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Psychological Managements for Psychosomatic Disorders pp 248–280Cite as

Disorders of the Skin

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Abstract

It seems to be agreed generally that there is a genetic element which determines psoriasis, but usually of more importance are the factors that precipitate or trigger the condition. Treatment and even prevention of these may considerably improve the prognosis; they include infection, trauma or endocrine factors and have been described elsewhere [1]. Major psychological stress precipitates psoriasis in over 40 % of first attacks [2], and worry or stress can exacerbate pre-existing lesions in 70% of patients [1]. The treatment of this stress by psychotherapy will be detailed in this chapter [3–5]. Physical treatment is usually needed in addition, often with dithranol, and continued until no trace of the rash remains [6]. Early and complete therapy is followed by a significantly better prognosis [7].

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Authors
  1. R. B. Coles
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  2. R. H. Seville
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  3. U. Gieler
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  4. U. Stangier
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Coles, R.B., Seville, R.H., Gieler, U., Stangier, U. (1989). Disorders of the Skin. In: Psychological Managements for Psychosomatic Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73731-2_15

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