "8",
    day = "29",
    doi = "10.1111/ced.14064",
    language = "English",
    journal = "Clinical and Experimental Dermatology",
    issn = "0307-6938",
    publisher = "Wiley",

    }

    Functional symptoms in dermatology : Part 2. / Ball, S. L. (Lead / Corresponding author); Howes, C.; Affleck, A. G.

    In: Clinical and Experimental Dermatology, 29.08.2019.

    Research output: Contribution to journalReview article

    TY - JOUR

    T1 - Functional symptoms in dermatology

    T2 - Part 2

    AU - Ball, S. L.

    AU - Howes, C.

    AU - Affleck, A. G.

    PY - 2019/8/29

    Y1 - 2019/8/29

    N2 - Functional disorders within dermatology present as various constellations of skin symptoms, but without evidence of organic pathology. Examples can include mucocutaneous pain syndromes, functional pruritus, somatoform pain disorder and rarer entities, such as undifferentiated somatoform idiopathic anaphylaxis and multiple chemical sensitivity syndrome. These conditions can have a significant impact on a patient’s quality of life, and can present challenges in communication, investigation and management. The aetiology of functional disorders is not fully understood, but with an effective collaborative approach, a psychological explanation for these symptoms is often found. A structured approach to assessment can lead to a confident diagnosis, and understanding a patient’s belief system and the impact of symptoms on their functioning can give better grounding for successful management. Treatment is dependent on the level of the patient’s engagement with healthcare professionals, and often takes a measured and rehabilitative approach. Psychological therapies have been shown to be effective, often alongside both psychopharmacological and topical medications.

    AB - Functional disorders within dermatology present as various constellations of skin symptoms, but without evidence of organic pathology. Examples can include mucocutaneous pain syndromes, functional pruritus, somatoform pain disorder and rarer entities, such as undifferentiated somatoform idiopathic anaphylaxis and multiple chemical sensitivity syndrome. These conditions can have a significant impact on a patient’s quality of life, and can present challenges in communication, investigation and management. The aetiology of functional disorders is not fully understood, but with an effective collaborative approach, a psychological explanation for these symptoms is often found. A structured approach to assessment can lead to a confident diagnosis, and understanding a patient’s belief system and the impact of symptoms on their functioning can give better grounding for successful management. Treatment is dependent on the level of the patient’s engagement with healthcare professionals, and often takes a measured and rehabilitative approach. Psychological therapies have been shown to be effective, often alongside both psychopharmacological and topical medications.

    UR - http://www.scopus.com/inward/record.url?scp=85071370321&partnerID=8YFLogxK

    U2 - 10.1111/ced.14064

    DO - 10.1111/ced.14064

    M3 - Review article

    C2 - 31468592

    AN - SCOPUS:85071370321

    JO - Clinical and Experimental Dermatology

    JF - Clinical and Experimental Dermatology

    SN - 0307-6938

    ER -