RESUMO
A mechanical or routinized approach to the care of patients is dulling to the physician and may foster burnout. The original goals of most physicians--continued learning and the helping of others--are more likely to be achieved if a process of active listening is included in their therapeutic armamentarium.
Assuntos
Comunicação , Relações Médico-Paciente , Esgotamento Profissional/prevenção & controle , Humanos , Psoríase/psicologia , Psoríase/terapiaRESUMO
Twenty women had similar symptoms and clinical findings related to the use of tartar control toothpaste. Each had burning and itching around the corners of the mouth, followed by pruritic perioral patches of erythema 4 to 14 days later. All patients had begun using tartar control toothpaste 1 to 2 weeks before onset and had brushed their teeth at least three times per day. The typical findings included a moderately severe perioral erythema with fissuring of the angles of the mouth; scaling erythematous patches, separated by normal skin lateral to the initial erythema, were also present. No vesiculation or crusting was noted, and involvement of the gingiva and buccal mucosa was noted in only one case. On discontinuation of the tartar control toothpaste, marked improvement was seen within 1 to 6 weeks with, in most instances, either no treatment or 1% hydrocortisone cream.
Assuntos
Queilite/induzido quimicamente , Cálculos Dentários/prevenção & controle , Dentifrícios/efeitos adversos , Toxidermias/etiologia , Dermatoses Faciais/induzido quimicamente , Adulto , Difosfatos/efeitos adversos , Feminino , Humanos , Pessoa de Meia-Idade , BocaRESUMO
A dermatology-psychiatry liaison clinic at Stanford University is described. The clinic provides an opportunity for dermatology residents to learn about the psychological aspects of the specialty and to witness at first hand technics of interviewing, strategic questioning, and listening.
Assuntos
Dermatologia/educação , Internato e Residência , Ambulatório Hospitalar , Psiquiatria/educação , Dermatopatias/psicologia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos Psicofisiológicos/diagnóstico , Psicoterapia , Dermatopatias/terapiaRESUMO
One of the most frustrating problems in clinical dermatology is the patient with a delusion of parasitosis. Over the years, very little realistic and practical advice has been offered to the perplexed dermatologists. We describe an approach that is based on the thesis that dermatologists can and often should treat such patients. By considering each patient as an individual, and by working to build rapport, the dermatologist is in the best position to offer help. We report two illustrative cases and discuss guidelines to treatment.
