Proopiomelanocortin (POMC) and psychodermatology

Abstract Psychodermatology is the crossover discipline between Dermatology and Clinical Psychology and/or Psychiatry. It encompasses both Psychiatric diseases that present with cutaneous manifestations (such as delusional infestation) or more commonly, the psychiatric or psychological problems assoc...

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Main Authors: George W. M. Millington, Hannah E. Palmer
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:Skin Health and Disease
Online Access:https://doi.org/10.1002/ski2.201
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author George W. M. Millington
Hannah E. Palmer
author_facet George W. M. Millington
Hannah E. Palmer
author_sort George W. M. Millington
collection DOAJ
description Abstract Psychodermatology is the crossover discipline between Dermatology and Clinical Psychology and/or Psychiatry. It encompasses both Psychiatric diseases that present with cutaneous manifestations (such as delusional infestation) or more commonly, the psychiatric or psychological problems associated with skin disease, such as depression associated with psoriasis. These problems may be the result either of imbalance in or be the consequence of alteration in the homoeostatic endocrine mechanisms found in the systemic hypothalamic‐pituitary‐adrenal axis or in the local cutaneous corticotrophin‐releasing factor‐proopiomelanocortin‐corticosteroid axis. Alteration in either of these systems can lead to immune disruption and worsening of immune dermatoses and vice‐versa. These include diseases such as psoriasis, atopic eczema, acne, alopecia areata, vitiligo and melasma, all of which are known to be linked to stress. Similarly, stress and illnesses such as depression are linked with many immunodermatoses and may reflect alterations in the body's central and peripheral neuroendocrine stress pathways. It is important to consider issues pertaining to skin of colour, particularly with pigmentary disorders.
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spelling doaj.art-9a243077c66348fc95411e76b1507fcc2023-06-01T05:13:40ZengWileySkin Health and Disease2690-442X2023-06-0133n/an/a10.1002/ski2.201Proopiomelanocortin (POMC) and psychodermatologyGeorge W. M. Millington0Hannah E. Palmer1Dermatology Department Norfolk and Norwich University Hospital Norwich UKNorwich Medical School Norwich UKAbstract Psychodermatology is the crossover discipline between Dermatology and Clinical Psychology and/or Psychiatry. It encompasses both Psychiatric diseases that present with cutaneous manifestations (such as delusional infestation) or more commonly, the psychiatric or psychological problems associated with skin disease, such as depression associated with psoriasis. These problems may be the result either of imbalance in or be the consequence of alteration in the homoeostatic endocrine mechanisms found in the systemic hypothalamic‐pituitary‐adrenal axis or in the local cutaneous corticotrophin‐releasing factor‐proopiomelanocortin‐corticosteroid axis. Alteration in either of these systems can lead to immune disruption and worsening of immune dermatoses and vice‐versa. These include diseases such as psoriasis, atopic eczema, acne, alopecia areata, vitiligo and melasma, all of which are known to be linked to stress. Similarly, stress and illnesses such as depression are linked with many immunodermatoses and may reflect alterations in the body's central and peripheral neuroendocrine stress pathways. It is important to consider issues pertaining to skin of colour, particularly with pigmentary disorders.https://doi.org/10.1002/ski2.201
spellingShingle George W. M. Millington
Hannah E. Palmer
Proopiomelanocortin (POMC) and psychodermatology
Skin Health and Disease
title Proopiomelanocortin (POMC) and psychodermatology
title_full Proopiomelanocortin (POMC) and psychodermatology
title_fullStr Proopiomelanocortin (POMC) and psychodermatology
title_full_unstemmed Proopiomelanocortin (POMC) and psychodermatology
title_short Proopiomelanocortin (POMC) and psychodermatology
title_sort proopiomelanocortin pomc and psychodermatology
url https://doi.org/10.1002/ski2.201
work_keys_str_mv AT georgewmmillington proopiomelanocortinpomcandpsychodermatology
AT hannahepalmer proopiomelanocortinpomcandpsychodermatology