Manifestations, Diagnosis, and Treatment of Pediatric Psychocutaneous Diseases

Pediatric psychocutaneous diseases represent a complex interplay between dermatological and psychological factors, presenting significant challenges in clinical management. These disorders, such as atopic dermatitis, psoriasis, trichotillomania, excoriation disorder, and acne excoriée, demonstrate a bidirectional relationship where psychological stressors exacerbate skin conditions and vice versa. Studies show that 20-30% of children with chronic skin conditions experience significant psychological comorbidities, including higher rates of anxiety and depression.

Effective management requires an interdisciplinary approach, integrating dermatological treatments with psychological interventions. Cognitive-behavioral therapy (CBT) and pharmacotherapy are crucial in addressing both dermatological and psychological symptoms. Early intervention and continuous management are essential to prevent recurrence and improve the quality of life for affected children.

This review examines the epidemiology, pathophysiology, clinical presentation, and management strategies of pediatric psychocutaneous diseases. By providing an integrated framework, it aims to enhance diagnostic accuracy, treatment efficacy, and overall patient care. Understanding the mind-skin connection and fostering interdisciplinary collaboration are vital for advancing clinical outcomes and supporting the well-being of pediatric patients with psychocutaneous disorders.

Keywords: Psychocutaneous diseases; Trichotillomania; Excoriation disorder; Pediatric dermatology