ISSN 0001-5555 ActaDV Volume 99 2019 June, No. 8

Advances in Dermatology and Venereology

A Non-profit International Journal for Interdisciplinary Skin Research, Clinical and Experimental Dermatology and Sexually Transmitted Diseases

ABSTRACTBOOK

18th Congress of the European Society for Dermatology and Psychiatry Official Journal of - European Society for Dermatology and Psychiatry 20–22 June 2019, Affiliated with Giessen, Germany - The International Forum for the Study of Itch

Immediate Open Access

Acta Dermato-Venereologica

www.medicaljournals.se/adv ACTA DERMATO-VENEREOLOGICA The journal was founded in 1920 by Professor Johan Almkvist. Since 1969 ownership has been vested in the Society for Publication of Acta Dermato-Venereologica, a non-profit organization. Since 2006 the journal is published online, independently without a commercial publisher. (For further information please see the journal’s website https://www. medicaljournals.se/acta)

ActaDV is a journal for clinical and experimental research in the field of dermatology and venereology and publishes high- quality papers in English dealing with new observations on basic dermatological and venereological research, as well as clinical investigations. Each volume also features a number of review articles in special areas, as well as Correspondence to the Editor to stimulate debate. New books are also reviewed. The journal has rapid publication times.

Editor-in-Chief: Olle Larkö, MD, PhD, Gothenburg Former Editors: Johan Almkvist 1920–1935 Deputy Editors: Sven Hellerström 1935–1969 Anette Bygum, MD, PhD, Odense Nils Thyresson 1969–1987 Magnus Lindberg, MD, PhD, Örebro Lennart Juhlin 1987–1999 Lone Skov, MD, PhD, Copenhagen Anders Vahlquist 1999–2017 Kaisa Tasanen-Määttä, MD, PhD, Oulu Artur Schmidtchen 2018–2019

Section Editors: Tasuku Akiyama, Miami (Neurodermatology and Itch - Experimental) Dennis Linder, Graz/Padua (Psychoderm., Dermato-epidemiology,­ e-Health) Nicole Basset-Seguin, Paris (Skin cancer) Elisabet Nylander, Umeå (Venereology and STI) Veronique Bataille, London (Melanoma, Naevi, Photobiology) Annamari Ranki, Helsinki (Cutaneous lymphoma) Josip Car, Singapore (Health Services Research and e-Health) Artur Schmidtchen, (Wound Healing and Innate immunity) Marco Cusini, Milan (Venereology and Genital dermatology) Matthias Schmuth, Innsbruck (Genodermatoses and Keratinizing disorders, Brigitte Dréno, Nantes (Acne and Rosacea) Ichthyosis and Retinoids) Regina Fölster-Holst, Kiel (Paediatric dermatology, Atopy and Parasitoses) Enikö Sonkoly, Stockholm (Psoriasis and related disorders) Jürg Hafner, Zürich (Skin cancer, Skin tumours, and Melanoma) Jacek Szepietowski, Wrocław (Psychodermatology) Jürgen Harder, Kiel (Cutaneous innate defense, Skin microbe interactions) Elke Weisshaar, Heidelberg (Itch and Neurodermatology) Roderick Hay, London (Cutaneous Infections) Margitta Worm, Berlin (Atopic dermatitis and Immunology) Kristian Kofoed, Copenhagen (STD and Microbiology) Magnus Ågren, Copenhagen (Wound healing & Extracellular matrix)

Advisory Board: Magnus Bruze, Malmö Lars Iversen, Aarhus Jonathan Rees, Edinburgh Mona Ståhle, Stockholm Wilma Bergman, Leiden Kyu Han Kim, Seoul Jean Revuz, Paris Sonja Ständer, Münster Tilo Biedermann, Munich Irene Leigh, Dundee Johannes Ring, Munich Jouni Uitto, Philadelphia Earl Carstens, Davis Ruoyu Li, Beijing Matthias Ringkamp, Baltimore Peter van de Kerkhof, Nijmegen Thomas Diepgen, Heidelberg John McGrath, London Martin Röcken, Tübingen Shyam Verma, Vadodara Charlotta Enerbäck, Linköping Maja Mockenhaupt, Freiburg Inger Rosdahl, Linköping Gil Yosipovitch, Miami Hermann O. Handwerker, Erlangen Dedee Murrell, Sydney Thomas Ruzicka, Munich Giovanna Zambruno, Rome Rudolf Happle, Freiburg Lisa Naysmith, Edinburgh Hiroshi Shimizu, Sapporo Christos C. Zouboulis, Dessau

All correspondence concerning manuscripts, editorial matters and subscription should be addressed to: Acta Dermato-Venereologica S:t Johannesgatan 22, SE-753 12 Uppsala, Sweden Editorial Manager, Mrs Agneta Andersson Editorial Assistant: Ms Anna-Maria Andersson E-mail: [email protected] E-mail: [email protected]

Information to authors: Acta Dermato-Venereologica publishes papers/reports on scientific investigations in the field of dermatology and venereology, as well as reviews. Case reports and good preliminary clinical trials or experimental investigations are usually published as Short Communications. However, if such papers are of great news value they could still be published as full articles. Special contributions such as extensive feature articles and proceedings may be published as supplements to the journal. For detailed instructions to authors see https://www.medicaljournals.se/acta/instructions-to-author. Publication information: Acta Dermato-Venereologica (e-ISSN 1651-2057) volume 99 will be published in monthly issues (except August and December). Everything is Open Access and no subscription fee. For publication fees: see https://www.medicaljournals.se/acta/ instructions-to-author.

Indexed in: See https://www.medicaljournals.se/acta/about/adv. Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV Halle, Germany Klaus MichaelTaube Giessen, Germany Hanna ReichdeParedes Giessen, Berlin, Germany Eva Peters Giessen, Germany Christina Schut Giessen, Germany Jörg Kupfer Organizing Committee Journal Compilation ©2019ActaDermato-Venereologica. www.medicaljournals.se/acta Abstracts from the18 Society for DermatologyandPsychiatry Author Index 754 Poster Abstracts ParallelSymposia Abstracts GuidedPoster Abstracts Freecomminication Abstracts OralLecture Abstracts KeynoteLecture Abstracts Abstracts: Programme Brussels, Belgium Francoise Poot Treasurer Giessen, Germany Uwe Gieler Past President London, UnitedKingdom Anthony Bewley Secretary Wroclaw, Poland Jacek Szepietowski President Elect Zaragoza, Spain TomasLucia Aragones ESDaP President Contents ofthis Abstract book th Congress oftheEuropean 748 739 730 725 723 722 718 Acta DermVenereol 2019;99: 717–754 Leiden, Netherlands–observer Andrea Evers(Netherlands) Amsterdam, Netherlands Nienke Vulink (Netherlands) Rome, Italy Francesca Sampogna(Italy) Brest, France Laurent Misery(France) Moscow, Russia Andrey Lvov(Russia) Giessen, Germany Joerg Kupfer(Germany) Olso, Norway;Lund,Sweden Florence Dalgard(Norway) Members doi: 10.2340/00015555-3228 Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta 16.15–16.30: MichaelSchock: 16.00–16.15: Georgia Lada: FromHippocratestocytokinesand the Vietnam war: An emotionalhistoryofpsoriasis(PS3) 15.30–16.00: EvaPeters: 15.00–15.30: ChristosZouboulis: Neuroendocrinologyofacnevulgaris (PS1) Parallel symposia:Psychoneuroimmunology (PS1–PS4)ROOM:H1 14.00–14.40: Andrew Thompson: Adressing thepsychologicalneedsofpeoplelivingwithskinconditions: What works,whatisavailable Psychotherapy (K02) 12.15–13.00: Mentoringlunch 10.45–12.15: Coffee breakandGuidedpostersessions(A1–A17,B1–B17) 10.10–10.20: AnnaMichenko: 10.00–10.10: BishurulHafi: Willingness toreceivehairtransplantation anditsassociationwithbodydysmorphicdisorder(FC16) 09.50–10.00: PranayaBagde:Perceivedstressinpatientswithhairloss(FC15) 09.40–09.50: Maria-AngelikiGkini: 09.30–09.40: UllaSchmid:Skindiseases: A questionofboundaries?(FC13) 09.20–09.30: RadomirReszke:Delusionalinfestationinaclinicaldermatologysetting:20yearsofexperience(FC12) 09.10–09.20: AbdulLatheef.E.N.: 09.00–09.10: StefanieMeeuwis: Free communications:Group II(FC10–FC17) 10.20–10.30: HannaReich:Buffer effect ofsocialsupportonskincomplaints:Findingsfromarepresentativesurvey(FC9) 10.10–10.20: BarbaraSchuster:Exploringhappinessinpatientswithchronicskindiseases(FC8) 10.00–10.10: EceUğurer: Loneliness,internalizedstigmatizationandlifesatisfactioninpsoriasis(FC7) 09.50–10.00: MahdiRazmara:Evaluationandcomparisonofpersonalitytraitsemotionalintelligenceinpatientswithgenitalwarts 09.40–09.50: ChristianKrüger:Stigmatisationinvitiligoandcombatingstrategies(FC5) 09.30–09.40: 09.20–09.30: EmadodinDarchini-Maragheh: 09.10–09.20: S.Spillekom-vanKoulil: 09.00–09.10: DavidLópezValencia: Free communications:Group I(FC1–FC9) Friday June21,2019 18.00–20.00: Cometogether 17.30–18.00: Florence Dalgard andJoerg Kupfer:StigmatizationinpatientswithskindiseasesacrossEurope(OP6) 17.00–17.30: ChristophMulert:Stigmatization–thePsychiatricperspective(OP5) 16.30–17.00: JanHäusser:Stigmatization–asocial-psychologicalperspective(OP4) Stigmatization (OP4–OP6) 15.45–16.00: Agneta Andersson: “ActaDermato-Venereologica” 15.30–15.45: HermanMusaph Awards Ceremony 15.10–15.30: Andrea Evers:ConditioningofItch(OP3) 14.50–15.10: ElkeWeisshaar: Pruritusinelderlypatients(OP2) 14.30–14.50: SonjaStänder:Impairmentofqualitylifeinchronicpruritus(OP1) 13.20–14.00: GilYosipovitch: Itch (K01andOP1–OP3) 13.00: OpeningoftheCongress 11.00–13.00: ESDaP executivecommittee Thursday June20,2019 718 18 th Congress of the European Society for Dermatology and Psychiatry Caroline F. Zimmermann:Skindiseaseimplications for self-image development in sdolescence and youngadulthood (FC4) randomized controlledmono-centric repetitionstudy(PS4) and whatweneedtodo(K02) verbal suggestionsregardingashamtransdermalcaffeine patchonitch(FC10) and healthycontrols(FC6) concerns ornot?(FC3) children treatedforinfantilehemangioma(FC2) preschool childrenofalow-incomeareafromPopayán,Colombia(FC1) Hair:atarget andmirrorofstressresponsesgoingawry (PS2) Treatment ofchronicitch(K01) Symptomaticmelanocyticlesions:whenitisnotaboutoncology (FC17) Proofofefficacythestructured educationinpatientswithatopicdermatitisconcept Canplaceboandnoceboeffects occurwhenpeopleknowaboutit?Effects ofopen-andclosed-label Hypnotherapy–ahighlyusefulunderexploredpsychotherapeutictechniqueinDermatology(FC11) Burnoutinpsychodermatology:resultsfromaEuropeansurvey (FC14) Prevalence,incidence,clinicalmanifestationsandvariablesassociatedwithheadliceinfestationin Long-termeffects ofpropranololondevelopment,growthandpsychologicalfunctioning in Qualityoflife,anxietyanddepressioninchildrenwithcutaneousleishmaniasis:major ARNE ina Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV 15.36–16.00: ChristianStierle: 15.12–15.36: EvaPeters: 14.48–15.12: ElkeWinter: Patienteducationinchildrenwith atopicdermatitis,reportfrompractitioners(PS32) 14.24–14.48: JochenWehrmann: Psoriasisisastrain(PS31) 14.00–14.24: ChristinaSchut: Parallel symposia: APD-symposium (PS30–PS34)ROOM:309 15.15–15.30: Yak MeeWong: The treatmentofdelusionality(PS29) 15.00–15.15: OssamaOsman: 14.45–15.00: RachaelHewittandChristineBundy: 14.30–14.45: FrancoisePoot: 19.00–23:00: SocialeveningatMathematikumwithflyingbuffet 18.12–18.30: FrancescaSampogna:Comparisonofqualitylifebetweenmelanomaandnon-melanomaskincancerpatients(PS23) 17.54–18.12: JacekC.Szepietowski: 17.36–17.54: IgorDorozhenok: Mentaldisordersprovokedbyvitiligo(PS21) 17.18–17.36: RobertOfenloch: 17.00–17.18: KatarzynaWłodarek: Qualityoflifeimpairmentinhidradenitissuppurativapatients’ partners(PS19) Parallel symposia:Qualityoflifeandskindiseases(PS19–PS23)ROOM:309 17.50–18.10: AntoinetteI.M.vanLaarhoven: Can Attention BiasModification(ABM)trainingmodifyattentiontowardsvisualitch 17.35–17.55: GudrunSchneider: Traumatic lifeexperiencesandimpulsiveness inpatientswithchronicpruritusandprurigo-a 17.15–17.35: Laurent Misery: The self-assessedpsychologicalcomorbidities ofprurigoinEurope:datafromtheESDaP study(PS16) 17.00–17.15: Jörg Kupfer, ElkeWeisshaar: Introduction Parallel symposia:Psychologicalaspectsofitch(PS16–PS18)ROOM:tba 18.12–18.30: AnnaMichenko: 17.54–18.12: Vera Leibovici: 17.36–17.54: PolinaIuzbashian:Burningmouthssyndromeandcomorbidmentaldisorders(PS13) 17.18–17.36: AmeliaGlowaczewska: 17.00–17.18: FranciscoTausk: Revisitingtheartoftreatingdelusions(PS11) Parallel symposia:Psychiatricaspectsofskindiseases(PS11–PS15) ROOM:H1 16.15–16.30: FrancescaSampogna: Alexithymia, psychologicaldistressandsocialimpairmentinpatientswithhidradenitissuppurativa 16.00–16.15: RamMalkani:Psychologicalprofileofpatientspresentingwithdermatologicalcomplaints: 14.15–14.30: NoemiWahrhaftig: 14.00–14.15: MohammadJafferany:Psychotherapeuticinterventionsinskinpickingdisorder(PS24) Parallel symposia:Psychotherapywithskinpatients(PS24–PS29)ROOM:H1 13.00–13.40: UweGieler:Patienteducationande-healthforpatientswithskindiseases(K03) Patient educationande-health(K03) 9.30–12.00: Specialevent Saturday June22,2017 15.45–16.00: JohannesKjeldstrupKristensen: 15.30–15.45: DmitryRomanov:Inhairlossqualityoflifeisinfluencedbyanxietyandpersonality(PS7) 15.15–15.30: Laurent Misery:Psychologicalconsequencesofthemostcommondermatoses:datafromObjectifsPeaustudy(PS6) 15.00–15.15: IaraYoshinaga: The skinweateandthefeel:-symbolconsciousness(PS5) Parallel symposia:Psychosomaticaspectsofskindiseases(PS5–PS10)ROOM:309 people withcomplexpsoriasis(PS27) clinic (PS25) patients (PS22) stimuli inhealthyindividuals?(PS18) case controlstudy(PS17) (PS15) (PS10) (PS8) PsychoneuroimmunoloyofSkin Cancer(PS33) Isacneexcorieeasubclinicalformofexcoriation(skinpicking)disorder?(PS14) The ESDaP DiplomainPsychodermatology(PS26) Urticaria–ifnocauseisknown,stresshigh(PS30) Gardner-Diamond Syndrome:anew case ofpsychogenicallyinducedautoerythrocyticsensitization SurveyingdermatologistsintheMiddleEastforpracticepsychodermatololgy (PS28) InterpretationoftheQualityLifeinHandEczemaQuestionnaire(QOLHEQ)(PS20) Bodydysmorphicdisorder(PS34) Trauma, helplessnessandmemory: The psychoanalyticpsychosomaticlisteninginthedermatological EpidemicofsuperficialdermatophytosisinIndiaanditsimpactonqualitylifeafflicted Indirectself-destructivenessinpatientswithhidradenitissuppurativa(PS12) Association ofprimaryhyperhidrosiswithdepressionandanxiety:asystematicreview DevelopmentandevaluationofthePsoWell™ approachforthemanagement of 18 th CongressoftheEuropeanSocietyforDermatologyandPsychiatry A cross-sectionalstudy(PS9) Acta DermVenereol 2019 719 Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta B11: B10: B9: B8: B7: B6: Cognitive behavioral lifestyle program as an adjuvant therapy in Acne B5: B4: B3: B2: B1: A17: A16: Socialmediauseandvitiligo.C.Krüger, K.U.Schallreuter A15: A14: A13: A12: Clinicalfeaturesofguttatepsoriasisinchildren.E.Kasikhina A11: A10: A9: A8: A7: A6: A5: A4: A3: A2: A1: 720 healthy control(preliminary results). I. Pluzhnikov, E.Parfenov, O. Michenko, A. Lvov, M.Kornyat,N.Frigo M-A. Gkini,R. Taylor, A. Bewley psychodermatology clinic: our experience with37patients. P-Z. Stavrou, Latheef.E.N Latheef Husain, A. NA, A. M. Razmara excoriée. E. Darchini-Maragheh, V. Mashayekhi, A. Moradi,M.Saeidi, Shackaya control group. A. Mani,M.Moridi problems andself-esteem of 9–12year-old children: clinical trial with Makmatov-Rys, N.Buromskaya,P. Zaytsev Valencia,R.V. Arteaga kindergarten children from Popayán,Colombia. A.M. Ortega,D.L. Colombia. A.M. Ortega,D.L. Valencia, D.H.Samboní,R.V. Arteaga cosmetic procedures.E.Özkur, İ.K. Altunay, G.Şekerlisoy, Ç. Aydın Emad, L.Dastgheib questionnaire in vitiligo patients under treatment with phototherapy. N. Bagde Tizek, R.Sommer, M. Augustin, T. Biedermann, A. Zink I. Oliinyk, V. Matiushenko Maximilian Schielein,Linda Tizek, Tilo Biedermann, Alexander Zink K. Salaeva,E.Uğurer, Ç. Aydın, E.Özkur Psoriasis Patients: A novel perspective in a disabling disease. İ.K. Altunay, R. Shrestha,B.M.MKayastha Lvov, D.yRomanov K. Klatka, A. Kaszuba, A. Lesiak,J.Narbutt, A. Zalewska-Janowska psychosocial functioningoftheirmothers. A. Kobusiewicz,B. Tarkowski, Kupfer with chronicitch.C.Schut,Z.Lambertz, L. Meier-Naust, U.Gieler, J. Kupfer skin complaints from 1998to2015.H.Reich,E.Brähler, U.Gieler, J. A.I.M. vanLaarhoven J.M. Becker, J.J.J.Giesbers,S.Dobbinga, A. Evers,D.W.S. Veldhuijzen, Wee, D. Veldhuijzen, A. Evers Middendorp, G.Pacheco-Lopez, M. Ninaber, A. Lavrijsen, N. vander Conditioning the effects ofantihistamines. S.Meeuwis,H.van D. Veldhuijzen, H.vanMiddendorp,O.denBergh, A. Evers Clinical featuresofthecourse ofpityriasis lichenoides in children. E. healthy individualsprioritize Do itch- andpainstimuli?S.R. Vreijling, Assessing thePatient-Physician Trust andRelationship in aspecialist Can oxytocin enhance placebo effects in itch and pain? A. Skvortsova, Quality ofLifeimpairment inpsoriasispatientsNepal.R. Tripathi, Amplified itch in patient with lymphoplasia of the face. S. Bobko, A. S. face. the of lymphoplasia with patient in itch Amplified Cowhage induceditchanditsassociation with personality in patients Severe pediculosiscapitisinaprescholargirl.Firstreportedcase Representative surveys show an increaseinthereportof12common Representative surveysshow Case report of self-inflicted lesions in child with schizophrenia. M. with schizophrenia. in child lesions self-inflicted of report Case Palliative psycho-dermatology: science and experience. B. Hafi, U. Hafi, B. experience. and science psycho-dermatology: Palliative Affective Temperament Characteristics and Attachment Styles of Severity of itch of children with atopic dermatitis influence on influence dermatitis atopic with children of itch of Severity Prevalence andvariablesassociatedwithpediculosiscapitisin Indian experience of 10 years Psychodermatology practice. A. Effectiveness of narrative group psychotherapy on behavioural Psycho-emotional factorsinexacerbation ofpsoriasis. Y. Kutasevych, Psychological findings among individuals seeking minimally invasive Body dismorphic disorder inpatients with androgenetic alopecia. P. Can placebo effects be learned for histamine-induced itch? Experience ofcomplextherapy of acne excoriee. A. Igoshina, A. Hairloss andstigmatization: a systematic review. M.Schielein, L. Psoriasis andmental health – afocusonaddictions in psoriasis. Emotional differentiation indermatologic patientscomparedto Evaluation of Generalize Anxiety disorder according to GAD-7 18 th Congress of the European Society for Dermatology and Psychiatry LIST OF POSTERS P17: P16: P15: P14: P13: P12: P11: P10: P9: Skinpainandpsoriasis.L.Misery, J.Shourick,C. Taieb P8: P7: P6: P5: P4: P3: P2: P1: B17: B16: B15: B14: B13: B12: work betweentwogovernmental hospitals inBuenos Aires City, Aragones Calzada, V.M. Alcalde-Herrero, F.J. Garcia-Latasa de Aranibar, L. Tomas- Hernandez, A.M. Morales-Callaghan, N. Porta-Aznarez, Y. Gilaberte- Marron, P.A. Cerro-Muñoz, Palma-Ruiz, E.Simal-Gil,M.Sanchez- A.M. L. Tomas-AragonesAlvarez-Salafranca, Latasa de Aranibar, C.A.Moncin-Torres, M.V. Fuentelsaz del Barrio,M. usual clinical practice. S.E.Marron, V.M. Alcalde-Herrero, F.J. Garcia- patients with atopic dermatitis treated with Dupilumabatweek-52in L. Tomas-AragonesCazaña, Aranibar, V.M. Alcalde-Herrero, M.V. Fuentelsaz del Barrio, T. Gracia- Morales-Callaghan, E. Simal-Gil, Y. Gilaberte-Calzada, F.J. Garcia-L.de of HSQoL-24.S.E.Marron, Palma-Ruiz, P.A.A.M. Cerro-Muñoz, A.M. care professionals(HCPs).R.vonSpreckelsen,Sommer, U.Mrowietz analysis from the point of viewaffected persons, relatives and health Jakob, U.Gieler, M.Rose,S.Philipp, A. Bender, J.Kruse malignant melanoma patients. E. Peters, S. Foth,P. Madeo, M. Schock, T. J.C. Szepietowski C.Taieb A. Smulevich, A. Lvov, P. Iuzbashian, D.Romanov Chlebicka, A. Stefaniak,Ł.Gojny, J.C.Szepietowski D. Abeni Caggiati, S. Pallotta, A. Panebianco, S. Mastroeni, B. Didona,G.Pintori, life: a comparisonwith psoriasis. F. Sampogna,L.Fania, C. Mazzanti, A. Mastroeni, B.Didona,D. Abeni F. Sampogna, L. Fania, C. Mazzanti, S.Pallotta, A. Panebianco, S. higher thanthat of somerelevant non-dermatological chronic conditions. J. Austin M. Augustin, C.Bundy, R.PattinsonN. Trialonis-Suthakharan, C. Janus, Setia by dermatologists in Mumbai, India. R.Malkani, K. Parekh,M.Singh Glowaczewska, J.C.Szepietowski,L.Matusiak Ständer chronic pruritus. G. Schneider, A.K. Grebe, P. Bruland, G. Heuft, S. or “psychogenicpruritus”inalarge consecutivesampleofpatientswith Temnikov,E. Temnikova rosacea medium-severeandsevere.E.Hlystova,S.Bobko, A. Dmitrieva conditions. E.Kasikhina,K.Borodulina Altunay, Y. Can,S.Mercan,E.Özkur, G.Şekerlisoy A. Bewley, D.Naughton,O.Corazza and related psychological and image-related disturbances. A. Al-Sarraf, dermatoses. IgorDorozhenok Mitina, A. Michenko, A. Lvov, I. Vakhitova, D.Romanov, E.Parfenova The impact of hidradenitis suppurativa on physical and mental health is Global ResearchontheImpact of Dermatological Diseases (GRIDD). A KAP studyofpharmaciststotheprescription of psychotropicdrugs The broad-spectrum impact of hidradenitis suppurativa on quality of Psychogenically triggeredevanescentdermatoses:‘anoveldisease’? Application of the diagnostic criteria for “functional itch disorder” Depression screening in patients with Basal Cell Carcinoma. I. Morgellon’s diseaseordelusional parasitosis? A. Otlewska,P. Pacan, Hidradenitis suppurativa:incidence, clinical featuresandconcomitant Dermatological manifestations in heroin and bonsai use disorder. İ.K. Pain inatopicdermatitis. L. Misery, F. Huet,J.Schourick,S. Séité, Does stressmatter in early-stage cancer? An observational study in Quality of life in hidradenitis suppurativa: Psychometric properties Assessment ofpatients’ quality of lifetakingcombined regimens of Mental disorders andneurosyphilis.M.Gomberg, D. Temnikov, V. Psychosocial burdeninadultpatients with atopic dermatitis. S.E. Stigmatization experience of peoplewithpsoriasis. A qualitative Autoimmune blistering diseases anddepression.Interdisciplinary Investigating motivational factors of skin lightening phenomenon Alexithymia in patients with hidradenitis suppurativa. A. Efficacy, safety and patient reported outcomes (PROs) inadult (PROs) outcomes reported patient and safety Efficacy, Clinical typologyofnosogenicmentaldisordersbychronic Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV P20: P19: P18: Gilaberte-Calzada, S.Boira-Sarto,L. Tomas-Aragones M. Sanchez-Hernandez,R.Martin-Marco,Baldellou-Lasierra, Y. P.A.Cerro-Muñoz, Palma-Ruiz, R.Garcia-Felipe, E. Simal-Gil, A.M. Santos S. Gadea Del Castillo, D. Herrero Escudero, D. Sadía Cohen, S. Pérez Sivelo, Miranda A. lesions. self-inflicted with vasculopathy livedoid of Dickson, M.DiMilia,L.Golberg, V. Trotta Argentina. E. Malatesta, K. Malvido,M.SuarezHolze,Label, C. Patient reported outcomes (PROs) in psoriasis patients. S.E. Marron, Liaison psychiatryanddermatology: differential diagnosis inacase The psychological burden ofskindiseasesinSpain.S.E.Marron, P23: P22: P21: Altunay, F. Deniz,S.Mercan Altunay, F. Deniz,E.Özkur, A.A. Çerman,H.K.Erdoğan,I.Bulur dermatology. T. Tanev, D.Dimitrov, A. Bewley Latasa de Aranibar, M. Alvarez-Salafranca, L. Tomas-Aragones Calzada, V.M. Alcalde-Herrero, M. V. Fuentelsaz del Barrio, F.J. Garcia- Porta-Aznarez, R. Martin-Marco, R. Baldellou-Lasierra, Y. Gilaberte- P.A. Cerro-Muñoz, A.M. Palma-Ruiz, E. Simal-Gil,R.Garcia-Felipe, N. vlain f elh lfsye eair i poiss ains İ.K. patients. psoriasis in behaviors lifestyle healthy of Evaluation ersin hplsns ad ucdlt i poiss ains İ.K. patients. psoriasis in suicidality and hopelessness Depression, Attachment styles in relation to patient diagnosis in psycho- Acta DermVenereol 2019 List ofPosters 721 Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta field, to present firstly an overview of the types of psychosocial of types the of overview an firstly present to field, of studiesconductedbytheauthorandotherresearchersin Europe isgenerallypoor. This invitedtalkwilldrawonanumber tion, theavailabilityof dedicated psychologicalservicesacross guidelines makingthecaseforneedpsychologicalinterven However, despite a significant number of international bodies and Skin diseasescanbeassociatedwithahighpsychosocialburden. Department ofPsychology, UniversityofSheffield,UK Andrew Thompson WE NEED TO DO WHAT WORKS,WHATIS AVAILABLE AND WHAT OF PEOPLELIVING WITH SKINCONDITIONS: ADRESSING THE PSYCHOLOGICAL NEEDS K02 systems intheskin,spinalcordandbrain. of developments topical andsystemictreatmentstargeting theneuralandimmune with years five last the in expanded has itch JAK/Stats. Ourtherapeuticarmamentariumfortreatingchronic well assystemicbiologicssuchdupilumab,IL31inhibitorsand as gabapentenoids,Neurokinin1inhibitorsandkappaopioids targeting TRP channels,Nav1.7,PDE4,andSystemicdrugssuch targeting theneuralsysteminperipherysuchastopicaldrugs therapies for different types of chronic itch thatincludesdrugs tic strategies. This lecture will cover targeted topical and systemic system andimmunepathwaysenablesustoidentifynewtherapeu significantly advanced in the last decade. The cross talk of nervous Our growingunderstandingofmechanismschronicitchhas and theMiamiItchCenter, USA Phillip Frost DepartmentofDermatologyandCutaneousSurgery Gil Yosipovitch TREATMENT OF CHRONICITCH K01 722 18 th Congress of the European Society for Dermatology and Psychiatry KEYNOTE LECTURES - - Doha, Qatar 1 Friend orfoe? The ongoingdiscussionquestionedtheE-learningsystemsas educational materials,itlookslikethattheyarenotwidelyused. of thesetechnologicalinterventionsinthewaypatientsconsume patients increasedinthepastyears.Despitepromisingimpacts The possibilitiestouseE-learningsystemsfor Atopic dermatitis randomized controlled studies showed a high evidence of efficacy. education forpatients are recommended and the present at least 10 and copingwithitch.Innearlyallguidelinesofatopicdermatitis outcomes suchas AD disease severity, treatment adherence, QOL, based educational sessions. TPE has been demonstrated to improve of knowledgeandskillsthroughbothindividualcaregroup- number ofdifferent methodsand toolstofacilitatethetransfer are typicallyprovidedbymultidisciplinaryteamsandutilizea regivers. TPE programsforpatientswith AD andtheircaregivers with adiseasefromhealthcareprofessionalstopatientsandca to transferinformationandskillsnecessarymanagecope patient education(TPE)isapatient-centeredprocessthataims and importantcomponentof Atopic dermatitiscare”. Therapeutic education aboutthediseaseanditsmanagementisanecessary After LeBovidgeetal.(2017)“Effective patientandcaregiver Uwe Gieler PATIENTS WITH SKINDISEASES PATIENT EDUCATION AND E-HEALTH FOR K03 when providedalongsideroutinedermatologyservices. demonstrate the value that psychological interventions can add The presentationwillendwithacallforfurtherstudiesthatcan conditions, before moving onto discuss the available interventions. presenting problemscommonlyfoundinpatientslivingwithskin many, Department ofDermatology, University Clinic of Giessen,Ger 2 Department of Dermatology, Hamad Medical Corporation, 1,2 - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV nings andrelevanceofpsychological learningprocessesinitch Increasing evidencedemonstrates theneurobiologicalunderpin Psychology, LeidenUniversity, Leiden,TheNetherlands Department ofHealth, Medical and Neuropsychology, Institute of Andrea Evers CONDITIONING OF ITCH OP3 a greatfuturechallenge. countries withincreasinglifeexpectancyCIislikelytobecome phototherapy. With regardtothedemographicsituation in Western necessary includingtopical,systemictreatmentaswellUV- by systemicdiseaseorXerosiscutis. A multimodaltherapyis drug-induced reaction,whereasaslowbeginningisrathercaused is morelikelytobecausedbyscabies,contactdermatitisor a and patients’ qualityoflife. A suddenonsetofitchintheelderly identify thebesttreatmentavailableandtoimprovepatients’ care diagnostics isnecessarytoevaluatetheunderlyingetiology, to to 69%ofelderlypeopleandmayalsocontributeCI.Precise latter shouldalwaysberuledout.Xerosiscutismayoccurinup The diseases. malignant or hepatic insufficiency, hematological, frequently occurs.Systemicetiologiescomprisechronicrenal to workingindividuals.Inelderlypatients,systemicormixedCI ditional yearoflifeandCIwastwiceashighinretiredcompared showed thattheriskofCIincreasedbytwopercentwitheachad vary accordingtoage. The Heidelberg PruritusPrevalenceStudy quent symptom in elderly people. It appears that the etiologies Chronic itch(CI)lastingforaminimumofsixweeksisfre precht-Karls-University Heidelberg, Germany Occupational Dermatology, DepartmentofDermatology, Ru- Elke Weisshaar PRURITUS INELDERLY PATIENTS OP2 and shouldbeconsideredforCP. parameter forconsiderationinthedailyroutineandclinicaltrials scores andsubscalescores.Inconclusion,theHRQoL isacritical In addition,womentendtohavehigherDLQIandItchyQoL total differed anddermatologicaldiagnoses. Europeancenters between the highestinPoland. Also pruritusduration,frequency, intensity and meantotalItchyQolscorewasfoundinRussiaItaly; dated insevenEuropenancountries.Interestingly, lowestmedian the HRQoL of affected patients.Recently, theItchyQoL wasvali questionnaire designedtoimprovemeasurementofCP effects on Another instrument, the ItchyQoL, is a 22-item, pruritus-specific for documenting the HRQoL of dermatological patients with CP. matology LifeQualityIndex(DLQI)isapopularinstrumentused Der the itch-specific, being not Despite urticaria. and psoriasis cumented forpruriticskinconditionssuchasatopicdermatitis, patients’ health-relatedquality of life (HRQoL) what is well do interactions andsleepdisturbances.CP thusnegativelyimpacts its intensityisconnectedtoanimpairedmood,decreasedsocial are thoughttobeaffected byit.Recentstudieshavefoundthat in dermatology. One-thirdofdermatologicalpatientsworldwide Chronic pruritus(CP)isknowntobethemostcommonsymptom sity HospitalMünster, Germany Center for Chronic Pruritus, DepartmentofDermatology, Univer Sonja Ständer PRURITUS IMPAIRMENT OF QUALITY OF LIFEINCHRONIC OP1 ITCH ORAL PRESENTATIONS ------1 PERSPECTIVE STIGMATIZATION – A SOCIAL-PSYCHOLOGICAL OP4 STIGMATIZATION conditioning principles. treatments partlybyalteredmedicationdosagesthatmakeuseof preferred outcome strategies or reducing regular pharmacological principles fortherapyadherence,addingenvironmentalcuestothe and automaticstrategies,forexample,byapplyingconditioning Treatment outcomesmightbeoptimizedbyusingbothconscious have directimplicationsforthetreatmentofdermatologypatients. treatment methodstoalterconditioneditchresponses. The results non-clinical andclinicalsamplesaswellpossibleinnovative demonstrate theevidenceforlearningprocessesofitchinboth cal conditioning.Inthepresentation,resultswillbepresentedto also playaroleforimmunefunctioningthroughpharmacologi side effects (alsocallednoceboeffects). Learningmechanisms by expectationsofapossibleunfavorabletreatmentoutcomeor The same is true for negative treatments effects which are induced non havebeenfrequentlydescribedinresearchonplaceboeffects. already reduceswhenseeingtheitchmedication”). This phenome ses, particularly conditioning based onprevious experience (“Itch such asitchorpain,canbeeffectively alteredbylearningproces for dermatologicalconditions.Forexample,physicalcomplaints, Florence Dalgard EUROPE ACROSS DISEASES STIGMATIZATION INPATIENTS WITH SKIN OP6 University ofGiessen,ClinicforPsychiatry, Giessen,Germany Christoph Mulert PERSPECTIVE STIGMATIZATION – THE PSYCHIATRIC OP5 and vulnerability factors, Iwill discuss the Social Identity Theory. framework tounderstandstigmatizationandderiveprotective social rejectionhasonwell-beingandhealth. As atheoretical field settings, thistalkwillprovideanoverviewoftheconsequences life real in conducted research on as well as laboratory, Building onexperimentalresearchfromthesocialpsychological aversive. be would group specific a to belonging if even value, effects. Rejectionevenhurtswhen belonginghasnofunctional very subtleformsofrejectioncanproduceconsiderablenegative severe formofbeingsociallyexcluded.Iwillillustratethateven and loneliness, and stigmatization as a chronic and particularly need tobelong,thatis,socialrejectionandostracism,isolation will outlinesocialpsychologicalconceptsofviolationsthe far-reaching has psycho-physiologicalconsequences.Inthistalk,I need this of unfulfillment the and cognition, and emotion, need tobelongisafundamentalhumanmotive,drivingbehavior, are contingent onothers’ behavior towards us. Therefore, the thrive. As socialanimals,bothourself-esteemandwell-being Belonging togroupsandcooperatingwithothersmakeshumans Psychology, Gießen,Germany University ofGießen,FacultyPsychology, InstituteofSocial Jan Häusser Dual Diagnosis,Innlandet Hospital Trust, Brumundal,Norway, Hospital, LundUniversity, Malmö, Sweden, Department ofDermatologyand Venereology, SkåneUniversity 1,2, Joerg Kupfer 3 Oral presentations Acta DermVenereol 2019 2 National Centre for 723 - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta cross-sectional multi-centre study across 17 European countries parison toskinhealthycontrols. The studyisanobservational problems inalarge sampleofpatientswithskindiseaseincom focuses onstigmatization,experienceofstressandbodyimage psychosocial factorsoftheburdenskindiseases. This study tinuation ofthepreviousandaimsatinvestigatingfurtherother and reducedqualityoflife. This newESDaP IIstudyisacon comorbidities likedepression,anxietyandsuicidalideation patients withcommonskindiseaseshavefrequentpsychosocial From thepreviousESDaP studyandotherstudiesweknowthat 3 724 sen, Germany Institute of Medical Psychology, JustusLiebigUniversity, Gies- 18 th Congress of the European Society for Dermatology and Psychiatry - - will bepresentedattheconference. patients and 2000 controls. The first results of the ESDaP II study dermatologist. completed thequestionnairespriortoclinicalexaminationbya sessed bytheDysmorphicConcernQuestionnaire. All patients stress assessed by Perceived Stress Scale; and body image as experience assessed by Perceived Stigmatization Questionnaire; the PHQ,generalhealthassessedbyEq5-VAS; stigmatization parameters are:mooddisordersassessedbyshortversionsof skin healthycontrolsfromthesamecities. The mainoutcome patients havebeenrecruitedineachout-patientclinicand125 with 22 dermatological clinics. Data from 250 consecutive Results: Bynowtherearedatafromover5000 - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV megen MedicalCentre, Nijmegen,TheNetherlands with a pervasive developmental disorder, unlikely related to based onestablishedcut-off scores. This child wasdiagnosed only 1childhadabnormalscores onpsychologicalfunctioning and controlsondevelopment growth.Study3showedthat IH-patients the between found were differences significant no increased riskofpsychomotordevelopmental delay. InStudy2, parents scoredabnormalincommunicationandthereforehadan child. social, emotional,behavioralandexecutivefunctioningoftheir age 6.6), completed self-reported questionnaires assessing the healthy controls. ForStudy 3,parents ofIH-patients (n = Questionnaire) in4-yearoldchildren(n =82),comparedwith developmental riskandgrowthimpairment(AgesStages Wiechen Scheme) at3yearsofage(n =103).Study2assessed our center. Study1evaluatedthepsychomotordevelopment(Van patients treated with propranolol for ≥6 months during infancy in Methods: All patients were recruited from the large cohort of IH- isneeded. safety concerningthedevelopmentofyoungIH-patients hemangioma (IH).However, moreknowledgeaboutlong-term Objectives: Propranolol is an effective treatment forinfantile S. Spillekom-vanKoulil TREATED FOR INFANTILE HEMANGIOMA PSYCHOLOGICAL FUNCTIONINGINCHILDREN ON DEVELOPMENT, GROWTH AND LONG-TERM EFFECTSOF PROPRANOLOL FC2 and eradicatinghead-lice. ables associatedtopediculosiscapitisforpreventing,controlling nape adenopathies(25–35%).Itisimportanttoknowthosevari variables were presence of adenopathies, scalp inflammation and removing withshampoo(15–20%). The mostcommonclinical variables wereinfestationantecedent,longhair, femalesexand and 20.2%,respectively. The mostassociatedepidemiological The prevalenceandincidenceofheadliceinfestationwere5.1% and theyweregatheredstoredforfuturestudiesaswell. mechanically removedbywettingthehairandusinglicecombs cipital, nuchalandretroauricularregionsoftheskin.Insectswere hair, scalp,lymphaticnodulesandfrontal,parietal,temporal,oc the beginning and at the end of the year (2017). It was examined area ofPopayan, Colombia. It was made two observations: at based on asampleof356childrenaged1to5fromlow-income capitis inkindergarten children.Cross-sectionaldescriptivestudy clinical manifestationsandriskfactorsassociatedtopediculosis description are rare. Here, it is showed the prevalence, incidence, risk factorsforchildrenareknown,studiesaboutitsclinical pitis, knownashead-lousecausespediculosiscapitis. Although The worldwide-distributedectoparasite,Pediculushumanusca Corporation (DLC),Bogotá,Colombia University of Cauca,Popayán,Colombia.From Labtothe Field Research CenteronMicrobiology andParasitology (CEMPA), Vásquez Arteaga, Monje, Reinel David LópezValencia, POPAYÁN, COLOMBIA CHILDREN OF A LOW-INCOME AREA FROM WITH HEADLICEINFESTATION INPRESCHOOL MANIFESTATIONSVARIABLESAND ASSOCIATED PREVALENCE, INCIDENCE,CLINICAL FC1 FREE COMMUNICATIONS –GROUP I 1 Medical Psychology, Results: Study1showedthatonlychildofimmigrant 1 2 , Angela Medina Ortega,SaraMosquera Dermatology, Radboud University Nij- A.V. Moyakine Carolina Salguero 2 , C.J.M.vanderVleuten FREE COMMUNICATIONS 27, mean 27, mean 2 - - - educational school, Azad University, Torbat-e-Jam, Iran cational schools,Ferdowsi University, Mashhad, ra City UniversityofNewYork (CUNY),USA from PubMedbut only 9from PsychINFO, with 98relevant, non- OR psoriasisacne“acne vulgaris”).164studiesresulted adult” OR “emerging adult”) AND (eczema OR “atopic dermatitis” OR “qualityoflife”) AND (adolescen*ORteenager“young “body image”ORstigma) AND (psycholog*OR“mentalhealth” and PsychINFOwiththeterms: (self-imageORself-esteem disease. Literaturewassearchedfrom2000–2018usingPubMed among adolescentsandyoungadultswithavisiblechronicskin hinder normative development and psychosocial functioning This review addressed howstigma and poorself-image may outwardly visible to others, may disrupt and influence self-image. escents andyoungadults perceivethemselves. Skindiseases, adol how for significance particular holds appearance Physical Caroline F. Zimmermann ADULTHOOD YOUNG AND IN ADOLESCENCE DEVELOPMENT SKIN DISEASEIMPLICATIONS FORSELF-IMAGE FC4 and psychiatricevaluations. through interdisciplinary scrutiny that combines dermatological fected patients.Psychologicaleffects ofCL shouldbemeasured boys (30.95%)withmeanageof9.10 Results: Forty-twopatientsincluding29girls(69.04%)and13 means ofChildren’s DermatologyLifeQualityIndex(CDLQI). for Children(STAIC), respectively. QOL wasevaluated by sion Inventory(CDI)andtheState-Trait Anxiety Inventories of depressionandanxietywereassessedwiththeChildDepres with CL were evaluatedthroughacross-sectionalstudy. Levels children who have CL. Materials & Methods: Forty-two patients depression andanxietylevelsaswellqualityoflife(QOL)in to evaluatethefrequencyofpsychiatricmorbidityincluding gical well-beingandsociallifeinpatients.Aim:Itwasaimed low morbidityrate,thedisordernegativelyimpactinpsycholo sitic infectiousdiseasewhichisdistributedworldwide.Despite Introduction: Cutaneousleishmaniasis(CL)isacommonpara Emadodin Darchini-Maragheh LEISHMANIASIS: MAJORCONCERNSORNOT? IN CHILDREN WITH CUTANEOUS QUALITY OF LIFE, ANXIETY AND DEPRESSION FC3 appears tobeguaranteed. impressive clinicaleffects onsevereIH,alsolong-termsafety propranolol. had anxiety trait. Based on CDLQI scores with a mean 9 patients(21.42%)hadanxietystateand6(14.28%) compared toboys(p =0.021). According totheSTAIC scores, sion disorder. Girls showed significantly more depression levels 1 health includingdepressionandanxietysymptomsamongaf results showedthatCL hasnegativeeffects onQOL andmental compared tootherpartsofthebody(p =0.023). parents (p =0.038)andthosewhohadlesionsonheadneck divorced with patients in detected was QOL lower Significant 1 of 5.94 According totheCDIscores,13patients(30.95%)haddepres Mashhad UniversityofMedical Sciences, Cutaneous leishmaniasisresearch center,Reza Hospital, Imam The Graduate Center, 1 , Arezoo Moradi ± 6.27, 24 patients (57.14%) had non-acceptable QOL. Conclusion: After 10 years of propranolol, with 2 , MaryamSaeidi 2 Hunter College and TheGraduateCenter, 1 , TraceyRevenson A. 1 , Pouran Layegh Free communications 3 ± 1.87 yearswerestudied. Acta DermVenereol 2019 2 Psychology andedu- 2 Conclusion: The 1 3 , Psychology and Mahdi Razma- ± 725 SD SD ------Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta Sciences, UniversityofBradford, UK at-e-Modarres University, Tehran, Iran 1 for personality traits was a five-factor personality of the Neo the of personality five-factor a was traits personality for Reza HospitalofMashhad,Iran werestudied. The researchtool diagnosis ofgenitalwartand35 controls)whoreferredtoImam control group.Method: Seventy patients (35 patients with definite criteria inpatientswithgenital wart andcomparetothehealthy personality traitsaswellEmotionalIntelligenceQuotient(EQ) the patients. Thus, theaimofcurrentstudyistodetermine (HPV). Genitalwartmaycausepsychologicaleffects among (STD), whichisaviralinfectioncalledhumanpapillomavirus Introduction: Genital warts isasexually transmitted disease Mahdi Razmara WARTS AND HEALTHY CONTROLS INTELLIGENCE INPATIENTS WITH GENITAL EMOTIONAL TRAITS AND PERSONALITY EVALUATION AND COMPARISON OF FC6 character ofvitiligo. as wellinformingtheenvironmentaboutnon-contagious enabling contactstoothersufferers/role models,supportgroups assertiveness, developing appearance-independent competencies, as animportantstrategyinpatient’s guidancebyusingtrainingin gest minimisationofstigmatisationanditsnegativeconsequences family during or after stigmatisation incidents. These findings sug vitiligo. with family members and fromfriends They needsupport information bysurfingsocialmedia.Childrenbenefitfromother duce some activities (e.g. hobbies/sports) and seek vitiligo-related Children tend to develop avoidance patterns, while adults often re extensive diseasedistributionincreasetheriskofstigmatisation. weak link to BodyDismorphic Disorders. Early disease onset and to lowerqualityoflifeandincreaseddepressionlevelswithonlya gative comments/picking-on as significant finding, leading in turn stigmatisation throughdisease-relatedquestions/remarksandne confirming previous studies(adults/n =96andchildren/74) often severelyaffected. We addedunpublisheddata(n =81)totwo self-esteem andanimpairedqualityoflife.Children’s livesare unknown. Manypatientsshowsignsofdepression,anxiety, lower physical symptomsareinvolved. The causeofthediseaseisstill depigmentation of the skin. Besides occasional pruritus, no other tion disorder, causingwhitepatcheswithsometimescomplete Vitiligo is a common, acquired and non-contagious depigmenta Christian Krüger COMBATING STRATEGIES STIGMATISATIONVITILIGO AND IN FC5 behaviors (e.g.,avoidanceoffitnesscenters). date howanticipatedandexperiencedstigmamayimpacthealth suggests areas forclinicalpractice.Futureresearch should eluci contributes totheliteratureonadaptationchronicillnessand self-image. Byutilizingadevelopmentalframeworkthisreview with sexualfunctioning,whichwereoftenlinkedtodiminished included psychopathology, loweredqualityoflife,andproblems being seenascontagious.Psychosocialeffects ofskindisease disease aresubjectexperiencemultipletypesofstigma,including duplicated, andinEnglish.Studiesrevealedindividuals with skin 726 Moradi Mashayekhi 1 Mashhad, tal, SchoolofMedicine, Mashhad UniversityofMedical Sciences, University of Greifswald, Greifswald, Germany, Cutaneous Leishmaniasis Research Center, Emam Reza Hospi- Institute for Pigmentary Disorders (IFPD), in association with 2 , 18 Emadodin Darchini-Maragheh 2 th Faculty of educational sciences andpsychology, Tarbi- 1 Congress of the European Society for Dermatology and Psychiatry 1 , 1 , KarinU.Schallreuter Seyyed Kazem Rasoulzadeh-TabtabaeiSeyyed Kazem 1 1,2 , Maryam Saeidi 2 Centre forSkin 2 , 2 , Arezoo Vahid - - - - - are inassociationwithlowerEQlevelaswellmorepersona wart genital specifically STDs between thegroupsConclusion: difference significant any show not did happiness and testing (p group study the in frequent more significantly ISMI scores before and after the treatment. Statistically signifi Statistically treatment. the after and before scores ISMI changes wereobservedinthemeanvaluesofSWLS,ULSand significant Statistically assessment ofdiseaseseverity. Results: months afterthetreatment.PASI andDLQIwereusedforthe Stigma of Mental Illness Inventory (ISMI) both before and 3 the Satisfaction With LifeScale(SWLS)andtheInternalized patients completedtheUCLA LonelinessScale(ULS), Methods: Fiftypsoriasispatientsparticipatedinthestudy. All and examinehowthesevaluesmaychangethroughtreatment. on the life satisfaction,levelofloneliness,internalizedstigma ressed inpsoriasis.Objective: To evaluate theeffect ofpsoriasis stigma which affect quality of life have not sufficiently been add Background: Life satisfaction, level of loneliness,internalized Hamidiye EtfalTraining andResearch Hospital,Istanbul,Turkey Department ofPscyhodermatology, HealthScienceUniversitySisli Ece Uğurer AND LIFESATISFACTION INPSORIASIS LONELINESS, INTERNALIZEDSTIGMATIZATION FC7 the patients. take thenecessarymeasurestoidentifypersonalitytraitsof lity disturbances. Therefore, mentalhealthprofessionalsneedto group (p to experience, between the study group with illness and control significant difference between personality traits, except openness Data wereanalyzedusingSPSversion21.Results: There was a by means of Bar-On model and compared with healthy control. that was run on the participants. EQ assessment was performed of 144dermatologicpatients(mean age52.9 data suring happinessandsubjective well-being.Results:The mea for scales validated of consisting questionnaire a in filled of healthy controls recruited by an external service provider logy and Allergy, Technical UniversityofMunich, andagroup Dermatologic patientsrecruitedattheDepartmentofDermato diseases. sought to explore happiness in patients with different chronic skin depression. To achieveamoreholisticunderstanding,thisstudy diseases hasfocusedonmeasuringmentalcomorbiditieslike Background: Previousresearchonthementalburdenofskin Barbara Schuster CHRONIC SKINDISEASES EXPLORING HAPPINESSINPATIENTS WITH FC8 impacts thepsychologicalfunctioningofpatient. condition but should also be addressedasa complex diseasethat results highlightsthefactthatpsoriasisisnotmerelyacutaneous and feelingsoflonelinessinternalizedstigmaincrease. This severity ofthediseaseincreases,satisfactionwithlifedecreases lized stigmaarenegativelyaffected inpsoriasispatients. As the tion. were alsoevaluatedaccordingtothediseaseseverityanddura treatment according to disease severity groups. All questionnaires cant differences wereobserved inallscalesevaluatedbeforethe Bochum, Germany Development, Faculty of Psychology, Ruhr University Bochum, Zink 1 women) and106healthycontrols (meanage38.4 Munich, Department ofDermatology and Allergy, Technical University of 1 Conclusion: Loneliness,satisfactionwithlifeandinterna ˂ Methods: Cross-sectionalstudy(12/2017–03/2019). 0.05). Thirteen criteria out of 15 criteria of Bar-on, were , İlknur Kıvanç Altunay, 1 2 , Unit Applied Psychology in Work, Health, and Corinna Peifer 2 Çiğdem Aydın, , Tilo Biedermann ± 19.9 years,43% ˂ Kenyul Salaeva 0.05). Reality 0.05). ± 1 , 13.4 years, Alexander ------Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV University Medical Center, Mainz, volunteers (n =112, 84%female)wererandomizedto1)aclosed- controlled between-subjectsdesign wasappliedinwhichhealthy label andclosed-label(i.e.concealed) conditions. A randomized the efficacy of such suggestions for itch under comparable open- treatment isinert(i.e.open-label).Fewstudieshaveinvestigated somatic symptoms such as itch, even when it is knownthat a psycho influence may suggestions verbal positive and Negative Leiden University, Leiden, TheNetherlands Dieuwke Veldhuijzen, Stefanie Meeuwis, TRANSDERMAL CAFFEINEPATCH ONITCH VERBAL SUGGESTIONSREGARDING A SHAM EFFECTS OF OPEN- AND CLOSED-LABEL OCCUR WHEN PEOPLEKNOW ABOUT IT? CAN PLACEBO AND NOCEBOEFFECTS FC10 FREE COMMUNICATIONS –GROUP II interactions betweentheindividualanditssocialcontext. understanding ofskincomplaints,andthespecialrelevance proach, theseresultsreinforcetheimportanceofapsychosocial of the skin (ORs = living withapartnerreportedlessitch,excoriations,anddryness alterations, tingling, andan itchy scalp (OR =1.05–1.07). Persons years), while higher age was associated with more dryness, skin excoriations, andsundamagesdecreased (ORs =0.7–0.9 per 10 disfigurement, of feeling skin, oily nails, the of biting pimples, and ingrownhairs(ORs =1.2–1.8). With age,thefrequenciesof (ORs =1.2–2.3), whilemenreportedmoredandruff, bodyodor, erythema, skin ant (α =.05). statistically signific were more affected bysensitive skin, dryness, (n =2,511). ReportedORsfromlogisticregressionanalyseswere survey witharepresentativesampleofthegeneralpopulation self-report questionnairesinanation-wideface-to-facehousehold ciodemographic variablesandskincomplaintswereassessedby social supportanddifferent complaints oftheskin.Methods:So present study aimed to assess the associations between age, sex, effect ofsocialsupportonskindiseases hasbeenreported. The sex arerelatedtohigherskinmorbidity. Beyondthat,abuffer Introduction &Objectives:Ingeneral,youngerageandfemale Hanna Reich REPRESENTATIVE SURVEY SKIN COMPLAINTS:FINDINGSFROM A BUFFER EFFECT OF SOCIAL SUPPORT ON FC9 research aboutthementalburdenofskindiseases. of well-beingsuchashappinessshouldbeconsideredinfuture diseases showed to negatively impact happiness. Positive factors the others(p =0.021). of satisfactionwithlifeinpatientsskincancercomparedto cancer andhealthycontrols.Incontrast,wefoundhigherlevels (psoriasis and atopicdermatitis)compared to patients with skin ( ted happiness(p =0.002)andhigherlevelsofnegativeaffect we foundlowerlevelsofpositiveaffect (p =0.005)andrepor 49% women)wereanalysed.Controllingforageandgender, Justus LiebigUniversity, Giessen,Germany 1 sen, Institute of Medical Psychology, JustusLiebigUniversity, Gies- 0.029) in patients with chronic inflammatory skin diseases skin inflammatory chronic with patients in p =0.029) 2 Department ofPsychosomaticMedicineandPsychotherapy, 1 , ElmarBrähler Henriët vanMiddendorp, 0.8). Andrea Evers Chronic inflammatory skin inflammatory Chronic Discussion: Conclusions: Beyondabiological ap Results: Women alterations,anditch 2 , UweGieler 3 Department of Dermatology, 3 , Jörg Kupfer Adriana Lavrijsen, 1 - - - - activate twomajorneuralpathways,hypothalamopituitaryadre role inthemanagementofvariousskindiseases.Mentalstressors its on exist data dermatology. limited field Only the in utilized psoriasis, atopicdermatitisandalopeciaareata,butitisless peutic procedureusedinvariousconditionslikepaindisorders, Introduction: Hypnotherapyisausefuladjunctivepsychothera Additional Professor, Govt. Medical college, Calicut, Kerala, India Abdul Latheef TECHNIQUE INDERMATOLOGY UNDEREXPLORED PSYCHOTHERAPEUTIC HYPNOTHERAPY-A HIGHLY USEFUL FC11 mechanisms inclinicalpractice. gestions may be a promising method forutilizing placebo effect groups (all p groups (allp <0.001),butdidnotchangeinthenegative VS VS positive both in significantly reduced itch that demonstrated Within-group analysesofbaseline-to-post-suggestionschange tations anditchexperiencedduringiontophoresis(allp <0.008). closed-label suggestions significantly influenced both itch expec following suggestionsbyhistamineiontophoresis.Open-and the procedure.Itchwasinducedexperimentallyatbaselineand ticipants intheopen-labelgroupsweregivenanexplanationof mentioned conditionswherehighly rewarding. psychological wellbeingisboosted up. The responseinabove anxiety decreases and self esteem increases and the overall standard dermatologicaltreatment. The associatedstressand is ahighlyusefuladjunctivetherapeuticprocedurealongwith dysesthesia, pemphigus vulgaris. Conclusion Hypnotherapy chronic urticaria,Hansen’s disease,venereophobia,cutaneous Hyper hydrosis,Lichenplanus, Vitiligo, Trichotillomania, excoriee, Alopecia areata,Glossodynia,factitiousdermatoses, zema, Postherpeticneuralgia,chronicPruritus,Psoriasis, Acne the author Atopic dermatitis,Neurodermatitis,Nummularec destructive behavior. Conditionswherehypnotherapytriedby (like pain,itching),promotehealingandhelpthepersonalter a 10 years.Medicalhypnotherapy AIMS todecreasesufferings a psychodermatologyOPDinCalicutmedicalcollegeforlast a qualified psychologist trained in hypnotherapy and conducting will beboostedupleadingtocureofthediseases. The authoris neuro immunology. Thus theimmunestatusofindividual over hypnosisactsasastressbusterleadingtohealthypsycho thy responsesbypositivesuggestions,mentalimageries,more During hypnotic trance unhealthy responses are changed to heal particular physical and emotional response (healthy/unhealthy). events arestoredinourbrainasmemoriesthatwillproducea will slowlyreachthehypnotictrance.Howdoesitwork?Past all thepartsarecompletelyrelaxed.Onrepeatingthispatient foot aspertheinstructionoftherapistandtoimaginethat the patientisaskedtoconcentrateonbodypartsfromhead slowly. The respiratorycommentisrepeatedafewtimes. Then on acoat,toclosetheeyesandtakedeepbreathexhale instructing todothefollowingactions;liedowncomfortably Hypnosis canbeinducedbymeansofrelaxingsuggestions immunological statusoftheindividual.Hypnotictechnique. cutaneous-endocrine) system,emotionaldisturbancescanalter inflammation. Skin being a component of NICE (neuro-immuno- nal axisandsympatheticnervoussystemproducingneurogenic negatively (depending on group allocation) influence itch. Par itch. influence allocation) group on (depending negatively transdermal patchwouldbeapplied,whichpositivelyor an open-label positive VS group.Participants were told that a negative VS group,3)aclosed-labelpositive VS group,or4) label negativeverbalsuggestions(VS)group,2)anopen-label

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0.22). The current study shows that open-label sug Free communications Acta DermVenereol 2019 727 ------

Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta pietowski configurating space (orientation, distances, width), (3) its being its (3) width), distances, (orientation, space configurating the constitutionofboth,subject/inside andworld/outside,(2)its skin’s ‘inbetween’ character, in particular(1)itscontributingto entirely wrong,Ithinkthispictureisreductive.Itoverlooksthe or the‘outer’ environment’s effects onthesubject. Though not Skin conditionsrepresentongoings‘within’ thesubject/organism symbolically ‘overcome’ to get from one dimension into the other. ‘inside’ and‘outside’ thesubject. The skinmustbephysicallyor dary’ suggests that the skin serves to separate two dimensions, i.e. a functionalorsymbolicsense. The pictureofa‘barrier’ or‘boun manifest irritations of the organism’s/subject’s boundaries in either tegrity ortouchwithbindingtoothers. Accordingly, skindiseases of thesubject(Anzieu),e.g.anintactintegumentwithmentalin boundary inthatfunctionsoftheskinareassociatedwith ronment. In psychoanalysis, the skin is conceived as a symbolic boundary, i.e.abarriermediating betweenorganism andenvi In medicine,theskiniscommonlyunderstoodasafunctional Universität Basel,Switzerland Ulla Schmid SKIN DISEASES: A QUESTIONOF BOUNDARIES? FC13 dermatologists andpsychiatrists. these patientsisacomplexissuerequiringcooperationbetween features andoutcomesofDIvaryamongindividuals.Managing ded the follow-upvisit.Conclusions: The background, clinical drug instigatedin61.9%ofsubjects,whileonly33.3%atten origin (F06.2)(9.5%each).Risperidonewasthemostcommon nal disorder (F24) and secondary delusional disorder of organic age ofsubjectswas65.2 patients wasobtained(76.2%females,23.8%males). The mean the diagnosticandtherapeuticprocess.Results: The datafrom21 comorbidities, theinstigatedtreatmentandissuesassociatedwith onset of symptoms, major psychiatric complaints, underlying clinic between1997and2019. The dataincludedthetimeof retrospective analysisinaseriesofDIsubjectswhoattendedour a periodof20years.MaterialsandMethods: We conducted a from DIwhowerehospitalized in thedermatology ward over aimed tosummarizekeyclinicalfeaturesofsubjectssuffering study frequently seekhelpfromthedermatologists.Aim:This Despite thepsychiatricnatureofdiseasetheseindividuals especially theskin,areinfestedbyvariouspathogensorobjects. delusional infestation (DI) are falsely convinced that their organs, are widelyacknowledgedbyclinicians.Patientssuffering from Introduction: The mutualassociationsbetweenskinandpsyche 3 Radomir Reszke EXPERIENCE DERMATOLOGY SETTING: A 20 YEARS OF DELUSIONAL INFESTATION IN A CLINICAL FC12 728 duration ofsymptomswas1.93 1 atet f scity Wołw eia Uiest, Wrocław, University, Medical Wrocław Psychiatry, of partment disorder (F22)(76.2%ofsubjects),followedbyshareddelusio (33.3%). The main established diagnosis was primary delusional (52.4% of patients), unspecified parasites (42.9%) or “something” The suspectedinfestingfactorsweremainlyportrayedasworms Nearly halfofthepatients(47.6%)revealedspecimensign. of subjectsgavethehistorypreviouspsychiatricconsultations. Poland Department of Dermatology, University of Rzeszów, Rzeszów, Department ofDermatology, Venereology and Allergology, 18 1 th Congress of the European Society for Dermatology and Psychiatry 1 , Przemysław Pacan ± 13.3 years,whilethemeantimeof ± 1.68 years.Fifty-sevenpercent 2 , Adam Reich 3 , Jacek C. Sze- 2 De------Royal LondonHospital,BartsHealthNHSTrust, London,UK burnout was2.27i.ehigh/veryhigh. The meanscoresfordisen Mean numberofworkinghourswas32hours.scorefor a general setting and only 33% in a psychodermatology clinic. regularly. Interestingly, halfofrespondentsseesuchpatientsin the majority workin UK, and 76% practisepsychodermatology dermatologists with61%beingfemale,76%werespecialistsand Surveymonkey. European SocietyforDermatologyandPsychiatry(90),througha sionals (HCP)-membersofPsychodermatologyUK(311) and burg BurnoutInventory, wassenttophysicians/healthcare profes Materials/Methods: A 33-item questionnaire, including the Olden dermatology aswelltoevaluatepotentialcontributingfactors. prevalence ofburnoutamongphysicianswhopractisepsycho being among the least burntout(32%).Objectives: To assess the that 44%of physicians experience burnout,withdermatologists of reducedpersonalaccomplishment.Recentdatahaveshown combining emotionalexhaustion,depersonalisationandasense syndrome work-induced a as defined is Burnout Introduction: Maria-Angeliki Gkini FROM A EUROPEANSURVEY BURNOUT INPSYCHODERMATOLOGY: RESULTS FC14 skin diseasesfromapsychosomaticviewpoint. (and hence‘multidisciplinary’)pictureandthusallowstorethink aspects into our understanding the skin issues a multidimensional the siteandmediumofsociality. I suggestthatintegratingthese also shouldbeinitiatedtorelieve stress. interventions psychological tological treatmentofhairconditions, in triggeringandprecipitatinghairdisorders. Along withderma To conclude,inpatientswithhairloss,stress playsimportantrole relaxations therapiesweregiventomanagestressinthesepatients. used to assess their stress response in each visit. Counselling and was seenin102patients(68%).PerceivedStressScale(PSS) and 55patientswith Androgenetic alopecia.Mildtoseverestress patients with Alopecia Areata, 74 patients with Telogen effluvium fall wasdoneandtreatedaccordingly. Outof150,therewere21 our studyforaperiodof3years.Patientsoverallevaluationhair loss orhairfallsymptomswereobservedforperceivedstressin can aggravate or precipitate the hair fall. 150 patients with hair responsible fortheseconditions,stressinacuteandchronicform though thegenetic,nutritionalandimmunologicalfactorsare tient department. According toetiologyofindividualdiseases, vium, Alopecia areataarecommonlyseenindermatologyoutpa Telogenalopecia, efflu especially Androgenetic disorders, Hair Clinic, Thiruvananthpuram,Kerala,India Consultant Dermatologist and Psychologist, DermaVue Skin Pranaya Bagde LOSS PERCEIVED STRESSINPATIENTS WITH HAIR FC16 regular burnoutsessions. networks inpsychodermatologyshouldbeencouraged,including levels ingeneraldermatology. Finally, developmentofsupport and exhaustion.Furtherstudiesarerequiredtocompareburnout be associatedwithanincreasedriskforburnout,disengagement high. gagement andexhaustionwere2.242.34respectively, also Bewley 1 Department ofDermatology, Conclusions: Treating psychodermatologypatientsseemsto 1 70physicians/HCPResults: 73%were responded, 1 , Khawar Hussain 2 Department ofLiaisonPsychiatry, 1 , Ruth Taylor 2 , Anthony ------Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV Conclusion: This studyencouragesdermatologiststoassessfor (p =0.0221). significant was difference the and 3) v/s (8 score p =0.0141). Those whovisited consultant priorhadveryhightotal who wasreadytoaccepttransplantationifgivencheap(5v/s2, (p =0.0148).Samewasseeningroup significant was difference plantation doesimprovequalityoflife(median-6v/s3)andthe score. Total scorewashigheramonggroupwhoagreedthattrans with maritalstatus,affordability ofhairtransplantationandtotal BDD questionnaire was 3 (IQR- 2,7). No significance was noted tients hadconsulteddoctorbefore.Medianofthetotalscore was 30.24 tionnaire –Dermatologyversion.Results:Meanageofpatients among 50adultmales( >18yrs)withMPHL usingBDDques Methodology: Onlinesurveyingwasdoneinsnowballfashion Kerala populationtowardsMPHL anditsrelationshipwithBDD. Aims: This studyhasbeencarriedouttounderstandtheattitudeof self-consciousness and perception of one’s body as abnormal. disorder (BDD)isacommonbodyimagethatincreases cant psychologicaleffects onaffected patients.Bodydysmorphic signifi having as recognized been which alopecia non-scarring Background: Malepatternhairloss(MPHL)isacommontypeof search Institute,Kozhikkod,India Consultant Dermatologist,IQRAA International Hospital &Re- Bishurul Hafi,UvaisNA,MuhammedRazmi WITH BODY DYSMORPHICDISORDER TRANSPLANTATIONITS ASSOCIATION AND WILLINGNESS TO RECEIVEHAIR FC17 was HamiltontypeI(32%),II(24%)andIV (22%).Only4pa present among82%ofpatients.MostcommontypeMPHL or postgraduates (48% each). Nomedical co-morbidities was individuals. Vast majorityofresponderswereeithergraduates ± 8.7 yrswithequalnumberofmarriedandunmarried - - - - 1 signs ofmelanoma. Conclusion: Subjective sensations in melano in painwererecorded. All nevihadnoclinicalanddermatoscopic the Meyerson phenomenon inpruritusandsomatoformdisorder des). As potentialcauseofsensationsgrowththeneoplasmand painful nevi (as well as painful scars, dermatofibroma, lymph no age 32+/-12years).19patientshaditch,1patientcomplainedof examined, 20 of them had symptomatic nevi (16 women, mean Results: 210patientswithcomplaintsofmelanocyticneviwere cases were performed; one patient was examined by psychiatrist. Dermatoscopy withhistopathologicalexaminationinsuspicious patients over 18 years old who complained of symptomatic nevi. not beenstudied.MaterialsandMethods: The studyincluded nevi. However, theclinicalrelevanceofsymptomaticnevihas and clinical significance of subjective sensations in symptomatic of themalignancy. Purpose: Assessment ofthespectrum,causes sensations are considered an alarming sign, since it can be a sign companied bysubjectivesymptoms,anditch,painoranyother Background: Itisknownthatmelanocyticneviarenotac Nikolay Potekaev WHEN IT ISNOT ABOUT ONCOLOGY SYMPTOMATIC MELANOCYTICLESIONS: FC18 on posttreatmentpatientsatisfaction. BDD beforehairtransplantationsinceitmayhavedirecteffect and associatedpsychosomaticdisordersshouldbeexcluded. case ofmultiplepainfullesionsotherpseudo-somaticcomplaints cytic tumors in most cases were not associated with malignancy. In nov FirstMoscowStateMedicalUniversity, Moscow, Russia ko and cosmetology, Moscow Scientific and practical center ofdermatovenereology center practical and Scientific Moscow 1 , DmitryRomanov 1 , 2 Moscow clinical scientific center,scientific clinical Moscow Konstantin Titov 3 , Anastasiia Allenova 2 Free communications , Andrey Lvov Acta DermVenereol 2019 3 , IrinaVakhitova 1 , Anna Michen 3 I.M. Seche 1 729 - - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta Middendorp ning mayinfluenceitch. needed toexaminewhenplacebo effects by(open-label) conditio for antipruriticplaceboeffects byconditioning.Moreresearchis in theconditionedgroups.Overall, limitedevidenceisprovided consistent less but groups, control the in time over significantly physiological datawiththeexceptionofheartrate,whichreduced between separate groups were found. Groups did not differ in participants inthecombinedcontrolgroups,butnodifferences combined conditionedgroupsreportedmarginal loweritchthan inthe Participants iontophoresis. induced throughhistamine control group. At baselineandduringthetestingphase,itchwas group, 3)aconditioned-not-evokedcontrolor4)placebo 1) anopen-labelconditionedgroup,2)aclosed-label CS waspresentedwithaplacebo.Participantswereassignedto mine levocetirizine)orplacebo,andatestingphase,wherethe combined withanunconditionedstimulus(UCS;theantihista stimulus (CS; distinctively-tasting beverage) was repeatedly was used,consistingofalearningphase,inwhichconditioned are not yet clear. A two-phase randomized conditioning paradigm (i.e. tellingsubjectsaboutthelearningmechanismsinvolved) conditions open-label under effects However, specifically. itch ditioning antihistamines, whichmayextendtohistamine-induced Placebo effects forallergic symptomscouldbeinducedbycon 1 Stefanie Meeuwis THE EFFECTSOF ANTIHISTAMINES HISTAMINE-INDUCED ITCH?CONDITIONING CAN PLACEBOEFFECTSBELEARNEDFOR A2 effect wasfound. oxytocin oneitheritchorpainexpectationstheplacebo (F = 5.48,p0.021),butdidnotdecreaseitch.Noeffect of Moreover, positive verbal suggestions elicited placebo analgesia itch (F =5.38,p0.022)andlowerpain4.77,0.031). test. Positiveverbalsuggestionsinducedexpectationsoflower iontophoresis testandpainwasassessedwithacoldpressor on groupallocation.Itchwasassessedinresponsetoahistamine relieving propertiesof the spray or no suggestions, depending ded bypositiveverbalsuggestionsregardingtheitch-andpain- administration of24IUoxytocinoraplacebospraywasprece without suggestions,and4)placebosuggestions. The tions, 2)placebowithpositiveverbalsuggestions,3)oxytocin to oneoffourgroups:1)oxytocinwithpositiveverbalsugges placebo-controlled study, 108femaleparticipantswereallocated expectations andself-reporteditchpain.Ina randomized, ence ofoxytocinandpositiveverbalsuggestionsontreatment influ the investigated we study this effect.In placebo enhance can enhancetrustandreliefstressmaythereforepotentially unclear how treatment outcomescanbeoptimized. Oxytocin including dermatological symptoms such as itch, but it is yet Placebo effects relieve various somatosensory symptoms, 1 Aleksandrina Skvortsova IN ITCH AND PAIN? CAN OXYTOCIN ENHANCEPLACEBOEFFECTS A1 730 Lopez nomous University, Lerma,Mexico Dieuwke Veldhuijzen Psychology, KU-Leuven-UniversityofLeuven,Belgium Behavioural Sciences,LeidenUniversity, TheNetherlands, Leiden University, Leiden,TheNetherlands, Health, Medical and Neuropsychology unit, Faculty of Social and 2 , Maarten Ninaber 18 th Congress of the European Society for Dermatology and Psychiatry 1 , OmervandenBergh 1 , Henriët vanMiddendorp 1 , Andrea Evers 1 1 , , Adriana Lavrijsen Dieuwke Veldhuijzen 2 , 1 Andrea Evers

1 1 , 2 , Metropolitan Auto- Gustavo Pacheco- Nic van derWee GUIDED POSTERSESSIONS 1 1 ,

Henriët van 2 Heath 1 ------, bers University Medical Center, Mainz, perception. could furtherelucidatetheroleattentionplaysinitchandpain measuring eye-movementsandelectro-encephalography(EEG) as theymightbemorerelevantandsalientforthem.Furthermore, chronic symptoms show an attentional bias towards these stimuli, stimuli. Furtherinvestigationshouldindicatewhetherpatientswith that healthypeopledonotprioritizeitch-andpain-relatedvisual AB towards itch, pain, and negative stimuli. This finding suggest responses to itch and pain stimuli, the findings did not support an whencomparedtothe responses down overallslowed stimuli visual stimuli,in70healthyvolunteers.Despitethatnegative an AB towardsitch-andpain-relatedvisualstimuli,negative valence ofthesestimuli. Therefore, thecurrentstudyexamined somatosensory content,ratherthanduetotheinherentnegative the to an specific whether is unclear pain is and itch towards AB directly comparean AB towardsitchand pain. Furthermore,it between itchandpain,toourknowledge,earlierstudiesdidnot found towards itch-related information. Yet, despite the similarities information. This so-calledattentionalbias (AB) has also been people allocatetheirattentionpreferentiallytowardspain-related potential bodilyharm. A thathealthy suggested meta-analysis Itch andpainbothdemandattention,presumablytoprotectfrom 2 1 Sarah RosaVreijling AND PAIN STIMULI? DO HEALTHY INDIVIDUALSPRIORITIZEITCH- A3 a symptomlevel. to showanincreaseinthereport ofskincomplaintsovertimeat rates were consistent with previous studies. This study is the first 3.0%/5.5% excoriations***.Conclusions: The pointprevalence skin***, 3.6%/7.5%erythema***, 4.9%/6.8%bodyodor**, 6.5%/9.0% itchyscalp**,5.3%/8.1%itch***,5.0%/8.1%oily ruff*, 6.4%/10.0%pimples***,4.6%/9.1%skinalterations***, common skincomplaintsin1998/2015were:8.6%/10.5%dand effect sizeswasobserved. The pointprevalenceratesofthemost significant increase over time (p <0.05)withsmalltovery tionnaires. riables andskincomplaintswereassessedbyself-reportques n =2,511). Sociodemographicva n =2,079,2015 2015 (1998 samples ofthegeneralpopulationwereconductedin1998and nation-wide face-to-facehouseholdsurveyswithrepresentative report ofskincomplaintsovertime.Methods:Two cross-sectional 12 commonskincomplaints,andtoanalyzethechangesin The present study aimed to describe point prevalence rates of in thereportofskincomplaintsovertimeatasymptomlevel. time worldwide.However, therearenostudiesonthechanges reported aboutanincreaseintheprevalenceofskindiseasesover Introduction & Hanna Reich SKIN COMPLAINTSFROM1998 TO 2015 INCREASE IN THE REPORT OF 12COMMON REPRESENTATIVE SURVEYS SHOW AN A4 Justus LiebigUniversity, Giessen,Germany 1 zen stitute ofPsychology, Health,Medical andNeuropsychology Unit, sen, Leiden InstituteforBrainandCognition,Leiden,theNetherlands Leiden University, Faculty of Social and Behavioral Sciences, In- Institute of Medical Psychology, Justus LiebigUniversity, Gies- 1,2 1 2 , , Department ofPsychosomaticMedicineandPsychotherapy, Antoinette I.M.vanLaarhoven Sjoerd Dobbinga Results: Foralmostallskincomplaints,astatistically 1 , ElmarBrähler Objectives: The GlobalBurdenof Diseasestudy 1 , Jennifer Mareen Becker 1 , Andrea Evers 2 , UweGieler 3 Department of Dermatology, 1,2

1,2 , Dieuwke W.S. Veldhuij 3 , Jörg Kupfer 1,2 , Jolijn J.J. Gies- 1 - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV and Oncology, MedicalUniversityofLodz,Poland University, Gießen,Germany 1 associated withseverityofitch. Management ofchildrenwith AD perceived bythem.Development of depression andanxiety is not stress of level the on influence has with also children and of AD Severity ofitchaffects thequalityoflifeandsleepmothers between severityofitchandHADS andFACES-IV. Conclusion: (ρs =0.291, 10 FDLQI (ρs = 0.48, by obtained scores with correlated significantly itch of severity of childrenwith AD, meanagewas34.52years(SD =6.29).The sion Scale(HADS).Results:Intheanalysedgroupof64mothers 10), Athens InsomniaScale(AIS),Hospital Anxiety andDepres Evaluation Scales(FACES-IV) thePerceivedStressScale (PSS Quality Index(FDLQI),PolishversionofFlexibilityandCohesion to complete the Polish version of the Family Dermatology Life sessed withNumericalRatingScale(NRS).Motherswereasked Dermatitis (SCORAD)indexandtheintensityofprurituswasas study. The severityof AD wasestimatedbytheScoring Atopic and Methods:64mothersofchildrenwith AD participatedinthe sleeplessness, depressionandanxietyoftheirmothers.Material with atopic dermatitis onquality oflife, family functioning, stress, mothers. their of functioning psychosocial the influence pruritus and AD relapsing pruriticskindisease.Itisobservedthattheseverityof Introduction: Atopic dermatitis(AD)isacommonchronically Aleksandra Kobusiewicz FUNCTIONING OF THEIR MOTHERS DERMATITIS INFLUENCE ONPSYCHOSOCIAL SEVERITY OF ITCHOF CHILDREN WITH ATOPIC A6 improve theiritch. to help also might self-confidence and assertiveness patients’ phenotype. Psychologicalinterventionsaimingtoimprove AD- due tocowhagethanpatientswiththeoppositepsychological rather emotionallyinstable,aremorepronetoexperienceitch occurred. This studyshowedthat AD-patients, whoreporttobe relationships significant no PS-patients In [p <0.001; r =0.544]. neuroticism to related positively significantly was itch Induced led to a significant increase of maximal itch intensity [p <0.001]. personality factors,depression-andanxiety-scores.Cowhage the last 10 min. Itch increase was determined and correlated with After eachvideo,patients ratedtheir maximal itch intensity during forearm and not removed until after the second video presentation. mediately beforethesecondvideo,cowhagewasappliedto were presentedtwonon-itchinducingvideos(10mineach).Im with atopicdermatitis(AD)and37patientspsoriasis(PS) psychological variablesinpatientswithchronicitch.40 study investigatedwhetheralsocowhage-induceditchisrelatedto inpatientswithchronicitch. self-consciousness) (depression, This itch). The latter wasshownto berelated topsychological variables sentation of itch-related audiovisual material (mentally induced Itch canbeinducede.g.bytheapplicationofcowhageorpre 1 Christina Schut WITH CHRONICITCH ASSOCIATION WITH PERSONALITYPATIENTS IN COWHAGE INDUCEDITCH AND ITS A5 Zalewska-Janowska ler ka matology, Gießen, Psychodermatology Department, Clinical Immunology andRheu- Institute of Medical Psychology, Justus-Liebig-University, 1 2 , , Jörg Kupfer Andrzej Kaszuba 2 Clinics for Dermatologyand Allergology, Justus-Liebig- Objectives: To evaluatetheimpact ofprurituschildren 2 Department of Dermatology, Pediatric Dermatology 1 0.023). There was no significant correlation significant no was There p =0.023). , 2

Zora Lambertz p <0.001), AIS (ρs =0.39, 1 2 , Aleksandra Lesiak 1 , Bartlomiej Tarkowski 1 , Lisette Meier-Naust 2 , Joanna Narbutt p =0.003 )andPSS 1 , Karolina Klat- 1 , Uwe Gie- 2 , Anna - - - - the diseasein16.7%ofcases.Conclusions: There issevere im discomfort causedby Treatment. Stresswasreportedtoaggravate of lifewassymptomsandfeelings followedbydailyactivitiesand unmarried andwithfacialinvolvement. The mostaffected aspect respectively). DLQI wasfoundto be slightly higher formale, with statistically significant impairment (p =0.049and =0.048, arthritis andlarge bodysurfaceareainvolvementwereassociated indicating a severe quality of life impairment. Presence of psoriatic following: postherpeticpseudolymphoma?Jessner-Kanof lymp diagnosis wasstillunknown. The differential diagnosiswasthe cream withacidumfusidicum–withoutpositivedynamics,the day 14days,antihistaminictreatment,topicallyhydrocortisone was notfound.Further, sheuseddoxycycline100mg2timesa calcium gluconatesolution.Duringtheexaminationdemodex she wasrecommendedtousezincpaste,hydrocortisonecream, of the upper lip, chin, than she applied to a dermatologist, where skin the on infiltrates of appearance the noticed she effect.Later nected with the herpetic process, used antiviral treatment without skin ofthe face, accompanied byitching and burning, that she con used without effect. Since 2018 she had niticed changes on the and recommended antihistaminic treatments, moisturizers that she on theskinofherbackandhands,wasexaminedbyallergist disease, spastictorticollis.Since2016shehadnotedperiodicrash diseases: nodulargoiter, arterialhypertension,arthrosis,varicose intensive itch,burning,aggravatedbytheevening.Concomitant rash onthetrunkandupperextremitiesfaceaccompaniedwith onthe complains oldappliedtoourcenterwith The patient68years cosmetology, Moscow, Russia Moscow scientific and practical center of dermatovenereology and Svetlana Bobko LYMPHOPLASIA OF THE FACE AMPLIFIED ITCHINPATIENT WITH A7 long-term treatmentcompliance. should include psychological support for their mothers to maintain pairment inqualityoflifepsoriasis patientsinNepal. 13.67 very large effect onpatients’ liveswasseenwithMeanDLQIof according torecommendationbyFinlayandKhan.Results:A were calculated.PatientscompletedDLQIquestionnaire,scored BSAon 60consecutivepatientsofplaque-typepsoriasis. andPASI prospective studywasconducted(March2015toFebruary2016) life, by using DLQI. Quality oflifeandriskfactorsforexperiencingpoorer physical function. We aimed to study burden of psoriasis on even and burden, financial activities, social work, relationships, effects onemotionalwellbeing, psychologicalstress,selfesteem, Introduction: Impact of psoriasis is broad and deep, including 2 1 Richa Tripathi PATIENTS INNEPAL QUALITY OF LIFEIMPAIRMENT INPSORIASIS A8 with regressoftherashonface,bodyandhands. for 14days,latertacrolimusointmenttwiceadayduringmonth reduced itch. The patient used clobetasol ointment 2 times a day mended alimemazin5mg1tabatnightforseveralmonthsthat on somaticallychangedbackground(Pseudo-allergy?) andrecom diagnosed artificial disorder with elements of limited hypochondria granuloma. Inadditionshewasconsultedwithpsychiatrywho diagnostic biposy from the skin ofthe face that proved eosinophilic a done was There granuloma? eosinophilic infiltration? hocytic astha ences, BirHospital,Kathmandu,Nepal Department OfDermatology, National Academy ofMedical Sci- Department of Dermatology, National Medical College, Birgunj, 2 ±

6.85. Two-third ofpatients (66.67%) had DLQI score >10 1 , , Andrey Lvov, DmitryRomanov Rushma Shrestha Materials and 2 , Bhaskar MohanMeherKay- A cross-sectional Methods: A Acta DermVenereol 2019 Posters 731 - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta 1 DLQI was7.6 (45.1% females, mean age 51.4 internet addiction.Results:Firstresultsconsidering186patients for example tobacco addiction, alcoholism, gambling disorder and depression, anxietydisorderandsixcommonaddictions,including Furthermore, standardizedquestionnaireswereusedtoexamine PASI) andDermatologicalqualityof life (DLQI)wereassessed. and SeverityIndex(PASI), thehighestdocumented PASI (Peak process. Besides general patients’ characteristics, Psoriasis Area Süd-West e. V.) wereinvitedto participateintherecruitment a physiciannetworkfocusingonpsoriasis(Psoriasis-Praxisnetz dictions amongdermatologicalpatients.Methods:Physiciansof gate theprevalenceofdepression,anxietyanddifferent ad including mentaldiseases. The aimofthisstudywastoinvesti Background: Psoriasisisoftenaccompaniedbycomorbidities, Germany nikum rechts derIsar, Technical University ofMunich, Department ofDermatologyand Allergy, UniversityHospitalKli- Zink Maximilian Schielein ADDICTIONS INPSORIASIS PSORIASIS AND MENTAL HEALTH – A FOCUSON A10 the developmentofpsychopathologiesinpsoriasis. temperament andattachmentstylesmayhaveaneffective rolein psoriasis, affective temperamentandattachment styles.Particular Conclusion: hyperthymic temperament had more anxious attachment profiles. style of patient group (p <0.05). Psoriatic patients with anxious/ anxious/hyperthymic temperament scores and anxious attachment ( cyclothymictemperament scores temperamentandlower anxious patients hadhigherCompared tothecontrolgroup,psoriasis Adult Attachment StyleScalewereusedforassessments.Results: of Memphis,Pisa, Paris and San Diego Autoquestionnaire) and mic/psychiatric disorder. TEMPS-A (Temperament Evaluation were volunteers(n =50)nothavingchronicdermatoses/syste having anysystemic/psychiatricdisorder. Incontrolgroup,there Methods:The patientgroupincluded50psoriasispatientsnot and affective temperamentcharacteristicsofpsoriasispatients. psychopathologies. disorders, these factorsare likely to predict possible associated psoriasis. While psoriasis patients suffer fromsome psychological them mayaffect copingstrategiesforchronicdiseasessuchas related totemperamentcharacteristics,andinteractionbetween with psychosocialcomorbidities. Attachment stylesareactually between attachment styles andcutaneousdisorders associated Background: In recent years, a substantial link is suggested Altunay Kıvanç İlknur PERSPECTIVE IN A DISABLINGDISEASE STYLES OF PSORIASISPATIENTS: A NOVEL AND ATTACHMENTCHARACTERISTICS AFFECTIVE TEMPERAMENT A9 732 PeakPASI was stated with 16.5 patients suffering fromamoderatetoseverepsoriasis. The mean search Hospital,Istanbul,Turkey Health Science University Sisli Hamidiye Etfal Training andRe- These could be considered for future identification of psoriasis of identification future for considered be could These mental health.Furthermore,aset ofriskfactorswillbepresented. of thisstudyshouldgiveagood summaryofpsoriasispatients’ Aydın Department ofPscyhodermatology, p <0.05). There was statistically significant relationship between 1 , EzgiÖzkur 18 th Congress of the European Society for Dermatology and Psychiatry This is a preliminary study points out the link between This isapreliminarystudypointsoutthelinkbetween ± 6.1 andthemeanPASI 7.7 1 Objective: To reviewtheattachmentstyles , 1 Linda Tizek, Tilo Biedermann, , Kenyul Salaeva ± ± 7.6. 12.8 years) showed that the mean 12.8 years) showed thatthe mean 2 Further analyses Discussion: Further analyses Department ofDermatology, 1 , ± c Uğurer Ece 6.1 with31.2%ofthe Alexander 2 , Çiğdem - - - -

16.01 had vitamin D deficiency. The average values of vitamin D were with normalbodyweight. At thebeginningof study, allchildren more pronounced andwith less standard therapy than in children noted. Inchildrenwithincreasedbodyweight,itchingwasmuch body weight and a tendency to the development of obesity were transformed intoaplaque(p =0.02).In6children,anexcessof psoriasis. All childrenhaveateardropshapeforseveralyears pharyngitis andpneumoniaprovokedexacerbationsofguttate family historywaspresentin9(20.0%)patients.Streptococcal onset ofpsoriasisbetweentheages10and14years. A positive the 6–10-yearagegroup,whereasmajorityofgirlsshowedan changes inweatherconditionswasrevealed,overcooling,over chemicals. In6(7.72%)patients with psoriasis, arelationship with exposure todrugsthatcancausesensitizingeffects, contactwith and relapseswereassociatedwithagrossviolationofthediet, acute respiratorydiseases.In14(11.02%) patientswithpsoriasis the skinprocesswithpreviousdiseasesofinternalorgans and with psoriasis noted the occurrence of clinical manifestations of noted in53(41.73%)patientswithpsoriasis.37(29.13%) was overstrain mental and psycho-emotional situations, conflict occurrence ofclinicalmanifestationsassociatedwithstressand for 3monthspriortoparticipationinthestudy. Results:The had no mental pathology or treatment with psychotropic drugs The familyhistories&casewerescrutinized.Patients itself, and in turn, stress can worsen psoriasis. However, canworsenpsoriasis. itself, andinturn,stress mostPso stress makes Psoriasis Conclusion: the exacerbationofdisease. people with psoriasis could not find out the conditions that led to heating, excessive insolation led to manifestation. 17 (13.38%) of age range36.92 Methods: There were127patientsexamined(69men,58women, capacity to initiate, maintain, or exacerbate psoriasis. Materials & brain. Psychologicalstresshaslongbeenconsideredtohavethe which bilateralcommunicationoccurbetweenthebodyand non, isnowappreciatedasanelaboratephysiologicpathwayby Introduction: Stress,onceanabstractpsychologicalphenome Ukraine of National Academy ofMedicalSciencesUkraine”,Kharkiv, Venerеology and Dermatology of “Institute Establishment State Yanina Kutasevych, EXACERBATION OF PSORIASIS PSYCHO-EMOTIONAL FACTORS IN A11 patients whohaveahigherriskofanadditionalmentalburden. of onsetwas7.2 (37.77%) girls,withamale tofemale ratio of1.65:1. The mean age metology in2014to2017. There were28(62.23%)boysand17 Cos and Dermatovenereology of Center Practical and Sientific 5 to17years)withguttatepsoriasisregisteredattheMoscow In thisretrospectiveclinicstudy, the datafrom45children(ages of Center Practical Dermatovenereology andCosmetology, Moscow, Russia and Sientific Moscow Federation, Russian Elena Kasikhina IN CHILDREN CLINICAL FEATURES OF GUTTATE PSORIASIS A12 can decreasehealthcarecostsandshortenthetherapeuticperiod. patients, recognitionandtreatmentofthepsychosocialproblems psychosocial aspectsofthediseaseisveryimportantinpsoriatic the considering So, psoriasis. of stigma social and disfigurement stress describedisease-relatedstress,resultingfromthecosmetic riatic patients who reported episodes of psoriasis precipitated by ± 3.98 ng/ml. ± ± 1.3 years. The peakageofonsetinboyswas 14.61 years)withpsoriasisintheacutestage. Iryna Oliinyk, Valeriia Matiushenko - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV Augustin University MedicalCenterHamburg-Eppendorf (UKE),Germany for Health Services Research inDermatologyandNursing(IVDP), Shiraz UniversityofMedicalScience, Shiraz,Iran Neda Emad,LadanDastgheib TREATMENTPHOTOTHERAPY WITH QUESTIONNAIRE IN VITILIGO PATIENTS UNDER GAD-7 TO ACCORDING DISORDER EVALUATION OF GENERALIZE ANXIETY A15 these cases. and psychiatricinterventionsalsoshouldbeinitiatedtotreat with dermatologicaltreatment of hairconditions, psychological important role in triggering and precipitating hair disorders. Along these patients. To conclude,inpatientswithhairloss, stress plays Counselling andrelaxationstherapieswerealsogiventomanage follow upwaskepttoassesstheirstressresponseineachvisit. and referred topsychiatristforfurther systemic treatment. Regular ned throughBodyDismorphicDisorderQuestionnaire(BDDQ) were diagnosed with Body Dysmorphic Disorder. They were scree PRP therapyandHairtransplantsurgery. 46patientsout of200 treated by medical and surgical treatmentwhich included topicals, of 3years.Patientsoverallevaluationhairfallwasdoneand 200 patientswith Androgenetic alopecia(Grade3–7)foraperiod image, phobia, and distortion ofsocialinteractions. We observed patients. Stressinacuteandchronicformleadstonegativebody early onsetof ofyoung thepsyche Androgenetic alopeciadisturbs dermatology outpatientdepartment. Though ithas geneticetiology, Androgenetic alopecia with varying grades are commonly seen in Clinic, Thiruvananthpuram,Kerala,India Consultant Dermatologist and Psychologist, DermaVue Skin Pranaya Bagde ALOPECIA WITH ANDROGENETIC BODY DISMORPHICDISORDERINPATIENTS A14 further researchisneeded. and stigmatizing.Duetothelimitednumberofstudiesavailable Alopecia, regardlessofitsoriginseemstobehighlyburdening alopecia was described as distressing and stigmatizing. Discussion: rare.Overall, was ofstigma Selectivemeasurement subscale. tion ofstigmawastheHairdexwhichcontainsastigmatization trichotillomania andothers.Mostcommontoolfortheevalua loss includedchemotherapyinducedalopecia,alopeciaareata, research and four studies were cross sectional. Reasons for hair were conference abstracts, three articles consisted of qualitative fulfilled all criteria and were therefore included in the review. Three Results: The literature research identified 92 articles. Of those, 10 using accordingSTROBEandCOREQstatements,respectively. considering stigmatization of hair loss were included and evaluated registered at PROSPERO database, prior to execution. All studies and PsycNET databasesuntilFebruary8th2019. The reviewwas guidelines wascarriedoutusingPubMed,EMBASE,PsycINFO keywords relatedtothestudiedtopicandaccordingPRISMA A systematicliteraturereviewusingselectedMeSHtermsand tered perception ofones’ appearance and stigmatization. Methods: al an to lead can loss hair finding, visible causes. typically a As Background: Hairlossvariesinseverityandcanhaveseveral 1 Maximilian Schielein SYSTEMATIC REVIEW STIGMATIZATION:HAIRLOSS AND A A13 nikum rechts derIsar, Technical University ofMunich, Department ofDermatologyand Allergy, University Hospital Kli- 2 , Tilo Biedermann 1 , Linda Tizek 1 , Alexander Zink 1 , Rachel Sommer 1

2 , 2 Matthias Institute - - -

Sciences, UniversityofBradford, UK and werewithoutotherskinorpsychiatricdiseaseaddiction.Fi were recorded in outpatient clinics. Patients aged 18–60 years old files whose phototherapy, with treatment under patients vitiligo and vitiligo patients under treatment with phototherapy. Material Anxiety disorder(GAD)accordingtoGAD-7questionnairein anxiety inpatients.Therefore,wedecidedtoevaluateGeneralize is different with many diseases that may causesome degree of involve exposedareaandthistypeoftreatment(phototherapy) ment modalities is Phototherapy. While this depigmentation can considerable frequencyinsocietyandoneofitsprincipaltreat Introduction: Vitiligo isapigmentarydisorderofskinwhichhas studies arerecommendedtoobtainmuchaccuratedata. life. Duetolimitedsamplesizeandbudget,morecomprehensive psychiatrically toimprovetheiranxietyandenhancequalityof frequency ofGADinpatients,itissuggestedtoevaluatethem sion: Although vitiligobasicallyinvolvesskin,duetoimpressive (T-score group patients’ =0.046). in more significantly was 8.35(Female9.45/Male7.47),whichrevealedthatGADis group was9.67(Female9.77/Male =9.50)andincontrol mild, 20.4%moderate, 12.9%severe. Mean GADscore in patient mild, 27.3% moderate, 13.6% severe & control group:66.7%% (score into 3groups:(score0–10 < voluntary. group,patient’s companions(48Female/60Male)wereinvolved nally, 110 patients(68Female/42Male)wereevaluated.Ascontrol Hamidiye EtfalTraining andResearch Hospital,Istanbul,Turkey Department ofPscyhodermatology, HealthScienceUniversitySisli Ezgi Özkur, İlknurKıvanç Altunay, GülŞekerlisoy COSMETIC PROCEDURES INDIVIDUALS SEEKING MINIMALLY INVASIVE PSYCHOLOGICALFINDINGS AMONG A17 are onlyoflittlehelpforimprovingwell-being. are usedbyaminorityofpatientsfordisease-relatedpurposesand chological stressinthediseasecourse.Conclusions:Socialmedia older, often divorced/widowed/separated anddidnotimply psy fewer contacts.Patientssharingvitiligo-relatedexperienceswere sion andBodyDysmorphicDisorder. The lattercasesalsohad females/29 males, n = Questionnaire. PHQ-9-Depression ScaleandtheBodyDismorphicDisorder vitiligo-related data, the Dermatology Life Quality Index,the questions regardingsocialmediauseandsocio-demographic-/ well-being ofpatients. Methods: 81 patients with vitiligo answered media fordifferent disease-relatedpurposes hasanyeffect on are widelydocumented.Hereweinvestigatedwhetherusingsocial often leading toanimpairedwell-being.Psychosocialimplications Objectives: Vitiligo causes white depigmented patches onthe skin, 1 Christian Krüger SOCIAL MEDIA USE AND VITILIGO A16 University of Greifswald, Greifswald, Germany, social mediaactivitieswithfriends/familywerelinkedtodepres cyberbullying was rare, albeit influential on well-being. Reduced actively forsharinginformationorexperiences.Disease-related used socialmediaratherpassivelyforseekinginformationthan thanonehour/day. ofless average use Regardingvitiligo,patients media usersatall,mostlyforlongerthanoneyearandwithan IV-VI (Fitzpatrick classification). Institute for Pigmentary Disorders (IFPD), in association with Method: This case-control study was based on the recall of > 15) severe. Therefore, paitients are categorized as: 59.1% Result: In this questionnaire, severty of GAD devides Patients: 1 , KarinU.Schallreuter 65 with skin phototypes I-IIIand n = mean age46.4years(17–71years),52 ) mild,(score 10–15)moderate&) mild,(score Results: Two thirdsweresocial Guided PosterSession 1,2 Acta DermVenereol 2019

2 , Çiğdem Aydın Centre forSkin Conclu 16 with 16 with 733 - - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta levels ofinfestationarereported worldwide,affecting especially and iscausedbythePediculushumanus capitisectoparasite.High Pediculosis capitisisaskindisease thataffects thehairandscalp, University ofCauca,Colombia Research CenteronMicrobiology andParasitology(CEMPA), Arteaga Angela MedinaOrtega, COLOMBIA KINDERGARTEN CHILDRENFROMPOPAYÁN, WITH PEDICULOSISCAPITISIN PREVALENCEVARIABLES AND ASSOCIATED B2 of insects. persistence, absenceofhead inspection andmechanicalremoval The appearanceofsuchsymptomswasfacilitatedbyriskfactors reportedinliterature. uncommon symptoms patient presentedwith hematic crusts,anemia,alopeciaandlymphadenopathies.Our tion whichleadstoimpetiginization,furunculosis,excoriations, on skinintegrity, facilitatingopportunistic bacterialsuperinfec sis capitispersistenceandintensescratchingcaninducechanges control arenecessaryinordertothisinfestation.Pediculo and healthproblems).Knowledgeaboutriskfactorssanitary negative impactonindividuals(psychological,economic,social multiple adenopathiesandanemia.Pediculosiscapitiscausesa treatment. This casewasassociatedwithfurunculosis, skinlesions, was infested during a year. She did not improve with shampoo properly. We presentthecaseofascholargirlwithheadlicewho rity of cases, pediculosis capitis shows a benign course if treated (head lice), which affects hair, hair scalp and skin. In the majo world. This infestation iscausedbyPediculushumanuscapitis Pediculosis capitisisthemostfrequentectoparasitosisaround 1 Angela Medina Ortega COLOMBIA PRESCHOLAR GIRL.FIRST REPORTED CASEIN SEVERE PEDICULOSISCAPITISIN A B1 tions forseekingcosmeticprocedures. was 38.4 age mean and [85%]) (46 female married mostly were seekers Social Adaptation Self-Evaluation Scale(SASS). Symptom Inventory(BSI), Automatic Thoughts Scale(ATS) and Brief form, data sociodemographic out filled participants All surgery) beforeandnotwanttohaveanyoftheseprocedures. didn’t haveanykindofcosmeticprocedure(including and comparedtotheage,sexmatchedcontrolgroup(n =52)who tion, mesotherapy, platelet-rich plasma and dermaroller treatments) seeking MICP (botulinum toxin injections, soft tissue filler injec sectional studywasconductedwithasampleof54participants motivation toseekforMICP. Methods: This observationalcross- patients. know aboutpsychiatricsymptomsorbehavioralpatternsofthese procedures (MICP)continuetoincrease.Infact,wedonotentirely well-being, and thus demand forminimally invasive cosmetic sical appearancewiththepurposeofraisingtheirpsychosocial Background: Nowadays,somanypeoplewanttoaltertheirphy 734 trató, Risaralda,Colombia importance ofunderstandingindividuals’ psychologicalmotiva SASS (p =0.001). (p =0.008) ofBSIand ATS (p =0.022),andalsolowerscoresof (p =0.018), depression0.004),andinterpersonalsensitivity higher scores ofGeneral Severity Index (p = Samboní University ofCauca,Popayán, Research Center on Microbiology and Parasitology (CEMPA), 18 2 Objective: To investigatepsychologicalfactorsbehind ± Reinel Vásquez Arteaga , Reinel th 10.5. Comparingtothecontrols,MICP seekershad Congress of the European Society for Dermatology and Psychiatry Our study findings highlight the highlight findings study Our Conclusion: 1 , David LópezValencia, ReinelVásquez David LópezValencia 2 San Vicente dePaulHospital,Mis- 1

0.013), anxiety 1 , Results: MICP Diego Hoyos ------refusal to attend school, itching, accompanied «feeling ants craw behavior, instabilityoftheemotions,reducedvolitionalactivity, mother, child’sher in with difficulties center of our complaining and should be thoroughly evaluated. A 14-year-old girl came to Self-inflicted lesions could be observed in schizophrenic patients Mikhail Makmatov-Rys SCHIZOPHRENIA CHILD WITH CASE REPORT OF SELF-INFLICTEDLESIONSIN B3 ectoparasitosis were female sex, long hair ( the studiedpopulationwas11.5%. The variablesassociatedwith each parentorguardian. The prevalenceofpediculosiscapitisin by out filled were survey structured a and consent informed An the frontotemporal,parietooccipital,mastoidandnuchalregions. nically removedusinglicecombsandwettingthehair, covering the head was examined. Nits, nymphs and adult lice were mecha a sampleof148childrenagedbetween1and5yearsage.Only in Popayán,Colombia.Cross-sectionaldescriptivestudybasedon that are associated with pediculosis capitis inkindergarten children children. Results: This studywason40 studentswithageof8.78 evaluated bycoupersmithself esteemandSDQquestionare. psychotherapy andbefore,after and3monthlaterwouldbe area ofeducationshiraz. These studentsparticipatedingroup group. The goalpopulationisall9–12yearoldstudentsin2nd Method: This projectisarandomizedclinicaltrialwithcontrol has goodeffect onself-esteemimprovement.Materialand mental health.Researchershaveshownthatnarrativetherapy for personalitychangesandplaysanimportantroleinchildren’s that onecanhaveinlife.Itisofthemostimportantfactor Introduction: Self-esteemisoneofthemostimportantfactors Shiraz, Iran Arash Mani,MelikaMoridi CONTROL GROUP CLINICALCHILDREN: OLD TRIAL WITH PROBLEMS AND SELF-ESTEEMOF 9–12 YEAR- PSYCHOTHERAPY ONBEHAVIOURAL EFFECTIVENESS OF NARRATIVE GROUP B4 schizophrenia. on above-describedmanifestationswediagnosedpseudoneurotic tipsychotic andsedativeeffects, as wellasantidepressants.Based symptoms andreliefofitchingwhiletakingmedicationswithan der. Inthedynamics,therewereagradualdecreaseinpsychiatric by cognitive alternations caused, probably, by organic CNSdisor inconsistency, diversityandloss oflogicthinking,accompanied of form the in sphere associative the of disturbances significant was not effective. A pathopsychological examination revealed She wasdiagnosedwithprurigoinfantilis,however, thetreatment gists, allergologists, wasexamined attheInstituteofParasitology. extremities. Inpastshewasrepeatedlyconsultedbydermatolo linear scarswithoutanystrictlocalizationontheface,trunk,and revealed multipleexcoriations,spotsofsecondarypigmentation, were persistingandaggravatingfor3years.Physicalexamination ling ontheskin»and«scratchingtoulcers». These complains by fourunivariates. The meanofbehaviouralproblemsinSDQ dermographic variables. Behaviouralproblems were evaluated There were no significance difference between the two groups in Moscow, Russia Practical Centerformentalhealth ofchildren andadolescents, 1 campaigns arestronglyrecommended. from Popayán.Promotion,preventionandpediculicidetreatment pruritus. Pediculosis capitis is present and perpetuated in children Moscow Regional Research andClinical Institute, Objectives: To determine the prevalence and the variables 1 , NinaBuromskaya 2 , PavelZaytsev

>

3 cm) and scalp 2 Scientific and Scientific ± 2 0.34. - - - - -

Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV logy, Ferdowsi UniversityofMashhad,Iran 1 no significant reduction were recorded in the control group. The control the in recorded were reduction significant no while group, CBT study after the improved in significantly were to thecontrolcondition.Bothanxiety anddepressionsymptoms score aswellSPSafter2 monthfollow-up,incomparison severity photograph on improvement more significantly showed 2-month follow-up.Results:Participantsinthetreatmentcondition beck anxietyanddepressioninventoriesatthebaselineafter a anxiety and depression were evaluated and classified by means of area todetermineclinicalseverityrating.Besides,symptomsof was assessed,andphotographsweretakenofthemostdamaged a 2-monthfollow-up,self-reportedSkinPickingScale(SPS) held during2monthsforthestudygroup. At pretreatment,and standard medication.Furthermore,eightsessionsofCBT were ned toaCBT orcontrolgroup.Boththegroupsreceivedsimilar trial. a treatmentfor AE inadultsarandomizedcontrolledclinical pare theeffectiveness ofcognitivebehavioraltherapy(CBT)as continue tomanipulatetheirlesions. Aims: Itwasaimedtocom disorders particularly mood disorders thus, patients generally matology practice. AE is mostly associated with some psychiatric der in challenge difficult a is (AE) Background:excoriée Acne Emadodin Darchini-Maragheh EXCORIÉE PROGRAM ASANADJUVANTIN ACNE THERAPY COGNITIVE BEHAVIORAL LIFESTYLE B6 development ofparapsoriasis. to excludetheprovokingroleofherpesviruseschildrenin patients, to cytomegalovirus – in 2 patients. That doesn’t allow were foundin4patients,humanherpesvirustype VI –inall5 with severescarring.PositivetitersofIgGtoEpstein-Barrvirus The earlyonsetcausesamoreaggressivecourseofparapsoriasis elements, somepapuleswereresolvedwithhyperpigmentation. Multiple whitishatrophicscarswereformedonthevarioliform necrosis and flat lenticular pink papules with peeling in the center. external therapy. Rashes were bubbles with central hemorrhagic process wascommon,persistentandresistanttosystemic ulceronecrosis and hyperthermia began at the age of 1.5. The skin mentation, tendedtoregress. The girl’s pityriasis lichenoides regressed ofsecondaryerythematousspots,hyper-anddepig up to0.8cmwithgrayishscales. After antibiotictherapy, papules debuted at the age of 4 to 11 years. Rashes were flat pink papules to 14years. All boyspityriasislichenoides et varioliformis acuta 2018. There were4(80%)boysand1girl(20%)aged2.5 Practical CenterofDermatovenereologyandCosmetologyin and Sientific Moscow the at registered lichenoide pityriasis In thisretrospectiveclinicstudy, thedatafrom5childrenwith ofDermatovenereology and Cosmetology,Russian Federation,Moscow, Russia Center Practical and Sientific Moscow Elena Shackaya PITYRIASIS LICHENOIDESINCHILDREN CLINICAL FEATURES OF THE COURSEOF B5 one oftheimportantpriorities. recommended thatprogrammingforstudents’ healthshouldbe a smallroomformentalhealthineducationsystem.So,itis through thetime.Conclusion: The resultsshowthatthereis self esteemhaddecreasingandincreasingpatternrespectively significantly different, butalltheunivariatesofbehaviouralproblemand not were smith cooper in esteem self and form radi of Medical Sciences, Cutaneous LeishmaniasisResearch Center, MashhadUniversity 2 , MaryamSaeidi Methods: Thirty-two adultswith AE wererandomlyassig 2 2 Faculty of educational sciences and psycho - , MahdiRazmara 1 , Vahid Mashayekhi 1 1 , Arezoo Mo- - - - - India the managementofthesepatientsinclinicalsetting. option for AE andshouldbeconsideredasanadjuvanttherapyin the controlgroup.Conclusion:CBT constitutesautiletreatment in the study group which took significantly less time compared to of Palliative Medicine, experiences andprojectpalliativepsycho-dermatologyaspoten patients. Hence this presentation aims to share ourundocumented significant anxiety of disfigurement and social inhibitions in such patients that skindisordersirrespectiveofthediagnosescause In ourexperiencereversesituationalsoprevailamongpalliative can appeardenovoorthepreexistingdiseasesbeaggravated. context, allthedermatoseswithemotionalorneuralcomponents nearly all patients will experience delirium as death nears. In this depression, 70% will experience clinically significant anxiety, and hospice services50%ofthepatientswillexperiencesymptoms dermatological approachinmostcases.Ithasbeenreportedthat experiences clearlyledustorevisittheconceptincludepsycho and dermatoses requiringpalliativecare.However, ourclinical between both branches in to dermatoses among palliative patients recognized yet. Our past literatures had classified the relationship diagnosis. Roleofdermatologistinpalliativecareteamisunder- and spiritualpainofthecriticallyillpatientsirrespective Palliative careisaimedatreducingthephysical,mental,social 1 Bishurul Hafi AND EXPERIENCE PALLIATIVE PSYCHO-DERMATOLOGY: SCIENCE B7 therapy resultedincomplete remission after5.70 common conditions attending the OPD include Psoriasis, Atopic years. Around 500 patients areattendingtheclinicyearly. The OPD in Govt. medical college,Calicut, kerala, India, for last 10 matologist and psychologist conducting a Psychodermatology Der qualified a is presenter The encountered. conditions skin involvement andalsodiseases of polygenicetiology. Common areprimarily orsecondarilyrelatedtopsychicskin diseases in thepathogenesisofmanydermatologicalconditionswhere and adjustmentdisordersarecommon.Stresshasagreatrole from 30–40%,andIP patientsupto60%. Anxiety, depression morbidityinOPdermatology practicePsychiatric patientsranges nisms mentionedinavarietyofdermatologicalconditions.In stress caninduceorexacerbatemanyofthepathogenicmecha part ofNICE-(neuro-immuno-cutaneous-endocrine)systemand ectoderm, skindiseasescanaffect mindandviseversa.Skinisa decades. Sincebothskinandbrainoriginatedfromthesame of causality, andtherapyconceptsindermatologyoverthepast dramatically changedthemorbidity, pathogeneticunderstanding have influence of factors cultural socio or Emotional attention. the psycheorandskinisbeinggivenincreasing trigger skindiseasesalso. The relationshipbetweenthe skinand In thesameway, emotionalorpsycho vegetativedisordersmay scars. with heal to tends or disfiguring is lesion the if especially rable emotionalandpsychosocialstressintheaffected patients, seases locatedonvisibleareasoftheskinmayleadtoconside Introduction: Everydermatologistknowsthatchronicskindi India Additional Professor, Govt.Medical college, Calicut, Kozhikkod, Abdul Latheef PSYCHODERMATOLOGY PRACTICE INDIAN EXPERIENCEOF 10 YEARS B8 symptoms inendoflifepatients. dermatological alleviate to approach scientific innovative tially IQRAA International Hospital andResearch Institute, 1 , UvaisNA 3 Government Medical College, Kozhikkod, 1 , Anwar Husain Guided PosterSession Acta DermVenereol 2019 2 , Abdul Latheef ± 2.02 months 2 3 Institute

735 ------Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta aison PsychiatristNELMH order toimproveourholisticapproach. than expected. Further research is required for interventions in towards dermatologistsinpsychodermatology, although lower medical opinion.Ourdatahighlightthehighlevelsofdistrust towards theirphysician,while33%reportedwishforasecond of theirneedsrespectively. 25%reportedlimitedtrustlevels thought thattheirdoctorsdonotreallycareorareinconsiderate nodular prurigo(14%)andBDD(8%).25%45%ofthem mon presentationwasdelusionalinfestation(32%)followedby tion ofdiseaseforallpatientswasabove6months.Mostcom 30 whiletheremaining16%werebetween18–30years.Dura take partinthetrial.84%ofparticipantswereaboveage of their treatingphysician.Only37outof90patientsconsentedto Questionnaire wasusedinordertoassesspatients’ viewsabout in thestudy. The 11-item Patient-Physician-Trust andRelationship specialist psychodermatologyclinicinMarch2019wereenrolled psychodermatology clinic. All consecutivepatients,seeninour assess thepatient-physiciantrustandrelationship inourspecialist complain morethandermatologypatients.Ourobjectivewasto patients are more likely to blame doctors for misdiagnosis and thatpsychodermatologyadherence totreatment.Datashows Patient-physician trustisakeyfactorinachievingcompliance/ 1 Pinelopi-Zoi Stavrou EXPERIENCE WITH 37 PATIENTS PSYCHODERMATOLOGY CLINIC:OUR AND RELATIONSHIP IN A SPECIALIST PATIENT-PHYSICIANTHE ASSESSING TRUST B9 better patientcare. have abasic psycho dermatological orientation forexecuting management. The presenterbelievethatalldermatologist should chotherapeutic interventionsalongwithroutinedermatological response in many above mentioned conditions by combining psy approach. The presenterhasobservedverygood therapeutic is veryhighinmyexperiencethroughthepsychodermatology Conclusion: and oranxiolyticsmaybeneededinaddition to psychotherapy. psychiatric morbiditypharmacotherapywithanti-depressants severe to moderate of case In sufficient. is alone psychotherapy based psychotherapy. In cases of minor psychiatric morbidity imagery techniques, breathing exercise and deep psychologically analysis, neurolinguisticprogramming,Psychoguided family therapy, hypnotherapy, behaviortherapytransactional cognitive behaviourtherapy, relaxationtherapy, grouptherapy, macological PsychotherapeuticproceduresIamusinginclude methods areusefulforthemanagement. The variousnonphar to relievestress.Nonpharmacologicaland chosis. disorder, bodydysmorphicdisorderandmanicdepressivepsy order, social withdrawal, learning difficulty and rarely delusional depression – (various types and grades) anxiety, adjustment dis comorbidities The common psychiatric co- morbidity includes etc.( detailedstatisticswillbepresented).Commonpsychological pemphigus vulgaris,,skinpickingsyndrome,systemicsclerosis venereophobia, cutaneousdysesthesia,Postherpeticneuralgia, dermatitis, delusionofparasitosis,urticaria,Hansen’s disease, areata, glossodynia,hyperhydrosis,trichotillomania,factitious zema, Pruritus,Lichenplanus, Vitiligo, acneexcoriee,alopecia dermatitis, Neurodermatitis,Prurigonodularis,Nummularec 736 thony Bewley Royal London Hospital,BartsHealthNHSTrust, Management: 18 th Congress of the European Society for Dermatology and Psychiatry The quality of treatment and patient satisfaction level 1

1 , Our managementshouldincludemethods Maria-Angeliki Gkini 1 , Ruth Taylor 2 Consultant Li- 2 , An------showed efficacy, longremission. in combinationwithlowdoseisotretinoinandlasertechnology (group 1) and 63.72% (group 2) (p < 0.01). Psychiatric treatment chology, LomonosovMoscowState University, matic disorders, Mental health research center, logy, andCosmeto- forDermatovenereology Centre Practical and fic Clinical Dermatovenereology and Cosmetology, MoscowScienti nov First MoscowState Medical University (Sechenov University), age –41years).Results: In EDQ, statistically significant differen with anerbiumlaser(2,936nm,energy density2.21–2.65J/cm combination withlowdoseisotretinoin(8–10mg/day)andSMA in hydroxizine received group first groups. The two into divided (SMA) witherbiumlaser. Methods: Thirty femaleswithEA were with isotretinoin(0.2–0.3mg/kg)andspatiallymodulatedablation combination in treatment hydroxizine of efficacy the assess To plex therapycanhelptostopthefurtherprogressionofEA.Aim: efficacy of acne therapy. The use of psychotropic treatment in com technology. The patients’ laser habitualscratchingisthecauseoflow using scars and ulcers skin self-inflicted of management Therapy of excoriated acne (EA) includes acne treatment and Moscow, Russia Natalia Frigo Anastasia Igoshina, EXCORIEE EXPERIENCE OF COMPLEX THERAPY OF ACNE B10 ference” (p < “randomness” (p <0.001),“ambivalency” p <0.01) and“indif ces betweenpatientsandcontrol groupwereobservedinscales and melanocytic NEVI(D22.5),andcontrolgroup(n age –44,6years)withdifferent skindiseases(mainlyL40,L82) (PANAS). The studysamplecomprisedpatients(n Questionnaire (EDQ)andPositiveNegative Affect Schedule two self-reported questionnaires —Emotional Differentiation dermatological diseases. Methods: All participants completed ture ofemotionaldifferentiation disturbancesinpatientswith dermatological diseases.Objective: To studyintensityandstruc one of the psychological mechanisms of pathogenesis in some severity ofalexithymia.Specificsthesedisturbancesmight be in emotionaldifferentiation, i.e.therearedifferent structureand Background: Patients with dermatologic diseases have difficulties 6 1 Ilya Pluzhnikov HEALTHY CONTROL (PRELIMINARY RESULTS) DERMATOLOGIC PATIENTS COMPARED TO EMOTIONAL DIFFERENTIATION IN B11 QGSGS meanscoredeclinedto3.4 achieved. EA was and scars of improvement clinical significant and 6 and 12 month after treatment. scarring grading system (QGSGS) were applied before treatment with anerbiumlaser. Lifequality(DLQI)andqualitativeglobal second group received only isotretinoinin low doses and SMA spot diameter5mm,threeproceduresat1.5monthsinterval). The (group 2) ( ko Parfenova Hospital, Moscow, Russia lysis, Faculty of Clinical Psychology, Moscow Institute of Psychoana- Forensic Psychiatric Department, Central Clinical Psychiatric Department of youth psychiatry, Mental health research center, 4 , Andrey Lvov 5 2 Department ofPsychiatry and Psychosomatics,I.M.Seche Department of borderline mental pathology and psychoso- 6

p 0.01). Besides, significant differences between male

<

1 0.001). Life quality improved 98.99% patients , 4 , Evgeny Parfenov Irina Vakhitova Anna Michenko, 4 2 , Results: In the first group more , Dmitry Romanov Andrey Lvov, MariaKornyat, Olga Mitina ± 1.34 (group1),7.6 3 3 Faculty of Psy- 4 , Department of Anna Michen = = 2,5

180, mean , 155, mean 155, mean Elizaveta ± 1.89 2 ------, Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV in-depth semi-structuredinterview withtheresearcher. Discussion: In addition, those interested will be invited to attend a face-to-face and beautyclinicsitisavailable onlineonrelevantnetworks. structured questionnaire will be administered in dermatological been carriedoutinbeautyandskin carewebsites. Then, a semi- After aninitialliteraturereview, aninternet-basedresearch has blems, like Body Dysmorphic Disorder among others. this risky practice including the presence of mental health pro other hand,littleisknownaboutthemotivationalfactorsbehind which areresponsible for skinorsystemic side-effects. On the products mightcontaincontaminants,orundisclosedingredients, Internet websiteswithnomedicalprescriptions.Someofthese products. Those productsareavailabletobuyfromunregulated body image.Oneofthesebehavioursistheuseskin-lightening people areincreasinglyadoptingriskybehaviourstoenhancetheir Introduction: Inasocietythatstrivesforbeautyandperfection, 1 Alaa Al-Sarraf RELATED DISTURBANCES RELATED PSYCHOLOGICAL AND IMAGE- OF SKINLIGHTENINGPHENOMENON AND INVESTIGATING MOTIVATIONAL FACTORS B13 somatoperceptive accentuations. tion withseverityofdermatosis,hasapersonalitystructureand including cases of paradoxical dissociation of social disadapta predominant roleintheformationofclinicalpictureND, vitiligo, acne, seborrheic dermatitis, rosacea, etc. Conclusion: The dermatoses: significant cosmetically but light, objectively with ranked bydegreeofclinicalseverity;attheotherextreme,ND classical dermatoses;inthecenter-NDwithdermatoses, and ofpemphigus forms severe themost with areND pole ofwhich be schematically representedasanincomplete continuum, atone associated withcosmeticdefect). The clinicaltypology ofNDcan predomination of psychogenic factors (affection of open skin areas, based andinternal-basedNDrevealedinmoderatedermatoseswith with predominationofsomatogenicandvitalfactors.External- dissociative-hypochondriacal NDrevealedinseveredermatoses use ofstandartsetsdiagnosticalscales.Results:Depressiveand vitiligo 42, pemphigus 40 patients) by clinical methods and with 115, eczema109,lichenplanus93;seborrheicdermatitis88, chenov (psopriasis137;atopicdermatitis132;acne118, rosacea patients (av.age 39.5 sogenic mental disorders bychronic dermatoses. Method: Objectives: Studyanddevelopmentofclinicaltypologyno Health Research Centre, Moscow, Russia I.M. SechenovFirstMoscowStateMedicalUniversity, Mental Igor Dorozhenok DISORDERS BY CHRONICDERMATOSES CLINICAL TYPOLOGY OF NOSOGENICMENTAL B12 for theirpathogenesisandtreatment. patients with dermatoses may be a significant psychological factor Such affective disorganization andpronouncednegativeaffect in with different severityofskindisease(p <0.05). the scaleof“negativeaffect” werefoundwhencomparingpatients observed in “negative affect” scale (p < PANAS, statistically significant differences between groups were and femalewerefoundonthe“indifference” scale(p <0.05).In razza London School of Medicine and Dentistry, es, KingstonUniversity, London,UK F45) wereexaminedinDermatologyHospitalFMSMUI.M.Se and Medical Sciences, University ofHertfordshire, Department ofClinical Pharmaceutical Sciences,SchoolofLife 1

1 , Anthony Bewley ± 6.4) withnosogenicdisorders(ND)(F43; 2 , Declan Naughton 0.001). Also, differences on 3 School of Life Scienc 2 Barts andThe 3 , Conclusion: Ornella Co- Methods: 874 - - - - -

detecting SUD.Sometattoosmaybeconspicuousforawareness. Conclusions: Evaluation of dermatologic findings is important for first treatment for substance use were earlier in tattooed patients. 51% (n =53)inheroinusers.Regularsubstanceuseandageof The rateofhavingtattooswas32.7%(n =17)inbonsaiusersand Acne lesions were significantly higher in bonsai users(p vascular lesionsweredetectedathigherratesinheroinusers. comparings betweenheroinandbonsaiusers,injectionscars lesions.Intraumatic scars,infections,acne,neviandvascular most frequent findings in all SUD cases were tattoos, blade scars, examinations wereperformedbyadermatologist.Results:The Dermatological patient. each by out filled were Test(DUDIT) Identification Disorders Use Drug and form sociodemographic with SUD(heroin,n =104andbonsai,52)wereincluded. A clinic of Bakırköy Research and Training Hospital and 156 males hol andDrugResearch, Treatment and Training Centreinpatient bonsai use disorder. Objectives: To detectcutaneoussignsofpatientswithheroinand cutaneous signsmay help physicians recognize substance use. of information. Awareness significant provide may findings cal disorder(SUD) worldwide.InpatientswithSUD,dermatologi Backgrounds: There isarapidincreaseinsubstanceuse 1 Altunay Kıvanç İlknur HEROIN AND BONSAIUSEDISORDER DERMATOLOGICAL MANIFESTATIONS IN B14 of conference. problems inclinicalpractice.Resultswillberevealedattheday the recognitionandtreatmentofunderlyingmentalhealth and theuseofskinlighteningproducts. The resultswillimprove ween mentalhealthproblemsespeciallybodyimagedisturbances, This studywillshednewlightsintotheintricaterelationshipbet well astheconcomitantconditions found. study todescribetheincidence and prevalenceofthisdiseaseas are consistent with the literature on HS. This is the first Moscow locations were associated with severity. Conclusion: Our findings were in5.10%ofpatients. Male sexandperianal andgluteal patients (OR2.78,95%CI2.25– 3.55). Autoimmune diseases We foundthatmetabolicsyndromewaspresentin14.28%ofHS obesity were the most commonly recorded concomitant conditions. locations most frequently affected. Smoking, overweight, and women. The armpits,anogenitalareas,andgroinfolds,werethe from 6 months to 37 years. Тhirty-four percent of the patients were We examined98patientsofHS. The durationofthediseaseranged was 0.45per 100,000. The prevalence ofthis diagnosis was 0.3%. managed in2015to2017.Results:IncidenceofHSMoscow computerized clinicalrecordsofpatientswithadiagnosisHS tive cross-sectional study. Information was extracted from the and Cosmetology. Materialand at Moscow Sientific and Practical Center of Dermatovenereology cribe theprevalenceandclinicalfeaturesofHSinpatientstreated disease thatmainlyinvolveslarge skinfolds.Objectives:Todes Hidradenitis suppurativa (HS) is a chronic recurrent inflammatory ofDermatovenereology and Cosmetology, Moscow, RussianFederation Center Practical and Sientific Moscow Elena Kasikhina CONDITIONS CLINICAL FEATURES AND CONCOMITANT HIDRADENITIS SUPPURATIVA: INCIDENCE, B15 Gül Şekerlisoy Gedik UniversityDepartmentofPsychology, Istanbul,Turkey Sisli Hamidiye Etfal Training andResearch Hospital, Department ofPscyhodermatology, HealthScienceUniversity 1

, KristinaBorodulina Methods: The study wascarried out at Alco 1 , YeşimCan Methods: Retrospectivedescrip Guided PosterSession 2 , Sibel Mercan Acta DermVenereol 2019 2 , Ezgi Özkur

0.022). =0.022). 2 Istanbul 737 1 - - - - - , Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta 28.1%. According toDLQIassessment,theindicatorsofpatients IGA, theeffectiveness of combination therapywashigherby According tothedynamicsassessmentofseverityrosaceaby rosacea accordingtotheIGA correlateswiththelevelofDLQI. in thegroupsreceiving external therapy. Ingeneral, theseverity of nation therapy, the results of treatment were more significant than Based onthe data survey, in patients ofall groups receiving combi regimen, patientsonmonotherapyrepresentedthecontrolgroup. was dividedintosubgroupsdependingontheprescribedtreatment and patientswithpapulo-pustularrosaceasubtype.Eachgroup divided into2groups:patientswitherythematousrosaceasubtype of rosacea. Depending on the rosaceasubtype,all patients were cosmetology included35patientswithanestablisheddiagnosis Moscow scientific and practical center of dermatovenereology and results accordingtothecriteria of DLQI and IGA. Oursurvey in with ivermectinandbrimonidinetartrate)toevaluatethe isotretinoin 0.2–0.4 mg/kg in combination with external therapy tion therapy(systemicwithoraldoxycycline100mg/oral as a control(brimonidinetartrate and ivermectin1%) combina of our study was to compare the efficiency of topical monotherapy skin of the face and often difficult to tolerate by patients. The aim the by characterized disease inflammatory chronic a is Rosacea Moscow, Russia Elena Hlystova, SEVERE MEDIUM-SEVERE AND TAKING COMBINEDREGIMENSOF ROSACEA ASSESSMENT OF PATIENTS’ QUALITY OF LIFE B16 738 18 th Congress of the European Society for Dermatology and Psychiatry Svetlana Bobko, Anna Dmitrieva - - 1 disorder) inordertooptimizethediagnostics. neurosyphilis (schizophrenia,vasculardementiaandpersonality cases thatmaymask inallpsychiatric serological testsforsyphilis zed by psychiatrists. It seems necessarytorecommendwide use of cases of neurosyphilis found in the region it had not been recogni case each(0.16%/617;1.49%/67).Conclusion:In10.86%ofall (0.65%/617; 5.97%/67), Alzheimer’s and Parkinson’s diseases–1 – 17cases(2.76%/617;25.37%/67),neuroticdisorder4 dementia –19cases(3.08%/617;28.36%/67);personalitydisorder of: schizophrenia–25cases(4.05%/617;37.31%/67),vascular 617 cases). who were treated by psychiatrists with false diagnoses Results: Neurosyphiliswasfoundin67patients(10.86%outall between 1999and 2017in the Rostov region (Russian Federation). clinical recordsof617patientswithneurosyphilisfortheperiod in suchpatients.Materials time, andtosuggestmeasuresforpreventionoflatediagnostics treatment specific timely receive not did who neurosyphilis with Aim: To identifythefrequencyofpsychiatricsymptomsinpatients Mikhail Gomberg MENTAL DISORDERS AND NEUROSYPHILIS B17 this result significantly improves the quality of life of our patients. considered the ultimate goal of treating patients with rosacea, as on monotherapyby14.3%.Basedourstudy, clearshouldbe receiving combinedtreatmentwerealsohigherthaninthegroup rina Temnikova Moscow, 2 Rostov-on-Don, RussianFederation 2 1 , Dmitry Temnikov and Methods: Analysis ofdatabase 2 , Vadim Temnikov 2 , Ekate - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV ne, Justus-LiebigUniversity, Giessen, and Dermatology, Charité-UniversityMedicine,Berlin,Germany PSORIASIS VIETNAM WAR: AN EMOTIONAL HISTORY OF HIPPOCRATESFROM TOCYTOKINES AND THE PS3 anxiety ordepression. regulations inresponsetostressessuchaslifeevents,trauma, for thedetectionof hormones, neurotrophins and even epigenetic using hairasanabundantandeasilyaccessiblesurrogatematerial also usedtostudyneuroendocrinestressresponsesinhumans nervous system. This clearlyaffects hairbiologybutispresently the autonomicnervoussystemandpeptidergic peripheral response systemssuchasthehypothalamuspituitaryadrenalaxis, this hairfolliclemicrocosmosiscloselylinkedtosuperiorstress follicle. Duetoitsdenseinnervationandbloodvesselsupply, tors asdothecellsofimmunesystemsurroundingeachhair an abundanceofstressmediatorsandcarrycorrespondingrecep epithelial, mesenchymalandfunctionalcellpopulationsproduce of explanations fortheclose connection: hair follicle associated plenty find will we skin’ssurface, the below go we if that show entific evidence for the stress-hair connection will be reviewed to clinicians oftendoubtitsrelevance.Here,theabundanceofsci and thestateofone’s hairisthereforewidelyaccepted.However, and health. A closeconnectionbetweenpsychosocialwellbeing of informationaboutitscarriers,notatleasttheirstress Hair decoratingaheadisplainlyvisibleandcariesanabundance Psychoneuroimmunology, Eva Peters GOING AWRYRESPONSES HAIR: A TARGET AND MIRROROF STRESS PS2 to reduceinflammationinacne. order tonormalizethealteredformationofsebaceouslipidsand stimulating hormonemimeticpeptide,systheticcanabinnoids)in (botulinum toxin, melanocortin-5 receptor inhibitor, α-melanocyte- neuropeptide-like active substances and/or neuropeptide inhibitors on thepilosebaceousunithasinitiatedclinicalstudieswithnovel neuromediators such of action precise the of identification The lesions. acne early in inflammation clinical of development the ence the feedback regulation in the sebaceous gland, thus inducing of acne inflammation. Central or topical stress may, indeed, influ neurogenic factorsmaycontributetotheonsetand/orexacerbation with increasingemotionalstressfromexternalsources.Cutaneous university students,changesinacneseveritystronglycorrelated the onlymethodologicallyacceptable,prospectivestudywith22 gering orexacerbationofacnehasnotbeenexploredindetail.In of thepatients.However, theroleofstressfuleventsintrig opinion. Stress was considered as the cause of acne from 50% anecdotal observationsanduncontrolledcaseseries,supportthis postulated. Clinicalwisdomandexperience,aswellseveral cially ofstressfullifeevents,onthecourseacnehaslongbeen The possibility of a causative influence of emotional stress, espe Theodor Fontane,Dessau,Germany munology, Dessau Medical Center, Brandenburg Medical School Departments of Dermatology, Venereology, Allergology and Im- Christos Zouboulis OFVULGARIS NEUROENDOCRINOLOGY ACNE PS1 DISEASES SKIN PSYCHONEUROIMMUNOLOGY AND 1,2 1 Department ofPsychosomaticMedici- 2 Center for Internal Medicine Center forInternalMedicine PARALLEL SYMPOSIA - - - - - Qatar, cine, tological Sciences,theUniversityofManchester, 1 1 mental Psychology, theUniversityofManchester, Manchester, UK Dermatology, Charité-UniversityMedicine,Berlin,Germany traced backtotheantiquity. Butitwasnotuntilthe19 nition ofaconnectionbetweenskindiseaseandaffective statesis through theages,withanemphasisonemotionaldistress.Recog We presentthefascinatinghistoryofpsoriasisandmentalhealth Georgia Lada improvements ofSCORAD,itch andSLURP-1. intervention for AD andproducesrobustclinically relevant effective an as confirmed be can ARNE that conclude therefor intensity andimprovedquality of lifeandSLURP-1levels. We respect toSCORAD.Inaddition, itreducedself-reporteditch tion inthe ARNE programeffectively reduced AD severitywith and sexmatchedhealthycomparison controlsubjects.Participa ARNE participants, 33 AD waiting list control patients and 34 age analyzed inamonocentriccomparisongroupstudyincluding34 plasminogen activator receptor related protein-1 (SLURP-1) were stress mediatorscortisol,BDNFandSecreted-Ly-6/urokinase effectiveness. Inaddition,ELISA measurementsofIgEandthe here presentedstudywastoreplicatereportedresultson ARNE mental andbiomoleculardistressareofinterest. The aimofthe addition, comparisonlevelsofhealthyindividualsandeffects on required to provide further evidence oftreatment effectiveness. In patients comparedtowaitinglistcontrols.Repetitionstudiesare improve skin health and itch self-report in treated atopic dermatitis The multidisciplinaryeducationalprogram ARNE wasshownto 4 Michael Schock REPETITION STUDY RANDOMIZED CONTROLLEDMONO-CENTRIC ATOPIC DERMATITIS CONCEPT ARNE IN A PATIENT EDUCATION IN ADULTS WITH PROOF OF EFFICACY OF THE STRUCTURED PS4 clinical observationsbyphysiciansthroughtheages. astute corroborating forward, field the moved significantly has ported thatimmunologicalfactorsmayunderliethisrelationship, Bruce Warren Liebig University, GiessenandUniversityofMarburg, Marburg, investigated. Currentneuroimmunologyresearch,whichhasre with affective andstress-relateddisorders hasbeenincreasingly well established. The aetiology behind the relationship ofpsoriasis the highcomorbiditybetweenpsoriasisanddepressionhasbeen psoriasis and severe post-traumatic stress. Inthelastthreedecades, camp victimsto Vietnam veterans, highlighted thelink between concentration from survivors, conflict armed of observations of stressfuleventsonpsoriasisonsetandcourse.Meanwhile, War II, pioneering studies provided the first evidence for the role mental disordersalsoimprovedcoexistentpsoriasis. After World There are anecdotal reportsthat early electronarcosis treatment for 20th century, psoriasisbecamethefocusofsomepsychoanalysts. distress emerged asasubjectofdebate.Inthebeginning the bidirectional relationship between psoriasis and emotional that the interest in psychosomatics was revived in the West and Johannes Kruse ter BiomedicalResearch Centre, University (JLU), Dermatological Sciences, Department ofDermatology, HamadMedicalCorporation,Doha, Psychoneuroimmunology, Department ofPsychosomaticMedi- The DermatologyCentre, DivisionofMusculoskeletalandDerma- 2 Department ofDermatologyand Allergology, JustusLiebig 5 Psychoneuroimmunology, Center for InternalMedicineand 1,2 1,2 , ChristineEliseKleyn 1 , Hector Chinoy 3 , , UweGieler Sanaz Zanjani 3 Department ofPsychosomaticMedicine,Justus- 4 Division ofNeuroscience andExperi- 2,4 , EvaPeters 2,3 1 , 3 , Peter Stanley Talbot Scherwin Zanjani Division of Musculoskeletal and Division ofMusculoskeletaland 1,2 Parallel symposia Acta DermVenereol 2019 5 2 NIHR Manches- 1 , Thilo Jakob 2,4 th , Richard century, 739 2 - - - , Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta Moscow CityHealthDepartment,Moscow, Russia Practical CenterofDermatology, Venereology andCosmetologyof University), MentalHealthResearch Center, 1 logy, Paris,France were diagnosed with alopecia areata (AA, 1 Methods: Patients(n =106;86females,meanage36.9 Analysis of factors influencing QL in different types of alopecia. (QL). life of quality in decrease significant cause to Background: Hairlossisa“mild”condition, butisconsidered Dmitry Romanov BYPERSONALITY ANXIETY AND HAIR LOSSQUALITY OF LIFEISINFLUENCED PS7 were associatedwithalldermatoses. dysfunctions Sexual/conjugal diseases. disfiguring complicated mainly depression diseases. and skin Anxiety disfiguring to also mycoses. Sleepdisordersmaybenotonlyrelatedtopruritusbut results weresometimessurprising,especiallythoseonwartsor acne, rosacea,eczema,psoriasisorespeciallyurticaria. These for acne).Sleepdisorderswerepresentin30to50%ofcases contact dermatitisorurticaria(but5%forwartsandupto35% reported by10to20%ofpeoplewithpsoriasis,atopicdermatitis, were life conjugal or sexual in Difficulties acne. of case in 50% dermatitis orurticariadeclaredtobeintrovertedbutmorethan 20 and30%ofpatientswithpsoriasis,atopicdermatitis,contact case ofrosacea,atopicdermatitisorcontactdermatitis.Between anxious ordepressedinpatientswithskindiseases,especiallly acne. The proportionsofparticipantsreportingbeingextremely rosacea, atopic dermatitis, urticaria, fungal infections, psoriasis or declared patients if lower significantly but dermatitis contact or who didnotreportanyskindiseaseandinthosereportingwarts 20,012 French adults. The EQ5D score was similar in participants This ancillarystudyuseddatafromtheObjectifsPeausurveyon Laurent Misery THE OBJECTIFSPEAUSTUDY MOST COMMONDERMATOSES: DATA FROM PSYCHOLOGICAL CONSEQUENCESOF THE PS6 and “sensorialpsychicskin”willbeexplored. consciousness will be discussed. The concepts of “symbolic skin” of skin, tact and touch in the development and structuring of our that involvethecentralnervoussystem.Inthiscontext,role “wellbeing sensation”isaresultofseveralbiologicalphenomena tion andtheoverallfunctioningofbody, mind,andspirit. The forformation,matura arenecessary biological information,which organs receiveandproducestimulithatwillbeconvertedinto The humansomatosensorysystemworksinadynamicway. Our Iara Yoshinaga SKIN -SYMBOL -CONSCIOUSNESS SKIN WE THE ATE FEEL: SKIN WE AND THE PS5 PSYCHOSOMATIC ASPECTS OF SKINDISEASES 740 drey Lvov chel 1 Florence Corgibet ciety for Analythical Psichology)SãoPaulo,SP Brasil MATOLOGIA,SBPA /Founding Member ofNÚCLEOPED(PSICOENDOCRINODER- Bertolus alopecia (AnA,n =39),diffuse telogeneffluvium(DTE,n =36), I.M.Sechenov First Moscow State Medical University (Sechenov I.M.Sechenov FirstMoscowStateMedicalUniversity(Sechenov University Hospital,Brest, France, SBD DERMATOLOGIA INTEGRATIVA, SãoPaulo- SP BRASIL 2 , Jean ChristopheSeznec 18 2 , 2 Eva Coulibaly th Congress of the European Society for Dermatology and Psychiatry 1 1 , IraciGaliás , Charles Taieb 1 2 , , KhaledEzzedine Yulia Romanova 2 Founding MemberofSBPA (BrazilianSo- 2 , Nathalie Feton-Danou 2 2 2 , , Martine Schollhammer Julie Versapuech 2 2 2 , Marie-AlethRichard French Society of Dermato- , Aleksei Brazhnikov 2 Moscow Scientific and n

=

22), androgenic 2 2 , , Laurence Mi- Pascal Joly Objective: 1 , Sylviane ± 2 1 13.5) , An- 2 - , negative correlationofQL with age (–0.23,р 1 PubMed, Embase,andPsychINFOweresearchedusingthefol and if possible, suicidal behavior. anddepression, anxiety betweenprimaryhyperhidrosis association largely unknown.Objective: To performasystematicreviewofthe iety anddepressionbutthemagnitudeofallegedassociationis Background: Primaryhyperhidrosishasbeenassociatedwithanx Johannes KjeldstrupKristensen SYSTEMATIC REVIEW DEPRESSION ANDANXIETY:WITH A ASSOCIATION OF PRIMARY HYPERHIDROSIS PS8 and HSS-29,respectively). compared topatientswithnoPD(р depression. Patients with any PD showed significantly lower QL tion with HADS anxiety (ρ =0.5 and0.526,respectively),butnot (р CA and DTE, to AnA, in AA compared lower significantly was sociation withgender, alopeciaseverityandduration.QL decrease emotional domain(46.2 on scores higher significantly showed analysis domains HSS-29 (ρ =0.779). strongly correlated scores DLQI and HSS-29 global disorder (PD)wasperformedwithSCID-II-PD.Results:The Anxiety andDepressionScale(HADS);assessmentofpersonality (HSS-29). DepressionandanxietywerescreenedwiththeHospital tology Life Quality Index (DLQI) and Hair-Specific Skindex- 29 and cicatricialalopecia(CA,n = Ram Malkani COMPLAINTS: A CROSS-SECTIONAL STUDY DERMATOLOGICALPRESENTING WITH PSYCHOLOGICAL PROFILEOF PATIENTS PS9 question indetailthefuture. of controlled studies in this field makes it mandatory to study this the burdenofcomorbidity, thisshouldbeapriority. The paucity hyperhidrosis. Becausediseaseimprovementappearstoreduce be consideredbydoctorswhentreatingpatientswithprimary quality ofthestudies.Conclusions:Depressionandanxietyshould rate. response A duetothediffering impossible was meta-analysis was rarelyused. The samplesizewassometimessmall,as The controlgroupsdiffered andanormalreferencepopulation The severityofhyperhidrosiswasmeasuredmostlybyHDSS. anxiety. and depression hyperhidrosis, of definitions different and will befurtheranalyzed.Limitations:Includedstudiesused control groups. Seven (7) studies seemed to merit further study the 27screenedarticles20wereexcludedduetolackofrelevant 815 wereexcludedand27obtainedforfulltextreview. Of 842 articles were identified. After screening the titles and abstract and depression,anxietyorsuicidalideation.Results: A totalof studies examiningtheassociationbetweenprimaryhyperhidrosis articles andreviewarticles.Itwasouraimtoincludecontrolled were identified by screening reference lists and citations lists of key were reviewed according to title and abstract. Furthermore studies hyperhidrosis andeitherdepression,anxiety, orsuicidalideation English examiningtherelationshipbetweenpatientswithprimary anxious ORpanicattacksworryanxiolytic. All studiesin suicide ORsuicidalideationantidepressantsanxiety lowing searchterms:primaryhyperhidrosis AND depressionOR 1 Epidemiologist, Mumbai,India penhagen, Denmark functioning (20.6 Singh Setia Hidros Denmark,Copenhagen,Denmark Dr Skinpimples Clinic Pvt Ltd, = 0.041). BothDLQIandHSS-29showedmoderatecorrela 2 1 , Komal Parekh ± 22.1) domains(p <0.05). There wasmild ± 22.7) thansymptoms(19.4 1 9). QL wasmeasuredwith Derma 1 , , DortheVestergård Grejsen Methods: The medical databases 2 Suman Karmarkar Consultant Dermatologist and = 0.018 and0.036forDLQI 2 Hidros Denmark,Co- = 0.017), butno as 1 , ± Maninder 20.6) and 2 - - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV University ofRochester, NYUSA Francisco Tausk, ElizabethCusick, THE REVISITING ARTOF TREATINGDELUSIONS PS11 PSYCHIATRIC ASPECTS INSKINDISEASES impairment, andpsychosocialdistress. patients, givenitsimportantroleingeneralhealthstatus,HRQoL should consideralexithymiain the diagnosisand treatment ofHS compared tothosewithnoalexithymia.Conclusions:Physicians alexithymia with patients in lower significantly were SF-36 the psychological distress. The mean scores of all the subscales of and HRQoL and alexithymia between association significant mia andclinicalvariables;however, weobservedastatistically (51.7% vs31.2).Noassociationwasobservedbetweenalexithy high­ alexithymia was observed in 44.4% of patients with HS, with a for generalhealthevaluation.Results: Alexithymia orborderline health-related qualityoflife(HRQoL)evaluation,andtheSF-36 Dermatology Life Quality Index(DLQI)and the Skindex-17 for with HScompletedthe Toronto Alexithymia Scale(TAS-20), the life, andpsychologicaldistress.Methods:Ninetyoutpatients association withdemographicandclinicalvariables,qualityof mine the prevalence of alexithymia in patients with HS, and its recognizing emotions,inpatientswithHS.Objective:Toexa presence ofalexithymia,i.e.,thedifficulty in describingor patient’s lives.However, onlyafewstudiesinvestigatedthe matory skindiseasewhichhasasubstantialadverseimpactin Background: Hidradenitis Suppurativa (HS) is a chronic, inflam 2 Rossella MatteaQuinto HIDRADENITIS SUPPURATIVA AND SOCIAL IMPAIRMENT INPATIENTS WITH ALEXITHYMIA, PSYCHOLOGICAL DISTRESS PS10 designing interventionsinthesepatients. for useful be will analyses profile complete a hence conditions; The psychologicalparametersdiffer invariousdermatological lower in pruritus (–7.7, 95% CI: –14.5, –0.9, p acne (12.2,95%CI:1.6,22.8,p =0.02).Bodyimagesscoreswere phobia scores were significantly higher in allergy compared with social Mean [2.3]). (6.0 pigmentation in self-image [0.9]), (3.6 scores werelowestinpruritus(8.04.2]),bodyimageinfection family (SD) Mean [6.3]). (25.4 acne in scores anger and [17.0]), in pigmentaryconditions,socialphobiascoresallergy (21.8 pression (15.0 [5.0]) and post-traumatic stress scores (16.3 [25.6]) de [13.9]), (11.6 conditions pigmentary in highest were scores (11%), pruritus(10%),andinfection(8%).Mean(SD)anxiety tions (24%),acne(18%),hairfall(15%),pigmentaryconditions were males. The commondiagnoseswerepapulosquamouscondi [SD]) was 37.4 (14.9) years; 30 (51%) were females and 31 (49%) [CI]. intervals dence confi 95% and co-efficient for analyses multivariate for models ting with dermatological complaints. We used linear regression stress, anger, bodyimage,andrelationshipsin63patientspresen in Mumbai,India.Methods: chological profile in patients presenting to a dermatological clinic Objectives: The presentstudywasconductedtoevaluatethepsy 1 Clinic, IDI-IRCCS,Rome,Italy Damiano Abeni Davide Ciccone Clinical Epidemiology Unit, IDI-IRCCS, Department ofHumanSciences,European UniversityofRome, er prevalence of the alexithymic trait in women than men 2 2 , Roberta Fusari Results: The meanage(standarddeviation 1 , Francesca Sampogna We evaluatedanxiety, depression, 2 , Simona Mastroeni Julia Stiegler = 3 First Dermatology

0.03). 2 , Luca Fania 2 Conclusion: , Luca Iani 1 3 ------, ,

Tereshenko disorders. The associationrequiresfurtherresearch. associated withanxiety, depression,somatoform,andpersonality paranoid (n =2),andavoiding n =1). 87.5% ofcases(n =14):schizotypal n =7), hystrionic(4), disorders (SCID-II-PDandclinical evaluation)weredetectedin with auto-aggressivebehavior) in 9subj.Comorbidpersonality 2 subj.;(3)chronicsomatoformpaindisorder(tortiouslocal (“health anxiety”andcancerophobiawithavoidingbehavior)in 10 disorders:(1)dysthymiain5subj.;(2)somatizationdisorder respectively. The clinical evaluationrevealedthefollowingICD- (GAD-2) wereobservedin31.3%(n =5)and68.7%11), to thepsychometricassessment,depression(PHQ2)andanxiety (SCID-II-PD), andotherICD-10disorders.Results:According for anxiety(GAD-2),depression(PHQ-2),personalitydisorders tologists andpsychiatristsbothclinicallypsychometrically 15 female;meanage59.5 tal disordersinBMS.Methods: The studysample(16subjects; much wider. Aim:Clinicalandpsychometricalevaluationofmen However, therangeofcomorbiddisordersinBMSseemstobe and limitedtodataoncomorbiditywithanxietydepression. organic pathology. Mental disorders in BMS are under­ disorder with painful sensations in the oral cavity without obvious Background: Burningmouthssyndrome(BMS)isafunctional Polina Iuzbashian MENTAL DISORDERS BURNING MOUTHSSYNDROME AND COMORBID PS13 studied was130.16 average score of indirect self-destructiveness in the population Scale (CS-DS)KelleyintheSuchanskaadaptation.Results:The evaluated byPolishversionoftheChronicSelf-Destructiveness and Sartoriusscale.Intensityofindirectself-destructivenesswas October 2018.DiseaseseveritywasassessedwithHurleystaging females) aged18–59years,recruitedbetweenJanuary2017and study involved100patientsdiagnosedwithHS(59malesand41 behaviors inpatientssuffering fromthisdisease.Methods:The the studywastoidentifyandassessindirectself-destructive during thetreatmentofHSpatients. Therefore, theobjectiveof viours, resignationandhelplessness,whichmayhinderadherence unfavorable behaviours,suchasaddictions,neglects,riskybeha patients’ mental health. Indirect self-destructiveness refers to a chronic,debilitating skincondition whichnegativelyaffects Introduction & claw MedicalUniversity, Wroclaw, Poland Department of Dermatology, Venereology and Allergology, Wro- Amelia Glowaczewska PATIENTS WITH HIDRADENITISSUPPURATIVA INDIRECT SELF-DESTRUCTIVENESSIN PS12 compliance withantipsychoticmedication. onthestreamlinedapproachtoattemptobtainsubject emphasis 60 patientswithdelusionsofparasitosis/Morgellons diseasewith I willpresenttheexperienceoflast2yearsintreatment positive clinicaleffects inthe treatmentofHSpatients. knowledge with an additional factor impeding theachievement of subjects (p <0.006). statistically significantly higher scores compared to non-smoking class washelplessnessandpassivity. Smokingpatientspresented was inthehigherrangeofaverageresults. The most expressed 1 logy ofMoscowCityHealthDepartment,Moscow, Russia and Practical Center of Dermatology, Venereology and Cosmeto- University), I.M.Sechenov First MoscowState Medical University (Sechenov 3 , 2 Anatoly Smulevich Mental Health Research Center, Objectives: Hidradenitissuppurativa(HS)is 1 , Dmitry Romanov ± Conclusion: The resultsenrichtheexisting , JacekCSzepietowski, 21.3 (median =128).Itsoverallseverity ± 13.6 years)wereexaminedbyderma 1 1,2 , Conclusion: Glossalgiais Parallel symposia Andrey Lvov Acta DermVenereol 2019 Lukasz Matusiak 3 Moscow Scientific Moscow 3 investigated, investigated, , Anastasiya 741 - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta acne excoriee were: body dysmorphic disorder ( other’s opinion(p =0.03).Psychiatricdisordersassociatedwith (p <0.01) andstigmatization,involvingrejection= (p =0.02) attractivenesstoself<0.01),others was associated with severity of acne ( health officialsshouldbeawareofthisandscreenforit. stigmatization and psychiatric comorbidities. Clinicians and public stress (p =0.001). (p <0.01), obsessivecompulsivedisorder0.001),perceived 1 setts GeneralHospital/Harvard Medical School, Boston,MA,USA COMORBIDITIES OF PRURIGOINEUROPE: THE SELF-ASSESSEDPSYCHOLOGICAL PS16 PSYCHOLOGICAL ASPECTS OF ITCH disease coursewasnotrelatedtopsychogenicprovocations. with the stress-induced onset and some exacerbations, the further among that is case the of peculiarity The other. significant lost confirmed) also included overvalued fixation on the welfare of the sonality could be considered: hystrionic personality (SCID-II-PD described psychosomaticreactions,thepatient’s premorbidper with theconversionmechanism. As apredisposingfactortothe somatization ofpsychogenicallyinduceddisorderinaccordance there isaparticulartypeofstress-inducedpsychosomaticreaction: due to the probable and actual loss of the significant other. In fact, exacerbations occurredafterseverestress–reactivedepressions SCID andSCID-II-PD.Results: The GDSonsetandthreesevere hology. Psychiatricexamination includedclinicalinterviewwith as otherclinicalexaminationstoexcludeunderlyingpat intracutaneous testwithautoerythrocyteswasperformed,aswell examined by dermatologists andpsychiatrists,askinbiopsy and related to the disease course. of theGDScaseincludingpsychiatricandpersonalitydisorders course are contradictory and worth to be studied. Aim: Description pathological disordersinGDSandtheirrelationtothedisease eruptions turningintoecchymosis.Dataontheroleofpsycho dermatological disordercharacterizedbystress-inducedpainful Background: Gardner-Diamond Syndrome (GDS)is a rare psycho 2 Anna Michenko AUTOERYTHROCYTIC SENSITIZATION CASE OF PSYCHOGENICALLY INDUCED GARDNER-DIAMOND SYNDROME: A NEW PS15 Mean agewas25.34( acne patients(63%)respondedandwereincludedintheanalysis. impulse controldisorders,stigmatization.Results: A totalof520 anxiety, obsessivecompulsivedisorder, bodydysmorphicdisorder, given 8questionnairesforscreening perceived stress,depression, tes. Israeli acnepatientsandassessedassociatedmentalhealthcorrela Objective: We conductedaprospectivestudyofacneexcoriee in Vera Leibovici EXCORIATION (SKINPICKING)DISORDER? IS ACNE EXCORIEE A SUBCLINICAL FORMOF PS14 742 1 Lvov Moscow, Russia, University), Moscow, Russia, reology andCosmetologyofMoscowCityHealthDepartment, pital, Jerusalem, Israel, I.M.Sechenov First MoscowState Medical University (Sechenov ofDermatology, Vene- Center Practical and Scientific Moscow Department ofDermatology, Hadassah-Hebrew UniversityHos- Eight hundred and twenty Israeli acne patients were Methods: EighthundredandtwentyIsraeliacnepatientswere 1,3 , UweGieler 18 th Congress of the European Society for Dermatology and Psychiatry 1 , RubaIbrahim 1 , 4 Justus-Liebig University, Giessen,Germany Dmitry Romanov Conclusion: Acne excorieeisassociatedwith 4 ± 8.44), 87.2%beingfemales. Acne excoriee 2 Department ofPsychiatry, Massachus- Methods: A 72-year-old patient was 1 , GilArmoni 3 Mental Health Research Center, 2 , p Anatoly Smulevich

<

0.001), years of education 1 , NancyJ.Keuthen p

<

0.001), anxiety 0.001), anxiety 2 , Andrey 2 - - - - - Lien Bruxelles, Brussels, Belgium, Denmark, tology, Moscow, Russia, Cosme- and Dermatovenereology of Centre Practical and entific Dermopatico dell’Immacolata, Roma, Italy, 1 Research Center, Istanbul,Turkey, find newtreatments. to and condition this study to important is it significant. Thus, is those ofotherskindiseases,andtheirimpactonqualitylife psychological comorbidities of prurigo are common, greater than 23% ofpatientsandaverylarge impact for27%ofpatients.The (DLQI) of12.4,withanextremeimpactonqualitylifefor of lifewassevere,withameanDermatologicLifeQualityIndex psoriasis, atopicdermatitisandlegulcers). The impactonquality higher inthe10commonestdermatologicaldiseases(including ideation wasrelatedtotheirskindisease. These frequencieswere in 5of27(19%)patients,andfor4thesesuicidal 8 of 27 (29%) from depression. Suicidal ideation was reported patients withprurigo,10of27(37%)suffered fromanxietyand these, 63%weremen,andthemeanagewas58.6years. Among ideation) werecollected.There27patientswithprurigo;of quality of life, general health, anxiety and depression and suicidal Socio-demographic dataandanswerstoquestionnaires(regarding general dermatologyoutpatientsand1,359 controls were included. European countries.Inthismulticentrestudy, 3,635 was to assess the psychological burden of prurigo in patients of localized orgeneralizedpruriginouslesions. The aimofthisstudy Prurigo is defined by the presence of chronic pruritus and multiple mographic and clinicalaspects,theChildhood Trauma Scale,the sociode on questionnaires in filled They female). 60 male, (60 60 female)werecomparedto120 patientswithchronicpruritus differences. have experienced more traumatic life events and if there are gender tients withchronicpruritus(not includingprurigo),whetherthey To explorewhetherprurigopatientsaremore impulsive thanpa impulsiveness resultingfromtraumaticlifeexperiences.Objective: A possiblelinkbetweentraumaandscratchingcouldbehigher life experiences has been recorded, in women more than in men. conditions, e.g.chronicpain,ahigherprevalenceoftraumatic scratching whichleadstotheprurigonodules.Inotherchronic Background: Chronicprurigoisassociatedwithextensive Gudrun Schneider CONTROL STUDY PRURITUS AND CHRONICPRURIGO– A CASE IMPULSIVENESS INPATIENTS WITH CHRONIC TRAUMATIC LIFEEXPERIENCES AND PS17 Emilie Brenaut DATA FROM THE ESDAP STUDY Kingdom, Oslo, 1 Zaragoza, Spain Leiden, TheNetherlands, drea Evers Csanad Szabo Poot Françoise claw MedicalUniversity, Wroclaw, Poland, Münster, Germany, of Dermatology, CenterofChronic Pruritus,University Hospital Medicine, Cardiff, Stumpf Aragones University Hospital, Brest, France, Department ofPsychosomaticsandPsychotherapy, 2 , 3 Flora Balieva Stavanger University Hospital, Stavanger, Norway, 3 16 13 , Jörg Kupfer 5 7 University ofSzeged,Hungary, , Julius LiebigUniversity, Giessen,Germany, 120 patients with chronic prurigo (60 male, Methods: 120patientswithchronicprurigo (60male, Gregor Jemec 13 1 9 , , , Andrey Lvov Jon Anders Halvorsen Jon Anders Ilknur Altunay 1 12 , 3 Own practice,Münster, Germany 3 University of Hertfordshire, Hatfield, United Hatfield, Hertfordshire, of University Reinhold Steinbach , Francesca Sampogna 7 15 , Laurent Misery 6 Royo Vilanova Hospital, Zealand University Hospital, Roskilde, 6 , 14 10 Uwe Gieler , Sisli HamidiyeEtfal Training and Servando Marron 10 , Andrew Finlay 11 Cardiff University School of 2 Oslo University Hospital, 2 , 1 Florence Dalgard 1 , 7 Sonja Ständer , 4 , Jacek Szepietowski 9 Dennis Linder Université Libre de 5 Leiden University, 15 11 16 14 , , University of Lucia Tomas Moscow Sci- Sam Salek 2 Department 2 4 , Istituto 2 Astrid , 8 2 Wro , Lars An- 12 8 - - - , ,

Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV Van Ryckeghem (LIBC), of thepatientsbutalsotheirpartners andrelatives. The aim of only not QoL the influences strongly condition The disability. associated withpatient’s stigmatization,pain,depression and Hidradenitis suppurativa(HS)is achronic,debilitatingdisease, claw MedicalUniversity, Wroclaw, Poland Department of Dermatology, Venereology and Allergology, Wro- Jacek Szepietowski Włodarek, Katarzyna PARTNERS HIDRADENITIS SUPPURATIVA PATIENTS’ QUALITY OF LIFEIMPAIRMENT IN PS19 QUALITY OF LIFE AND SKINDISEASE effective inpatients. chronic itch.Futureresearchmaystudywhether ABM trainingis people, attentionre-trainingmaybemorerelevanttopatientswith ABM-training. Eventhoughitchcanbecontagiousinhealthy single-session this by modified not was words and pictures itch Results showed that the healthy participants’ attention towards the pictures andwordswasassessedusingregulardot-probetasks. itch). Pre-andpost-ABMtraining,attentiontowardsitch-related always presentedattheitch-picturelocationwhentrainedtowards as opposedtoitchpictureswasmanipulated(e.g.,targets were task, the location of targets to which the participants responded not trained (control condition; away from(n =37)ortowards40)pictorialitchstimuli, trained be to attempted was attention volunteers’ Healthy fied. whether attentiontowardsitchpicturesandwordscanbemodi investigating at aimed training-study (ABM) modification bias towards itch-related information. This proof-of-principle attention helpful tointerveneintheextentwhichpeopledirectattention which mayplayaroleintheirsymptoms. Therefore, itmaybe itch aremoresusceptibletothisphenomenonofcontagion, we oftentendtostartscratchingourselves.Patientswithchronic Someone else’s scratchingsomehowcapturesourattentionas 7 Antoinette I.M. vanLaarhoven INDIVIDUALS? VISUAL ITCHSTIMULIINHEALTHY MODIFY ATTENTIONTRAINING TOWARDS CAN ATTENTION BIASMODIFICATION (ABM) PS18 when comparedtopatientswithchronicpruritus. be explained by higher impulsiveness ormore traumatic life events The extensivescratchingofpatientswithchronicprurigocannot reported moretraumaticlifeexperiencesthanmen.Conclusion: traumatic lifeexperiencesandthe levelsofimpulsiveness. Women pruritus andchronicprurigopatientsregardingthenumberof chronic between differences significant no were There Results: Trauma HistoryQuestionnaireandtheBarattImpulsivnessScale. 1 embourg, and Behaviour, University of Luxembourg, Esch-sur-Alzette, Lux- and SocialSciences, Research UnitINSIDE, Institute of Health Netherlands, Wiers Psychology, Ghent University, Belgium, dam, TheNetherlands tory, Department of Psychology, University of Amsterdam, Amster cial and behavioral sciences, Addiction Development and Psychopathology (ADAPT) Labora- Health, Medical, andNeuropsychology Unit, Faculty of So- 7 3 Department of Psychiatry, Leiden University, Leiden, the 6 Centre for Pain Research, University of Bath, Bath, UK, 4 Department ofExperimental-Clinical and Health 4,5 , Stefaan Van Damme mla Głowaczewska, Amelia 1–3 2 Institute for BrainandCognition 39). In a modified dot-probe modified a In n =39). , Jennifer M.Becker 4 , Geert Crombez 5 Faculty of Humanities uaz Matusiak, Łukasz 1,2 , 4,6 Dimitri M. , Reinout - - Germany demiology andPreventive Medicine, UniversityofRegensburg, 1 QOLHEQ domainsand AQ. Overall,408HEpatientswereinclu order to identifythesetofbandswith best agreementbetween content of a QOLHEQ domain. Weighted kappa was calculated in and modeforasetofanchorquestions(AQs)eachrepresentingthe interpretation ofthe QOLHEQ-score. We calculated median, mean of thisstudytoassignbandstheQOLHQ-score,inorderaid score ofthe QOLHEQ means to a patient. Therefore, it was the aim treatment/prevention. To date,however, it isnotclearwhatasingle domains of(a)symptoms,(b)emotions,(c)functioningand(d) inHRQOL impairments assesses inthe inhandeczema(HE) The QualityofLifeinHandEczemaQuestionnaire(QOLHEQ) Robert Ofenloch HAND ECZEMA QUESTIONNAIRE(QOLHEQ) INTERPRETATION OF THE QUALITY OF LIFEIN PS20 average FDLQIscoreobtainedinthestudywas8.7 with theFamilyDermatologyLifeQualityIndex(FDLQI). The purativa SeverityIndex. The patients’ partnersQoL wasassessed dized scoringsystems:theHurleystagingandHidradenitisSup their partners.Diseaseseveritywasevaluatedusingtwostandar partners. The studygroupconsistedof50pairsHSpatientsand this study was to assess the impact of HS on the QoL of patient’s beauty (predominationofideas removingofobjectively minor, social maladjustment).Patients with overvaluedhypochondria of recommendations) had VASI –27.9,DLQI–6.14(lowlevelof hypochondriac fixation along with strict compliance with medical justment). Patients with masked hypochondria (formal absence of patients (11 menand31women;averageage23 clinical manifestationsofvitiligo.MaterialandMethods:42 Objectives: To study nosogenic mental disorders provoked by Health Research Centre, Moscow, Russia I.M. Sechenov First MoscowState Medical University; Mental Igor Dorozhenok, KonstantinLomonosov, MENTAL DISORDERSPROVOKED BY VITILIGO PS21 may beadequatefordifferent languageversionoftheQOLHEQ. total score.Furtherstudiesare needed to explorewhichbanding represents astandardizedmeansofinterpretingtheQOLHEQ >79=very severeimpairment. ment; QOLHEQ bandingThis 34–52 =moderate impairment;QOLHEQ53–79severeimpair mal impairment;QOLHEQ15–33 =slight the bestagreementforfollowingband:QOLHEQ <15=mini With aweightedkappaof0.64thetotalQOLHEQ-scoreshowed ded in the study (mean age: 46.9 years (SD =12.2), 38.7% female). still oftenunderestimated. is burden this but aspects, physical and psycho-social financial, effects experienceadevastating patients of HS intermsofvarious may extendtothepartnersandfamilymembersaswell.Partners and HSSI. The impactofHSis not only limited to the patient but by HurleystagingandhighpositivecorrelationbetweenFDLQI found betweenFDLQIscoreandtheseverityofHSasmeasured was correlation positive significant statistically but Slight, lives. indicating amoderateeffect ofthediseaseonpatients’ partners average VASI score –38.1%, DLQI –17.4 (moderatesocialmalad fear ofnegativeassessmenttheappearancebyothers)had sociophobic nosogenicreactions(socialanxietywithobsessive DLQI (DermatologylifeQualityIndex).Results:Patientswith using thefollowingscales: VASI (Vitiligo Area SeverityIndex), examined bypsychopathological and dermatological methods the diagnosisofvitiligoandcomorbidnosogenicdisorderswere versity Hospital Heidelberg, Department ofDermatology, Occupational Dermatology, Uni- 1 , ElkeWeisshaar 2 Medical Sociology, Institute of Epi- 1 , ChristianApfelbacher Parallel symposia Acta DermVenereol 2019 Asmik Varzhapetyan ± 4.6 years)with ± 6.78 points, 2 743 ------Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta cruris (9.0 cruris (6.7 1 clear trend (p and intensityofitch (r =0.37; demonstrated significant relationship between impairment of QoL to NMSCpatients(8.7%).Inconclusion, NMSCplacesagreater significantly higher in patients with melanoma (32.8%) compared (with possible non-psychotic, minor psychiatric disorders) was the item“feelingdepressed”. The percentage ofGHQ-12cases for scores higher significantly had patients Melanoma patients. symptom meanscoreswerehigher inNMSCthanmelanoma patients: 65withmelanomaand368NMSC.Skindex-17 sible anxietyordepression. The studypopulationincluded433 Questionnaire (GHQ-12)wasusedtoidentifypatientswithpos using thetwoscalesofSkindex-17. The 12-itemGeneralHealth excision, orNMSCatthetimeofsurgery. HRQoL wasmeasured adult patientswithadiagnosisofmelanomaatthetimewide melanoma andNMSC.Participantswereunselected,consecutive The aimofthisstudywastocompareHRQoL inpatientswith arerare. cancer(NMSC) melanoma andnon-melanomaskin life (HRQoL)isoftenoverlooked,anddirectcomparisonsbetween The impactofskincancersonpatients’ health-relatedquality of 3 Francesca Sampogna CANCER PATIENTS MELANOMA AND NON-MELANOMA SKIN COMPARISON OF QUALITY OF LIFEBETWEEN PS23 (11.0 tinea corporis,crurisandfacieishowedthelowestQoL 3.9% ofpatientshadnormalQoL.Patientswithcombination large effect wasreportedby26.3%,moderate40.8%andonly ence of patients’ quality of life (QoL). Very large and extremely group ofpatientswas8.2 with NumeralRatingScale. The meanDLQIscoreforthewhole Index (DLQI)andadditionallytheintensityofitchwasassessed males) agreed. Patients were asked to fill Dermatology Life Quality asked toparticipateinthestudy. 76ofthem(38femalesand38 100 consecutivepatientsdiagnosedwithdermatophytosiswere by themselveswithdrugcombinationscontainingcorticosteroids. phytosis was noted in the whole India. Many patients were treated During thelastyearsanincreaseinprevalenceofdermato­ Shyam Verma ON QUALITY OF LIFEOF AFFLICTED PATIENTS DERMATOPHYTOSIS ININDIA AND ITSIMPACT EPIDEMIC OF SUPERFICIAL PS22 and thequalityoflifeinvitiligopatientswasrevealed. clinical dissociationbetweentheprevalenceofskinprocess masked hypochondriaandovervaluedofbeauty, a reactions, adirectcorrelationwasrevealed,whileinthecaseof desadaptation). appearance) had VASI –5.6%,DLQI–21.6(pronouncedsocial but “intolerable”cosmeticdefectinordertoachievethe“perfect” 744 IRCCS, males (9.3 siak 1 Francesco Ricci 6.7 and Allergology, Wroclaw MedicalUniversity, Wroclaw, Poland tunga, Mumbai,India, treated withtopicalagentsincludingcorticosteroids(9.5 Nirvan SkinClinic,Vadodara, India, Clinical Epidemiology Unit, IDI-IRCCS, IDI-IRCCS, ± 3 , JacekC.Szepietowski 4.2 points,respectively). ±

4.5 points), followed by those with tinea corporis and tinea 5 18 Day Surgery Unit,IDI-IRCCS,Rome,Italy ± ± ± th Congress of the European Society for Dermatology and Psychiatry 3.8 points).Femalesweremoreheavilyaffected than 5.4 points),tineacorporis(7.8 5.2 and7.1

= 2 1 Dermatology Unit,“CristoRe”GeneralHospital, ,

0.11) to lower QoL in patients who were previously Resham Vasani Conclusion: inthecaseofsociophobicnosogenic 4 , GiulioSonego 1 , 3 ± Department ofDermatology, Venereology Andrea Paradisi 4.7 points,respectively)(p =0.038).We ± 5.1 points, indicating moderate influ moderate indicating points, 5.1 3 p <0.002). Additionally, therewasa 2 , 5 , DamianoAbeni Radomir Reszke 2 Bhojani SkinClinic’, Ma- 2 , ± 4 Maria Luisa Iemboli Maria Luisa Melanoma Unit,IDI- 5.7 points)andtinea 3 1 , Lukasz Matu- ± 5.9 and 3 - - , techniques inthetreatmentofskinpickingdisorder. many studies. This presentation willfocusofpsychotherapeutic and acceptancecommitmenttherapyhaveshownpromisein cognitive behavioraltherapy, particularly habitreversaltherapy dition. There is no specific or recommended treatment option but approach isimportantinthediagnosisandtreatmentofthiscon clinical anddermatologicalexaminationmultidisciplinary varies, commonlyoccurringinadolescenceandadulthood. A full andaverageageofonset studies female predominanceacross comorbidity andpsychosocialdysfunction. The disorderhasa significant with associated is disorder picking Skin (DSM-V). diagnostic andstatisticalmanualofmentaldisorders,5thedition body focusedrepetitivebehaviordisordersinrecenteditionof other with classified disorder related and obsessive-compulsive Skin pickingdisorder, alsoknownasExcoriationdisorder, isan Central MichiganUniversityCollegeofMedicine Mohammad Jafferany SKIN PICKINGDISORDER PSYCHOTHERAPEUTIC INTERVENTIONS IN PS24 PSYCHOTHERAPY WITH SKINPATIENTS chological impactofmelanomaishigher. the surfaceofskin. their bodymessagesandto realize whatprofoundlyoccurson invited todealmoreactivelywith theircondition,tolisten with theapproachofPsychoanalytic Psychosomatic,theyare like adrugtorelievetheirsymptoms andbecured,however not improved,itbecamemore bearable. Patientsusuallywould to nameandexpresstheiraffections. Eveniftheprurituswas dreams. A moreactiveandcommunicativephysicianhelpedthem frequent visitstothedermatologistastheytoldtheirstories, psychoanalytic psychosomatic perspective was achieved through clinical picture. The improvementofthesepatientsunderthe psychosomatic a act, the to passage a pruritus, of case specific past returnstothepresentasanewpain,anothersymptom,in a reactiontoloss.Inthesetwoclinicalcasesthepainof reorganizing herself. The pruritussymptomappearsasapainof with variousdiseasesandhospitalizationsshewasalways vements, he was progressively getting physically disorganized had goodpsychologicalresources,wentthroughdifferent mo from scratchingandfeeling,asacontention. These twopatients The clothingfunctionedasasecondskinthatrestrictedthem their thoughts and had the possibility of encounter themselves. at night, when they took off theirclothes they werealonewith In these cases, the patients presented worsening of the pruritus, life anddoesnotalwaysdevelopresourcestodealwiththem. cultivate orchids. The human being suffers some helplessness in lucid, politicized, have never undergone psychotherapy and both rians, Jewishbackground,married,withchildren,grandchildren, had psychogenic pruritus. They have in common being nonagena two survivorsoftheSecond World War, amanandwoman,who and treatedbyothers,onlywhentheygetsick.Ipresentcasesof other. Someelderlypeoplecanbelistenedto,lookedat,touched Becoming ill is a way to get attention, the look and the care of the Institute, SãoPaulo,Brazil Department ofPsychoanalytic Psychosomatic, SedesSapientiae Noemi Wahrhaftig LISTENING IN THE DERMATOLOGICAL CLINIC THE PSYCHOANALYTIC PSYCHOSOMATIC TRAUMA, HELPLESSNESS AND MEMORY: PS25 burden ofsymptomsonpatientsthanmelanoma,whilethepsy - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV demiology Unit, IDI-IRCCS, Rome, Italy, 1 mas-Aragones clinics aspartofdermatologyservice provision. acceptable topatients.5)Develop theevidencebaseforPsoWell logists. 4) Explore whether the PsoWell™ consultation style is is feasibleandacceptabletodermatology specialistsandpsycho factors. 3)Determinewhetherthe PsoWell™ trainingprogramme skills, knowledgeofpsoriatic diseases, comorbiditiesandrisk whether thePsoWell™ trainingimprovesclinicians’ consultation clinics withindermatologyservicesacrosstheUK.2)Investigate mixed-methods implementationstudyto:1)EstablishPsoWel™ feasible to incorporate into clinical consultations. We report on a knowledge andskillstomanagepsoriasisisacceptable that incorporatesMotivationalInterviewing,improvesclinicians’ PsoWell™ (Psoriasisand Wellbeing), anoveltrainingprogramme, behaviour change,yetcliniciansfeelunpreparedtofacilitatethis. on behaviourchange.Psoriasis disease requireseffective health these associated comorbid conditions and CVD risk, focusing address thepsychologicalandlifestylefactorsthatprecipitate physical inactivity and associated distress. Interventions should that include smoking, excessive alcohol consumption,obesity, factors risk CVD modifiable of prevalence greater risk, (CVD) conditions areassociatedwithincreasedcardiovasculardisease patients develop associated joint disease (psoriatic arthritis). These disease, affects 2–3%ofthe UKpopulation;aroundathirdof along-termimmune-mediatedinflammatoryskinPsoriasis, Cardiff University, Wales, UK Rachael Hewitt PSORIASIS MANAGEMENT OF PEOPLE WITH COMPLEX THE PSOWELL™ APPROACH FOR THE DEVELOPMENT AND EVALUATION OF PS27 reaches Level2. matologist–psychologist/psychiatrist when one ofthe consultants will acknowledgeandcertifyamultidisciplinaryconsultationder Psychotherapy Additionally, ESDaP in Certificate European the Practitioner: thesamecandidatesreachingrequirementsfor lor in various approaches (Habit reversal, atopy school, etc.) B. level dermatologist/psychologist/psychiatristtrainedascounsel ventions. life, psychopharmacologicaltreatment,andpsychologicalinter disorders, delusionofparasitosisandotherdelusions,quality dysmorphic body lesions, anxiety, skin self-inflicted depression, alexithymia, andcommunicationskills, doctor–patient relationship skin–psychologist, skin–psychiatrist. Acquiring competencesin: and topicscoveredareasfollows:Level1:psychodermatologist, member. The trainingprogramwillconsistof3levels. The levels languages byateam ofexperts coordinated byan ESDaP EC same in different European countries, and offered in different an internationalbasis.Eachteachingmoduleoffered willbethe current regulations.ESDaP willoffer thesetrainingcourseson idea isforthisdiplomainPsychodermatologytobeadapted psychotherapy isbeingregulatedandprotectedbylawthe Europe, Throughout needs. specific with present who patients providers to be properly trained to deal with dermatological ropean countries nowadays. It is therefore important for health Psychodermatological consultations are a reality in most Eu Francoise Poot PSYCHODERMATOLOGY THE ESDAP DIPLOMA IN PS26 tology, JustusLiebigUniversity, Giessen,Germany, of Psychology, UniversityofZaragoza,Spain Dermatology Department, ULB, Brussels,Belgium, Psychotherapeutic level A. Counsellor: first Counsellor: A. level Level 2:Psychotherapeutic 4 , ChristineBundy 1 , Francesca Sampogna 2 , Uwe Gieler 3 Department of Derma- 2 Clinical Epi- 4 3 Department , Lucia To------Vulink Netherlands dam UniversityMedical Centers, Location AMC, Amsterdam, The liaisons, especiallyacquaintedwithmanagingthesepatients. There isalsoaneedforestablishingdermatology–psychiatry psychodermatology in postgraduate dermatology programs. This surveysupportsneedforincorporatingformaltrainingon psychocutaneous disorders required more sufficient experience. chodermatologic diseases.Conclusion:Managingpatientswith interest inattendingeducationalactivitiesonmanagingpsy chiatric manifestations. expressed Thirteen (23%)dermatologists and psoriasiswerecommonskindiagnosescoupledwithpsy psychodermatology. Acne, alopecia,vitiligo,atopicdermatitis, unaware ofpatient/familyprofessionalelectronicresourceson in diagnosingandtreatingthesedisorders,52(91%)were the termpsychodermatology, 9(16%)wereverycomfortable the survey. Forty-nine(86%)reportedclearunderstandingof Arabia, Egypt,Kuwait,Iraq,JordanandLebanon)completed dermatologists from7countries(United Arab Emirates,Saudi rience withpsychodermatologicdisorders.Results:Fifty-seven developed fordermatologistsintheU.S.toassessregionalexpe cutaneous medicine. to assessawarenessofMiddleEastdermatologistspsycho parallel psychiatriccare. The mainobjectiveofthisstudywas psychiatric symptoms. Proper treatment of these patients require Background: Manydermatologicpatientssuffer fromcomorbid Ossama Osman PSYCHODERMATOLOLGY MIDDLE EAST FOR THE PRACTICE SURVEYING DERMATOLOGISTS IN THE PS28 DI inamultidisciplinaryteam. delusionality and underline the importance of treating patients with improved. Inconclusion, we show new CBT interventions to treat cleaning, compulsiveritualsand self-injuryandqualityoflife in adecreaseofhallucinations,alcohol andbenzodiazepinesuse, luation andsystemic interventions. Combined treatment resulted delusionality likeinourpilotgroup,regulardermatologicaleva psychologist anddermatologistwithantipsychotics,CBT for at ourpsychodermatologyoutpatientclinicbyapsychiatrist, of 2patientswithdelusionalinfestation(DI),whoweretreated quality oflifeimproved.Moreover, wewillpresentcaseseries delusionality decreased,withrespecttocognitivebiases,andthat in anacademicoutpatientclinic.Results(n =4)indicatethat biases including selective attention. The training was realized encompassing atraininginrecognizingandcorrectingcognitive Group) inpatientswithBodyDysmorphicDisorderCBT we have conducted a pilot study fortreating delusionality (NEMO research this on Based results. promising yields psychosis first a nality inpatientswhohavean At RiskMentalState(ARMS)for delusionality. CognitiveBehavioral Therapy (CBT)fordelusio Selective attentionisthemostinvestigatedpossiblecontributorof Multiple factorsareinvolvedinthegenerationofdelusionality. Delusionality isakeyelementincertainpsychiatricdisorders. Yak MeeWong THE TREATMENT OF DELUSIONALITY PS29 Disord 2017;19(2):16. Middle Easttopsychocutaneousmedicine.PrimCareCompanionCNS Reference: Osman OT, et al. Attentiveness ofdermatologists in the 1 1 pus Saginaw, MI cine, CentralMichiganUniversity, CMUHealthCare EastCam- University, Department ofPsychiatry, College ofMedicineandHealthSciences,United Arab Emirates 1 2 Psychiatry andBehavioralSciences, CollegeofMedi- 1 1 , , MohammadJafferany Patrick Kemperman Methods: we utilized a survey originally 2 Department ofDermatology, Amster 2 , 2 Parallel symposia Dorien Nieman Acta DermVenereol 2019 1 , Nienke 745 ------Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta 1 do thepatientsadheretolongterm therapy?Howarehealthcare But whatarethelongtermside effects ofbiologics?How well proved moodandrelationships as wellreducedsocialanxiety. and respectivestudiesreportnot onlyimprovedskinbutalsoim biologics appearstoprovidea satisfactory andsimplesolution ideally completeremissionunder therapy(Blomeetal.2011), rest of most patients is rapid clearance of their skin lesions and by upto70%eveninseverecases.Giventhattheprimaryinte recent developmentofbiologicsallowstoreducePASI90-rates The S3-guidelinesmentionnumeroustreatmentoptionsandthe matically compromisedbystigmatizationorintensepruritus. (resolution WHO 67.9).Inaddition,qualityoflifeisoftendra ranks psoriasis among theseverenon-communicablediseases metabolic disease,anddepressiona.o.).Consequently, the WHO give evidenceofitssystemiccharacter(cardiovasculardiseases, andanumberofcomorbidities characterized byfrequentrelapses 11.4 % has been reported. The chronic course of the disease is Depending onpopulationapsoriasisfrequencyof0.1%and sease andpsychodermatology, BadBerleburg, Germany HELIOS-Rehakliniken Bad Berleburg, Department of mentaldi- Jochen Wehrmann PSORIASIS IS A STRAIN PS31 of psychologicalinterventionsespeciallyinCSU–treatment. and further encourages and research distress implementation This suggestsapossiblecausallinkbetweenCSU–andmental Stress perceptionwaslinkedtodiseaseactivityonlyinCSU–. no potentially relevant underlying condition could be identified. patients showed higher stress levels, even before they knew that (adjusted R2 =0.082)inCSU–patients.Conclusions: “demands” (adjustedR2 =0.195)andPSQ-factor„tension“ analyses revealedthatdiseaseactivitywaslinkedtoPSQfactor urticaria activity(UAS7;p =0.042).Correlation-andregression- compared withCSU+(p =0.039).CSU–patientsalsohadhigher CSU+ patients(p >0.05).CSU–reportedhigherPSQ“tension” immunological differences werefoundbetweenCSU–and and regressionanalysis.Results:Nodemographicselected contribution anddiseaseactivitywasanalyzedbycorrelation underlying conditions(CSU–). The link betweendistress identified without patients in stress self-reported of levels to self-reported stress in these patients (CSU+) were compared of Levels identified. were conditions underlying patients, CSU conditions (e.g.autoreactivity, infections,intolerances).In249 res andthenforpotentiallyrelevantunderlyingphysicalCSU patients wereassessedforstressusingvalidatedquestionnai the stress-contributiontoCSUisunclear. Methods:303CSU a stressanddiseaseseverityrelationshiparelargely missingand lying physical condition is identifiable, but studies in support of associated withhighmentaldistress,especiallywhennounder Background: Chronicspontaneousurticaria(CSU)isheldtobe 2 Christina Schut IS HIGH URTICARIA –IF NOCAUSEISKNOWN,STRESS PS30 APD-SYMPOSIUM 746 Berlin, matic Medicine and Psychotherapy, Charité-Universitätsmedizin, for Internal Medicine and Dermatology, DepartmentofPsychoso- Matthias Rose lergy, Charité-UniversitätsmedizinBerlin, ne and Psychotherapy, Justus-Liebig-University, Gießen, Germany roimmunology Laboratory, DepartmentofPsychosomaticMedici Dermatological Allergology, DepartmentofDermatologyand Al- Institute of Medical Psychology, Justus-Liebig-University Gießen, 4 18 Clinics for Dermatologyand Allergology, th Congress of the European Society for Dermatology and Psychiatry 3 , UweGieler 1 , Markus Magerl 4 , Marcus Maurer 2 , Tomasz Hawro 2 3 , EvaPeters CharitéCentrum 12 2 , Jörg Kupfer 5 Psychoneu 3,5 1 ------, Berlin, Germany ternal Medicine and Dermatology, Charité-Universitätsmedizin children willsuffer less. can learntocopewellwiththeirchildrensdiseaseandaffected and aprescription,schoolingcenterscanrunfullcourses,parents many ways:doctorscanoffer parentsmorethanabriefadvise provide exchangeopportunities.Goodcooperationpaysoff in a doctor but can serve as a additional source of information and schooling centersisessential. Trainings cannotreplacevisitsto participate inthem,closecommunicationbetweendoctorsand inform parentsandfamiliesabouttrainingsthepossibilityto comprised experiencesanddevelopmentsofthepast20years. To 2018 arevisedmanualwascompletedforthesetrainings,which rents and training for teenagers between 13 and 18 years of age. In training forchildrenbetween8and 12 yearsofage and theirpa Training forparentsofchildrenbetween0and7yearsage, ambulatory settingandadresseschildrenofdifferent agegroups: program foraffected families.Schulingmostlytakesplaceinan akronym AGNES) anddevelopedaninterdisciplinaryschooling (in German Arbeitsgemeinschaft NeurodermitisSchulunge.V., and pediatriccentersfoundedtheworking group neurodermitis for informationisscarce.In1999anumberofdermatologic time toanswerthesequestionsandcoverthetremendousneed that demand answers, but during dermatological consultation, leads toinsecurityofparentsandfamilies.Questionscomeup of atopicdiseaseinchildren. The diagnosisisdysruptiveand Neurodermitis (atopicdermatitis AD) isafrequentmanifestation tric Medicine,Trainingscenter, Osnabrück,Germany Christian Childrens HospitalOsnabrückGmbH,Center for Pedia Elke Winter PRACTITIONERS ATOPIC DERMATITIS, REPORT FROM PATIENT EDUCATION INCHILDREN WITH PS32 PPT Schön KlinikBadBramstedt,Germany Christian Stierle BODY DYSMORPHICDISORDER PS33 and therespectiveresearchtobe done. counseling andtherapeuticoptionsofpatientswithskincancer will sketchtheconsequencesofthisknowledgefordiagnosis, in the development andspreadof cancer cells. This presentation of whichmayaidresearchontherolepsychosocialwellbeing tumor immune-surveillancehavebeendescribed,theknowledge by doinganimalexperiments,keyimmuneresponsesthatshape Mostly gap. knowledge this fill can Psychoneuroimmunology evidence. scientific corresponding the supply they do rarely but Often thesemeasuresclaimtostrengthentheimmuneresponse, some controlovertheirdiseaseandlifeascancerpatients. patients thereforoftenturntoalternativemeasuresregain medicine hasexhaustedalltreatmentoptionsandhealthadvice, tors rateprognosisaccordingtotumorstage. When conventional thoughts commonlyaddress a potentialfataloutcomewhiledoc first Patient’s doctors. their by underestimated often is which Getting acancerdiagnosisisinitiallyshockformanypatients, Eva Peters PSYCHONEUROIMMUNOLOY OF SKINCANCER PS33 be discussedwiththeauditorium. of psychosomaticmedicineinthiscontext? These questionswill systems coping with the high costs of biologics? What is the role 1 matic Medicine, Justus-Liebig University, Giessen, Psychoneuroimmunology Laboratory, Departmentof Psychoso- 1,2 2 Center forIn- - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV concerns such as “skin problems” or flaws concerning hair are hair concerning flaws or problems” “skin as such concerns suicidal ideasandself-manipulatingbehaviors.Dermatological to highshameandsocialanxiety. Patientsalsooftensuffer from show greatsuffering andsocialimpairmentsuchasisolationdue often andavoidance.Patients safetybehaviors checking behaviors, tion oftengoesalongwithexcessiverepetitivebehaviorssuchas not or only slightly recognizable from the outside. The preoccupa suffer from a preoccupation with flaws in their appearance that are and thereforcanbeconsideredacommonmentaldisorder. Patients Body dysmorphicdisorder(BDD)states aprevalenceofupto2% - modules willalsodiscussed. ture developmentssuchastheinclusionofcompassionfostering scheme andpsychologicalfunctionalitieswillbeportrayed.Fu etc.). Additionally cognitivestrategiestotackledysfunctional as perceptionalre-training(mirror exposure, videointerventions ventions suchasexposureandbehavioralexperimentswells inter specific include should Treatment patients. with working core clinical features ofBDDandillustrates the challenges in the addresses presentation current The time. first the for worries logical practiceistypicallyaplacewherepatientsaddresstheir among themostcommonpreoccupationsinBDD. The dermato Parallel symposia Acta DermVenereol 2019 747 - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta occurs morefrequentlyamong HS patientscomparedtothege demonstrate highprevalenceofalexithymiainHSpatients. It quality oflife. psychological comorbiditywith anegativeimpactonpatients’ neral population. Alexithymia can beconsidered as anotherHS and Sartorius score (r correlation betweenalexithymiaandDLQI(r =0.61;p<0.0001) significant revealed analysis statistical respectively.The 26.8%, alexithymia was higher in men than in women with 35.6% and Alexithymia was observed in 32% ofpatients. The prevalenceof evaluated withDermatology Life Quality Index (DLQI). Results: sessed with Hurley staging and Sartorius scale. Quality oflife was Alexithymia Scale(TAS-20) questionnaire.HSseveritywasas 41 females. Alexithymia wasassessedby Twenty-Item Toronto tients. was toassesstheprevalenceanditsassociatedfactorsinHSpa psychological disorderassociatedwithHS. The aim of thestudy mental healthandqualityoflife. Alexithymia maybeanother patients’ affects negatively which disease inflammatory chronic Introduction & Objectives: Hidradenitis suppurativa (HS)is a claw MedicalUniversity, Wroclaw, Poland Department of Dermatology, Venereology and Allergology, Wro - Amelia Glowaczewska, HIDRADENITIS SUPPURATIVA ALEXITHYMIA INPATIENTS WITH P2 or somatoformitch. be ofmoreclinicalrelevancethanthediagnosis“psychogenic” sions: The diagnosis “psychosomatic co-factors in CP” seems to co-factors than in patients without a psychiatric diagnosis. Conclu CP somatoform with ormultifactorialCP psychosomatic with other clinicalfeatureswhichweremorepronouncedinpatients identified we proposed, already criteria optional the to addition etiology ofmultifactorialCP withpsychosomaticco-factors.In be excluded, somatic and psychosomatic factors co-existinthe for adiagnosisof“psychogenic”pruritussomaticetiologymust “somatoform” or“psychogenic”pruritus(F45.8)(n =48).While in CP”(F54ICD-10)wasmuchmorefrequent(n =318)than In thereferredpatients,diagnosis“psychosomaticco-factors all theCP-patientswerereferredforpsychosomaticdiagnostics: two ormoreand34threeoptionalcriteria.560(8.8%)of fulfilled these of 143 criteria, compulsory 3 all fulfilled (5.9%) 374patients Only optionalcriteria.Results: theseven compulsory Data of 6374 patientswerescreened for concordance to the three of patientswithchronicpruritus(CP)forthesecriteria.Methods: genic pruritus”.Objective: To screenalarge consecutivesample gested diagnosiscriteriafor“functionalitchdisorder”or“psycho Background: In 2007, the French Psychodermatology Group sug 1 Gudrun Schneider CHRONIC PRURITUS CONSECUTIVE SAMPLEOF PATIENTS WITH “PSYCHOGENIC PRURITUS”IN A LARGE FOR “FUNCTIONAL ITCHDISORDER”OR APPLICATION OF THE DIAGNOSTICCRITERIA P1 748 Medical Informatics, Gereon Heuft ronic Pruritus,UniversityHospitalMünster, Münster, Germany Department ofPsychosomaticsandPsychotherapy, Methods: The studyinvolved100patients,59malesand 18 th Congress of the European Society for Dermatology and Psychiatry 1 , SonjaStänder 1 ,

Anna KatharinaGrebe = 3 Department ofDermatology, CenterofCh-

Jacek C.Szepietowski, 0.36; p 3

<

0.0003). Conclusion: 1 , Lukasz Matusiak Philipp Bruland 2 Our results Institute of POSTERS 2 ------, 1 Cardiff, UK, matologist andEpidemiologist,Mumbai,India among pharmacistswillbeanimportantinterventionforappro (33% vs11%, p <0.001). likely to discourage psychotropic prescription from dermatologists that psychologicalstresscanleadtoskinconditionsweremore medication to patients. Pharmacists whodisagreed with statement refuse theprescribedmedication;ofthese,41%refusedtogive eczema anditching. About 46%agreedthattheyhavearightto that psychologicalfactorscanleadtoskinconditionsincluding these werenotcomfortableprescribingthem. About 68%agreed of psychotropicdrugsfromdermatologists;however, 32%of 5 (2, 14.5) years. About 45% pharmacistsreceived prescription male and 9 (11%) werefemale,andmedian(IQR) experience was Results: The mean (SD) age was 32.4 (10.9) years; 72 (89%) were or Analysis of Variance, andproportionsusingchisquare test. disagree to strongly agree). The means were compared using t-test The responseswerecollectedona5-pointLikertScale(strongly We conducted structured interviews in 81 pharmacists inMumbai. prescribed thesebydermatologistsinMumbai,India.Methods: dispensing psychotropicmedicationstopatientswhohavebeen knowledge, attitudes, and behaviours of pharmacists towards Background: The presentstudywasconductedtoassessthe Ram Malkani DERMATOLOGISTS INMUMBAI,INDIA PRESCRIPTION OF PSYCHOTROPICDRUGSBY A KAP STUDY OF PHARMACISTS TO THE P3 patient engagement. This justifies the need to develop a new measure with substantial sufficient psychometric rigour to be considered the gold standard. not recommendedforuse.Conclusion: Noexistingmeasurehas be recommendedforuse,subjecttofurthervalidation,and6were met allessentialpsychometricstandards,30hadthepotentialto none identified, measures 36 the of here; presented are results measure willbelaunchedanddisseminated.Results:Phase1SR properties ofthemeasurewillbetested.Inphase4and5new input frompatientsworldwide.InPhase3,thepsychometric substantial with refinement and generation item on focus will 2 Phase measures. patient-reported of dermatology-specific (SR) existing review systematic a 1 Phase phases. five of consists strict psychometriccriteria.MaterialandMethods:GRIDDs be designed with high levels ofpatient engagement and meet reported measureoftheimpactlivingwithskindisease.Itwill these patients.Objective:GRIDDwilldevelopaglobalpatient- disease leadingtounder-investment inresearchandservicesfor Existing measuresmarkedlyunderestimatetheburdenofskin tional study of the impact of living with dermatological disease. interna systematic, first the is project (GRIDD) Diseases gical Introduction: The Global Research on theImpactof Dermatolo Matthias Augustin DERMATOLOGICAL DISEASES(GRIDD) GLOBAL RESEARCHON THE IMPACT OF P4 dermatological conditionsinIndia. priate dispensingofpsychotropicmedicationsinpatientswith 1 hah Trialonis-Suthakharan nizations, Ottawa,Canada Jaslok Hopsital, University of Hamburg, Hamburg, Germany, 3 1 International Alliance ofDermatologyPatient Orga- , KomalParekh 2 Dr Skinpimples Clinic Pvt Ltd, 1 , Christine Bundy Conclusion: Awareness andeducation 1 , ChristineJanus 2 , ManinderSinghSetia 2 , Rachael Pattinson 3 , Jennifer Austin 2 Cardiff University, 3 Consultant Der 3 2 , Nirohs- 3 - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV dona Suppurativa, Rome,Italy versa Onlus, the Italian Association of Patients with Hidradenitis cal Direction, IDI-IRCCS,Rome,Italy sio Caggiati 1 Pallotta Iwona Chlebicka BASAL CELL CARCINOMA DEPRESSION SCREENINGINPATIENTS WITH P7 most impairingcondition,evenatlowlevelsofclinicalseverity. ferent skinconditions,andinparticulartopsoriasis,HSwasthe of theSkindex-17.Conclusions: When comparedtomanydif were higherthanthoseofpsoriasispatientson16the17items score was56.1vs.32.7.Overall,thescoresofpatientswithHS symptoms scorewas69.4vs.53.7,andthemeanpsychosocial among several skin conditions. Compared to psoriasis the mean Data were available for 69 HS patients. HS had the worst QoL QoL wasmeasuredusingtheSkindex-17questionnaire.Results: psoriasis. HS comparingitwithotherskinconditionsandinparticularto The aim of this study was to evaluate in detail the QoL impact of disease withaheavyimpactonpatients’ qualityoflife(QoL). Background/Aim: Hidradenitissuppurativa(HS)isachronicskin 1 Francesca Sampogna LIFE: A COMPARISON WITH PSORIASIS HIDRADENITIS SUPPURATIVA ONQUALITY OF THE BROAD-SPECTRUMIMPACT OF P6 treatment of the condition, as well as in health policy and planning. must betakenintoaccountintheroutinedailymanagementand The real burden of HS, measured by patient-reported outcomes, medical conditionssuchastype-2diabetesandhypertension. Conclusions: The impactofHS is muchstrongerthanthatof and scores almost equivalent to those with psychiatric conditions. conditions medical with patients than scores lower significantly conditions for pain. As for the mental components, HS patients had component, and significantly lower than those with severe medical with minormedicalandpsychiatricconditionsforthephysical Results: HealthstatusinHSpatientswasworsethanthatof to U.S.normativescoresforsomenon-dermatologicaldiseases. center. HealthstatuswasmeasuredusingtheSF-36andcompared was conductedonconsecutiveHSoutpatientsatadermatological non-dermatological conditions.Methods: A cross-sectionalstudy of HSonpatients’ healthstatustothatofsomefrequent,chronic, diseases hasnotyetbeendone.Objective: To comparetheimpact patients’ qualityoflife. A comparisonwithnon-dermatological Background: Hidradenitissuppurativa(HS)hasaheavyimpacton 1 Francesca Sampogna DERMATOLOGICAL CHRONICCONDITIONS HIGHER THAN THAT OF SOMERELEVANT NON- ON PHYSICAL AND MENTAL HEALTH IS THE IMPACT OF HIDRADENITISSUPPURATIVA P5 matology Clinic,IDI-IRCCS, Mastroeni Clinic, IDI-IRCCS, Clinic, IDI-IRCCS, Wroclaw, Poland Endocrinology, DiabetesandIsotopeTherapy, MedicalUniversity, Szepietowski Clinical Epidemiology Unit, IDI-IRCCS, Clinical Epidemiology Unit, IDI-IRCCS, Clinic of Dermatology, Venereology and Allergology, 2 , DamianoAbeni 3 , Methods: 1 Annarita Panebianco , BiagioDidona 3 1 , Sabatino Pallotta 1 , Aleksandra Stefaniak Patients with a diagnosis of HSwere recruited. 3 3 Fifth DermatologyClinic,IDI-IRCCS, Plastic Surgery Unit,IDI-IRCCS, 1 1 1 , ,

Luca Fania Luca Fania 2 , GiusiPintori 5 Medical Direction, IDI-IRCCS,5In- 4 4 , , Simona Mastroeni Annarita Panebianco 2 , 2 Cinzia Mazzanti , 1 , Cinzia Mazzanti 5 Łukasz Gojny , DamianoAbeni 2 2 First Dermatology First Dermatology 1 , 2 4 Biagio Di- 2 , Fifth Der , 2 5 Clinic of , Sabatino Jacek C. 2 Simona , 4 1 Medi-

Ales- - - of subjects. significantly influence patients well-being in a reasonable number age ofthepatients(r =0.3, BDI scoresandintensityofitch(r =0.28, sides. between correlation Additionally,significant a was there BDI values(p =0.003)comparedtothoselocatedontheother with head and neck location of the BCC had significantly lower patients had clinically suspected depression (BDI > 1 Anatoly Smulevich DERMATOSES: ‘A NOVEL DISEASE’? PSYCHOGENICALLYEVANESCENT TRIGGERED P8 were between0and23points;themeanwas7.1 The totalBeckDepressionInventoryscoresofallparticipants of itchwereassessedwithnumeralratingscale(NRS).Results: pression Inventory(BDI). Additionally, thepresenceandseverity evaluated withtheself-assessmentmethodusingBeckDe study. Demographicdatawerecollectedandthedepressionwas males) with histologically confirmed BCC were enrolled in the Methods: Fifty-twopatients(twenty-sixfemalesandtwenty-six depression ofthepatientswithadiagnosisBCC.Material& purpose ofthisstudywastoassessthepresenceandseverity type ofcanceramongCaucasianpopulationsworldwide. The Introduction: themostprevalent CellCarcinoma(BCC)is Basal Pain andqualityoflifewereevaluated. This studyshowedthatskin individuals oftheFrench18–80-year-old population wassurveyed. patients with psoriasis. A representative sample composed of 5,000 the presence,frequencyandcharacteristics ofskinpainamong the prevalenceofskinpainispoorly known. We aimedtoevaluate Pruritus andjointpainarewell knowninpsoriasispatients,but Laurent Misery SKIN PAIN AND PSORIASIS P9 (n psychogenic urticariawithitching/burningandurticaria-likerash bling rashandpainfulerosionsinlichenruberplanus(n painful ecchymoses(n (1) Gardner-Diamond syndromewithpsychogenicpurpuraand sations. Psychogenically triggered evanescent dermatoses include observable primaryevanescentlesionsaccompaniedby skin sen guished. It differs from somatoform and self-inflicted disorders in of relativelyrarepsychodermatologicaldiseaseshasbeendistin group A Results: (SCID). examination includedclinicalinterview skin status,microbiologicalexamination,biopsy. The psychiatric psychiatrists. Dermatologicalexaminationincludedassessmentof mean age–45.5years)wasexaminedbydermatologistsand skin symptoms.Methods:Studysample(12patients,10female; occurring withsensoryphenomenaandobjectivelyobserved a groupofreactivelyprovokedpsycho-dermatologicaldisorders (e.g., psychogenicpurpuraetc.).Aim:Clinicalcharacteristicsof triggers andaccompaniedbyobservabledermatologicalsymptoms minance ofsensoryphenomena,manifestingafterpsychogenic vestigated psychodermatologicaldisorderswithclinicalpredo somatoform, self-inflicted etc.), there are some rare and underin Background: Along withfunctional,sinemateriadisorders(e.g. continuous (n reactive depression.Further disease course is phasic (n onset is psychogenically triggered, directly or in the structure of 1 Romanov logy ofMoscowCityHealthDepartment,Moscow, Russia and Practical Center of Dermatology, Venereology and Cosmeto- University), I.M.Sechenov First MoscowState Medical University (Sechenov University Hospital,Brest, = 3); (4)psychogenicformofpainangioedema(n 1,2

2 Mental Health Research Center, = 1 , JasonShourick 5). 1,2 , Andrey Lvov = 1); (2)glossodiniawithlesionsresem 2 EMMA, Vincennes, France p =0.014) 2 , CharlesTaieb 3 , Polina Iuzbashian Conclusions: BCCscan Acta DermVenereol 2019 p =0.022) andthe 3 Moscow Scientific Moscow 2 Posters ± 5.8. 19.2%of 11). Patients = 1 = 2). Their , = Dmitry 6); (3) 7) or 749 ------

Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta Bender trials shouldtakepatientsuffering intoaccount. management ofskinpainisanunmetneed,andallfurtherclinical Conclusions: Whereas thepathophysiologyremainsunclear, the quality oflifewereassessedbyDLQIandSF-12measurements. of pain inside andoutside of skinlesions.Severe alterations in was suggestedbytheDN4questionnaire,aswellpresence with anintensitythatwasalmost6/10. A neuropathiccomponent reported by more than half of the patients with atopic dermatitis were evaluated.Results: This studyshowedthatskinpainwas individuals fromtheFrenchpopulation.Painandqualityoflife conducted on arepresentative sample of 5000 18– to80-year-old titis, itsfrequencyandcharacteristics.Methods: A surveywas ofskinpaininpatientswithatopicderma to evaluatethepresence studied; however, skinpainisverypoorlyunderstood. We aimed Background: Pruritus in atopic dermatitis has been extensively 1 Eva Peters MALIGNANT MELANOMA PATIENTS CANCER? AN OBSERVATIONAL STUDY IN DOES STRESSMATTER INEARLY-STAGE P12 stage orisapartoftheother. disease entitiesorcloselyrelateddiseases,whereoneisthenext is importanttoconsider, whetherthesearereallytwoseparate such as Morgellon’s disease. The study of this case shows that it delusional parasitosisinapersonwithanearlierpsychoticdisorder clusions: The presented case showsthe possible development ofa the diagnosisofdelusionalparasiticsyndromewasmade.Con creased. The patientunderwentapsychiatricconsultation,where was convincedofitspresence.Stinginganditchingsensationin a parasiticinfestationaspossiblecauseofthesymptoms.She the body. Duringthehospitalization, thepatientbegantosuspect of parts subsequent of skin the on fibers growing of emergence The patientreportedthediseaseprogression,manifestedby fibers growing up from the skin of her soles of the feet and hands. cause shehasbeenobservingforoverayearvarioustypesof parasitosis. Casereport: A 58-year-old womanwasreferredbe typical Morgellon’s disasesfeatures,thenmovingtodelusional pathogenesis. Here, we present an unusual case first presented with are psychoticdisorderswheredelusionsplayacrucialroleintheir Introduction: Agnieszka Otlewska PARASITOSIS? MORGELLON’S DISEASEORDELUSIONAL P11 1 Laurent Misery PAIN IN ATOPIC DERMATITIS P10 account thesuffering ofpatients. is anunmetneed,andallfurtherclinicaltrialsshouldtakeinto siology remainsunclear;however, themanagementofskinpain pathophy The doctors. by confirmed not and self-reported was main limitationofthisstudywasthatthediagnosispsoriasis quality oflife(assessedbyDLQIandSF-12measurements). The an intensitythatwasalmost6–10andwithconsequencesonthe pain wasreportedbyone-thirdofthepatientswithpsoriasis, 750 1 che-Posay Dermatological Laboratories, Levallois-Perret, France partment ofPsychiatry, MedicalUniversity, Wrocław, Poland Charles Taieb Jakob Psychoneuroimmunology Laboratory, DepartmentofPsychoso- Department ofDermatology, Venereology and Allergology, University Hospital, Brest, France 3 , 6 , JohannesKruse 18 Uwe Gieler 1,2 th Congress of the European Society for Dermatology and Psychiatry , Both delusional parasitosis and Morgellon’s disease Svenja Foth 2

1 , Flavien Huet 1 3,4 , PrzemysławPacan , Matthias Rose 7,8 1 ,

Pietro Madeo 1 , Jason Schourick 2 EMMA, Vincennes, 2 , 2 1 Sandra Philipp , JacekC.Szepietowski , Michael Schock 2 , Sophie Séité 5 , 3 La Ro- 1 , Armin Thilo 2 De- 3 1 - - - - - , Dermatology,Medical Corporation,Doha,Qatar, Hamad Liebig University, Giessen, combat healthdecline. is recommendableforearly-stageMMpatientstodetectand mental healthscreeningandoffer ofpsycho-oncologicsupport stress butmarkedchangesoccurwithtime.Hence,repeated initially haverelativelylowpsychosocialandneuroendocrine of depression. These findings demonstrate that early-stage MM and T4 andlow T4-BDNF wasassociatedwithhighsymptoms BDNF and SLURP1 levels rose and then dropped between T1 lower SF-12but no other group differences. In the third analysis, lysis, HPO compared to LPO showed higher PSQ and STAI and Regina vonSpreckelsen PROFESSIONALS (HCPS) PERSONS, RELATIVES AND HEALTH CARE FROM THE POINT OF VIEW OF AFFECTED AQUALITATIVEPSORIASIS. WITH ANALYSIS STIGMATIZATION EXPERIENCEOF PEOPLE P13 groups while SLURP1 was significantly lower. In the second ana to controls but differed significantly from all comparison disease first analysis, MM distress, cortisol and BDNF were comparable followed for one year (baseline, 3, 6, 12 months [T1–T4]). In the comparing highandlowneed(HPO,LPO). Third, patientswere screened MMpatientsforpsycho-oncologicneed(PO,n =30) anxiety disorder(n =18)anddepression44).Second,we controls (n =46),atopicdermatitis35),psoriasis37), (n =37) comparedwithhealthy MM early-stage in [SLURP1]) (cortisol, BDNF, Secreted-Ly-6/uPAR-related-protein-1 self-reported distressandkeyneuroendocrinestress-mediators assessed first we Here mice. in documented well is mediators are associated.Correspondingreleaseofneuroendocrinestress- Progressed malignantmelanoma(MM)andpsychosocialdistress and subcategories.Results:IntheperiodfromMaytoJune 2018, content analysisandtransferred toacategorysystemwithmain HCPs weretranscribedverbatim, evaluatedbycomputer-aided and focusgroupinterviewswith affected persons,relativesand individualdata fromtheguideline-based, semi-standardized were developedinadvanceand subjectedtoapre-test. The Campus Kiel.Forallgroupsofparticipants,separateguidelines Psoriasis CenterattheUniversityHospitalSchleswig-Holstein, dividual interviews.Methods:Subjectswererecruitedfromthe by meansofqualitativesurveysinfocusgroupsaswell affected persons,relativesandhealthcareprofessionals(HCPs) stigmatization experiencewasrecordedfromtheperspectiveof fected andnon-affected people.Inthecontextofthisstudy, the af between interactions the of terms in evaluated scientifically structured destigmatizationaretobedesigned,developedand of formats specific Health, of Ministry Federal the of support of stigmatizationincreasinglybecomesapparent. With the of health-relatedlifequality. At thesametime,experience riasis haveshownthatsuchpatientssuffer fromsevereloss Background: A large number of studies in people with pso 1 burg, Marburg, matic Medicine,Justus-LiebigUniversity, Giessen, für integrativePsychiatrie,Kiel, Justus LiebigUniversity(JLU),Giessen,Germany, zin Berlin, Internal Medicine and Dermatology, Charité-Universitätsmedi Berlin, sis Research andTreatment Center, Charité–Universitätsmedizin, Allergologie, Psoriasis-Zentrum, burg, Germany Ham- (IVDP), Pflegeberufen bei und Dermatologie der in schung UKSH CampusKiel, Klinik für Dermatologie, Venerologie und 6 Department ofDermatology, Philipps-University Mar 7 Department of Psychosomatic Medicine, Justus- 3 Department ofDermatologyand Allergology, 1,2 , RachelSommer 8 University ofMarburg, Germany 2 UKSH Campus Kiel, Zentrum Campus UKSH 3 Institut fürVersorgungsfor 3 , UlrichMrowietz 4 Department of 2 Center for 5 Psoria- 1

------Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV Gracia-Cazaña M. Alcalde-Herrero alpha 0.87indicatesagoodinternalconsistencyofthequestionn the Skindex-29wereusedforitsvalidation.Results:Cronbach Dermatology Departments, tal Lozano Blesa, tal Lozano 1 Fuentelsaz del Barrio in adultpatientswithmoderate-to-severe atopic dermatitis dupilumab with safety, and efficacy satisfaction, outcomes, adults. noclonal antibody, isanewtreatmentforatopicdermatitis in mo anti-interleikin-4-receptor-α an Dupilumab, Background: Servando E. Marron PRACTICE DUPILUMAB AT WEEK-52 INUSUAL CLINICAL WITH ATOPICDERMATITIS TREATED WITH OUTCOMES (PROS)IN ADULT PATIENTS EFFICACY, SAFETY AND PATIENT REPORTED P15 with DLQIandSKINDEX-29,discriminativecapacity. reliability (test-retest),internalconsistency, validity, comparison tes theexcellentpropertiesofinstrument:comprehensibility, in Spanish.Itisuserfriendlyandeasyto. This studydemonstra self-administered questionnairetoassessQoL inpatientswithHS the Skindex-29.Conclusions: The HSQoL-24 is the first specific was 0.70(p-value)< DLQI the with (ICC) coefficient correlation intraclass The aire. a groupof30patientswith The preliminaryvalidationoftheHSQoL-24waspassedtwiceto sionals. The validationwithasampleof130patientsispresented. with HS,aswellaDelphiexpertconsensusamonghealthprofes was carried out to prepare a semi structured interview for patients to measureQoL inpatientswithHS.Methods: A literaturesearch Objective: To instrument disease-specific a validate and develop language. Spanish the in disease this for questionnaires QoL fic systems toassessphysicalseverity;however, therearenospeci with impairedqualityoflife(QoL). There arevariousmeasuring Introduction: HidradenitisSuppurativa(HS)hasbeenassociated 2 Servando E. Marron OF HSQOL-24 SUPPURATIVA: PSYCHOMETRICPROPERTIES QUALITY OF LIFEINHIDRADENITIS P14 of psoriasiscanbereduced. both the public and self-stigmatization experienced by sufferers persons, whichcanactaspossiblemultipliers,itishopedthat Discussion: Through meetingsbetweenaffected andunaffected as a limitation within social and professional environments. those affected andtheirrelativeswasevidentperceived surveyed subgroups. In particular, self-stigmatization among with HCPswereconducted.Stigmatizationwasreportedinall views withaccompanyingrelativesand14individualinterviews two focusgroupswithatotalof14patients,sixindividualinter mas-Aragones goza, Zaragoza,Spain Gilaberte-Calzada Muñoz goza, Spain bastro, Villanova Hospital, ragoza, cia-Latasa de Aranibar cia-Latasa Royo Villanova Hospital, Zaragoza, Dermatology Department,UniversityHospitalMiguelServet,Za - 1 , Objective: To evaluate–atweek52 –patientreported 4 2 Ana M.Morales-Callaghan Psychology Department,University ofZaragoza,Zara- Dermatology Department, 4 3 , LuciaTomas-Aragones 1 4 , 2 Psychology Department.University ofZara- 3 , 1 F. JavierGarcia-Latasade Aranibar Dermatology Department, University Hospi- 1 , M. Victoria FuentelsazdelBarrio , 2 VictorM. Alcalde-Herrero 0.001), and0.87(p-value)< , Ana M. Palma-Ruiz 2 , Marcial Alvarez-Salafranca Carlos A. Moncin-TorresCarlos A. 1 University HospitalMiguel Servet, ± 10 daysofinterval. The DLQIand 3 1 Pharmacy Department,Royo , Estrella Simal-Gil 3 Barbastro Hospital, Bar 4

1 , Paulina A. Cerro-Paulina A. 2 , F. Javier Gar 3 , 3 0.001) with , M. Victoria Lucia To- 1 2 , , 2 Yolanda Tamara , Victor ------Ruiz Morales-Callaghan celo Label Agudos JoséMaríaRamosMejía, Buenos Aires, Argentina University ofZaragoza,Spain with autoimmune blistering disease, understanding it as a co • To highlight theimportanceofmentalareainpatients toimmune blistering disease. Thus, The aim ofthe poster is: It hasbeenreportedtherelation betweendepressionandau Aranibar Servando E. Marron WITH ATOPICDERMATITIS PSYCHOSOCIAL BURDENIN ADULT PATIENTS P16 Estela Malatesta CITY,BUENOS AIRES ARGENTINA IN BETWEEN TWO GOVERNMENTAL HOSPITALS INTERDISCIPLINARYDEPRESSION. WORK AUTOIMMUNE BLISTERING DISEASES AND P17 mitigate thenegativeimpactofdisease. holistic multidisciplinaryinterventionisnecessaryinorderto the patientswithatopicdermatitisisnegativelyaffected anda of somethemaregreatconcern.Conclusions: The QoL of effects side the and treatments the among solution definitive a the lackofawarenessandignorancedisease, among others. The visibleaspect,theitching-scratchingcycle, in various areas and activities of their daily life or alterssleep, rejection, stigmatizationandsocialisolation,limitsthepatient generates relationships, interpersonal italters patient, since atopic dermatitishasagreatpsychosocialimpactontheadult emphasizedthatpsychosocial, clinicalandrelational.Itis personal, work-related, economic, identified: were dermatitis Results: Sixaffected areasofthe patient’s lifewithatopic simple script, which allowed a complete and flexible interview. qualitative interviewsweresemi-structuredandsupportedbya 14 adultpatientswithatopicdermatitiswereinterviewed. The of adult patients with atopic dermatitis. the disease produces in order to better define the healthcare needs (QoL) inmanyways.Itisimportanttoanalyzetheimpactthat Objective: Atopic dermatitisaffects patients’ qualityoflife 2 1 1 and symptoms, with a good safety profile and patient satisfaction. clinical practice for 52weeks improved atopic dermatitis signs mild and transient. Conclusions: Dupilumab used under routine laboratory abnormalitieswerenoted,andadverseevents higher in all aspects assessed. No significant dupilumab-induced significantly was treatments previous to compared dupilumab depression symptoms,andqualityoflife.Satisfactionwith and anxiety sleep, to difficulty itch, severity, in observed was efficacy and safety. of life (DLQI, EQ5D3L), satisfaction, adherence to the treatment, (SCORAD), anxietyanddepressionsymptoms(HADS),quality severity events, life stressful previous sleep, to difficulty itch, 4, 8,12,16,28,40andweek52. The variablesevaluatedwere: every 2 weeks. The outcomes were evaluated at baseline, week practice, were treated with subcutaneous dupilumab 300mg were enrolled.Patientsfromourhospital,underroutineclinical conditions ofusualclinicalpractice.Methods:Twelvepatients refractory totheusualtreatmentspreviouslyperformedunder Virginia Trotta Calzada Arturo Ameghino Mental Health Centre, Department, RoyoVillanova Hospital, Dermatology Department,University Hospital Miguel Servet, 1 , Estrella Simal-Gil 1 , 2 , LuciaTomas-Aragones VictorM. Alcalde-Herrero 2 , Cinthia Dickson 1 1 , Karina Malvido 1 Results: At week 52 significant improvement , 1 , Nieves Porta-Aznarez Paulina A. Cerro-MuñozPaulina A. 1 , Milagros Sanchez-Hernandez 2 , Mónica DiMilia 3 1 , 2 Mónica Suarez Holze , F. Javier Garcia-Latasa de 3 Acta DermVenereol 2019 Psychology Department, Patients and Methods: 2 1 Hospital General de , Yolanda Gilaberte- 2 1 , , Laura Golberg Posters Ana M. Palma- 1 , Ana M. 1 , Mar 751 1 - - - ,

Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta Ruiz erra chez-Hernandez No significant association was found between any between found was association significant No Conclusions: tion wasreportedby10.0%(controls 9.5%,OR2.44(0.89–6.73)). for anxiety(controls9.5%)OR 1.24 (0.56–2.74)).Suicidalidea (controls 3.4%,OR1.40(0.42–4.59)), and 10.4%screened positive of 89.5%.Ofthepatients,5.6% screenedpositivefordepression and116 249patients There were aparticipationrate with controls, A control groupwasrecruited among hospital employees. Results: andcomorbidities. diagnosis with completedaquestionnaire who ideation. A clinicalexaminationwasperformedbyadermatologist with socio-demographicdata,negativelifeeventsandsuicidal depression and/oranxiety. They alsocompletedaquestionnaire and Depression Scale (HADS)to screen forpossible cases of consecutive adultout-patientscompletedtheHospital Anxiety in Europe and published in 2015. Method: A sample of249 results obtained in Spain as part of a large-scale study performed burden ofskindiseasehasbeenpoorlyexplored. We presentthe Introduction: The contributionofpsychologicaldisorderstothe 2 1 Servando E. Marron DISEASES INSPAIN THE PSYCHOLOGICAL BURDENOF SKIN P19 differential diagnosisofself-induced dermatoses. psychiatrist inpsychodermatologyhospitalcareandreviewthe work wewanttohighlighttheimportanceofconsultantliaison improve infollow-updermatologyconsultation. Through this significantly lesions the Then home. nursing a in living starts venlafaxine andpregabaline)afterthehospitalizationshe We prescribe apsychopharmacologicaltreatment(mirtazapine, out andwemakeadiagnosisofexcoriationdisorder(DSM-5). the roleofsickperson. Therefore factitiousdisorderisruled manipulation ofthelesions. There isnointentionofassuming andcontinued compulsivescratching andpresents of thelesions condary todermatologicaldisease.Sherecognizesauthorship symptomatologyse chronicanxious-depressive presents she of therighthand.Frompsychopathologicalpointview, presents necrotic ulcer lesions on the legs and on the forefinger episode ininternalmedicineforpoorpaincontrol. The patient an interconsultationtoliaisonpsychiatryduringhospitalization make and lesions self-inflicted suspect Dermatologist ments. woman withpoorevolutionofthelesionsandmultipletreat We presentacaseoflivedoidvasculopathyin73-year-old govia, Spain Department of psychiatry, Complejo Asistencial de Segovia, Se- Escudero, DanielSadíaCohen, Alberto Miranda Sivelo, INFLICTED LESIONS VASCULOPATHYLIVEDOID SELF- WITH DIFFERENTIAL DIAGNOSISIN A CASEOF LIAISON PSYCHIATRY AND DERMATOLOGY: P18 and ABD. anxiety depression, by shared mechanism inflammatory underlying the need for new prospective studies to deepen the understanding of with autoimmune blistering diseases • To raise awareness of the the benefits of the articulated multidisciplinary work on patients cytokines responsiblefortheblisteringdisease.• To establish pro-inflammatory same the of imbalance the by caused be can morbidity. Depressivedisordersassociated with this pathology 752 Tomas-Aragones Psychology Department, University of Zaragoza, Spain Dermatology Department,University Hospital Miguel Servet, 1 1 , , Yolanda Gilaberte-Calzada Rosdas Garcia-FelipeRosdas 18 th Congress of the European Society for Dermatology and Psychiatry 1 2 ,

Ricardo Martin-Marco 1 , Paulina A. Cerro-MuñozPaulina A. Silvia Gadea DelCastillo, 1 , Estrella Simal-Gil Susana Pérez Santos 1 , Santiago Boira-Sarto 1 , Rosa Baldellou-Lasi 1 , 1 , Ana M. Palma- Diana Herrero Milagros San - 2 , Lucia - - - -

Ruiz Department, UniversityofZaragoza,Spain 52.9% goodmentalhealth.Conclusion: We observedthattheper good socialfunctioning,70.5%emotionalfunctioningand 58.8% goodgeneralhealth,veryvitality, 70%,5% 41.15% reported very good physical functioning, 76.1% no pain, poor mental health. At week78we observed thefollowing results: 88.2% social malfunction, 100% emotional malfunction and 82.3% debilitating pain,82.3%poorhealthingeneral,76.4%badvitality, the following results: 35.3% reported physical malfunction, 64.7% observed evaluationwe Inthebaseline Results: Ustekinumab. with in agroupof17 patients with moderate toseverepsoriasis treated relate theresultswithclinicalvariablesusingPASI andBSA quality oflifewiththe Short Form-36Survey (SF-36) and cor practice conditions. The objectiveofthestudywastomeasure out a longitudinal and prospective study under routine clinical physical, mentalandsocialmanifestations.Method:Wecarried Introduction: Psoriasisisachronicskindiseasewithnegative 2 1 Servando E. Marron PSORIASIS PATIENTS PATIENT REPORTED OUTCOMES(PROS)IN P20 diagnosis. Recommendationsare givenonthedirectionoffuture particularly theassociationsfound betweenattachmentstyleand study concludes with a discussion of the findings of the study, and groups and patient attachment style were noted in this study. The the study. Statistically significant differences between diagnostic of Facebook and Twitter. A total of 120 participants took part in by administeringanonlinesurveytothesocialmediaplatforms Adult Attachment Scale.Controlgroupresponseswereobtained were contactedbytelephoneandaskedtocompletetheRevised of threediagnosticgroups based on their diagnosis. Participants clinic. Participantswererandomlyselectedandplacedintoone from aclinician-maintained database atapsychodermatology Patient diagnosisanddemographicinformationwerecollected relationships betweenpatientattachmentstylesanddiagnosis. The mainobjectiveofthisstudywastoinvestigatethepossible style anditsrelationtopatientdiagnosisremainbeexplored. psychodermatology, topicsregardingtheeffects ofattachment Despite theavailabilityofresearchinareaattachmentand 1 Tanyo Tanev DERMATOLOGY TO PATIENT DIAGNOSISINPSYCHO- ATTACHMENT STYLES INRELATION P21 the successiveweeksoftreatment. throughout improvement significant a experienced they that and health atthebeginningoftreatmentwithUstekinumabwaspoor ception ofpatientswithmoderate-severepsoriasisregardingtheir logy Department, University Hospital Lozano Blesa, logy Department,UniversityHospitalLozano psoriasis andeczema. higher inanxiety. Suicidalideationwashigherinpatientswith higher indepression,andpatientswithpsoriasisacnescored Patients with non-melanoma skin cancer andskin infections scored ideation. suicidal or depression anxiety, and diagnosis specific Medical City, Abu Dhabi,UAE Marcial Alvarez-Salafranca landa Gilaberte-Calzada UK, Fuentelsaz delBarrio Aznarez Dermatology Department,RoyoVillanova Hospital, Dermatology Department,University Hospital Miguel Servet, The RoyalLondonHospital,BartsHealthNHSTrust, London, 1 2 , Presidential Medical Wing Al Mafraq andSheikh Khalifa Estrella Simal-Gil 1 , Ricardo Martin-Marco 1 , Dimitre Dimitrov 1 , 2 Paulina A. Cerro-MuñozPaulina A. , 1 F. JavierGarcia-Latasa de Aranibar , 1 , VictorM. Alcalde-Herrero 3 Rosa Garcia-Felipe , LuciaTomas-Aragones 2 , 1 Anthony Bewley , Rosa Baldellou-Lasierra 1 , 1 1 , Ana M. Palma-

Nieves Porta- 4 2

, 4 Psychology M. Victoria 3 Dermato- 1 , Yo 2 - - - , Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV of dermatologistsisnotonlythemedicaltreatmentpsoriasis; patients andhealthyvolunteersin Turkish population. The task the first study to compare healthy lifestyle behaviors of psoriasis than thosewithpsoriasisalone(p =0.002). of those with additional physical disease was significantly higher in thepatientgroup(r =–0.287, tion betweenspiritualdevelopmentscoreanddiseaseduration than thecontrols(p =0.040),andtherewasanegativecorrela Spiritual developmentscoreofpatientswasstatisticallylower showed no significant difference between two groups (p =0.222). health behaviors at a high level. Results: Total HPLP-II score ment. Higher scores show that the individual applies the specified nutrition, physicalactivity, healthresponsibility andstressmanage of sixsubgroups:spiritualdevelopment,interpersonalrelations, consists which (HPLP-II) Profile-II Lifestyle Promoting Health Participants completedthesociodemographicdataformand ded 80 psoriasis patients and 80 healthycontrolsaged over 18. and viors betweenpsoriasispatientsandhealthycontrols.Materials Aim: Inourstudy, weaimedtocomparehealthylifestylebeha 1 İlknur Kıvanç Altunay BEHAVIORS INPSORIASISPATIENTS EVALUATION OF HEALTHY LIFESTYLE P22 in psychodermatologyclinics. research andpatient-centeredstrategiesthatcanbeimplemented İstanbul, Turkey Hospital, Ataşehir Memorial Venereology Department, and logy eiie Ekşhr sagz Uiest, Eskişehir, University, Osmangazi Eskişehir Medicine, İstanbul, Hospital, Research and Training Etfal Hamidiye Şişli Sciences, man Dermatology andVenereology Department,UniversityofHealth 1 Methods: This cross-sectional,two-centerpilotstudyinclu , HilalKayaErdoğan 2 Dermatology andVenereology Department,Faculty of 1 , Fatma Deniz 2 , IşılBulur p =0.010). Also, nutritionscore 1 , 3

Ezgi Özkur This is Conclusion: This 1 , Aslı Aksu Çer 3 Dermato------scores (p =0.030)whilediseasedurationwasnegativelycor (p =0.043). DiseaseseveritywaspositivelycorrelatedwithBDI a negativecorrelationbetweeneducationallevelandBHSscores statistically higherinwomenthanmen(p =0.008)andtherewas (p =0.053).Inpsoriasisgroup,BDIscoreswere significance cal higher in patients than controls; with a tendency towards statisti were scores (p =0.001).BHS higherthancontrols statistically Hopelessness Scale(BHS).Results:BDIscoresofpatientswere graphic dataform,BeckDepressionInventory(BDI)and diseases wereexcluded.Participantscompletedthesociodemo study. Patientswithpsoriaticarthritis,systemicandpsychiatric sis and88healthycontrolswereincludedinthiscross-sectional patients. in psoriasispatientsandgetanideaofhiddensuicideriskthese this study, we aimed to investigate depression and hopelessness and suicidality, theclosestrelatedfactoris“hopelessness”.In Aim: Referringtherelationshipbetweendepressionsymptoms 2 İlknur Kıvanç Altunay IN PSORIASISPATIENTS DEPRESSION, HOPELESSNESSANDSUICIDALITY P23 in psoriasispatients. which isanimportantcomponentofpsychosocialcomorbidity suicide risk.BDIandBHScangiveusahintaboutsuicidality mild levelsofhopelessnesswhichwasnothighenoughtosuggest psoriasis patientswerefoundtohavesubclinicaldepressionand (p =0.007). scores BDI related with 1 the developmentofhealthybehaviorsinpatients. but alsoquestioningpatients’ lifestylebehaviorsandsupporting key Hospital, Research and Training Etfal Hamidiye Şişli Sciences, Psychiatry Department, İstanbul Gedik University,TurGedik İstanbul, İstanbul Department, Psychiatry Dermatology andVenereology Department,UniversityofHealth Materials and 1 , FatmaDeniz Methods: 88patientswithplaquepsoria 1 , SibelMercan Inourstudy,Conclusion: Acta DermVenereol 2019 Posters 2 753 - - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV Garcia-Felipe, Rosdas752 Garcia-Felipe, Rosa752 Galiás, Iraci740 Gadea DelCastillo,Silvia752 G Fusari, Roberta741 Fuentelsaz delBarrio,M. Victoria 751 Frigo, Natalia736 Foth, Svenja750 Finlay, Andrew 742 Feton-Danou, Nathalie740 Fania, Luca741 F Ezzedine, Khaled740 Evers, Andrea 723,727730742 Escudero, DianaHerrero752 Erdoğan, HilalKaya753 Emad, Neda733 E Dorozhenok, Igor737,743 Dobbinga, Sjoerd730 Dmitrieva, Anna 738 Dimitrov, Dimitre752 Didona, Biagio749 Dickson, Cinthia751 Deniz, Fatma753 Dastgheib, Ladan733 Darchini-Maragheh, Emadodin725 Damme, Stefaan Van 743 Dalgard, Florence723 D Cusick, Elizabeth741 Crombez, Geert743 Coulibaly, Eva740 Corgibet, Florence740 Corazza, Ornella737 Cohen, DanielSadía752 Ciccone, Davide741 Chlebicka, Iwona749 Chinoy, Hector739 Cerro-Muñoz, Paulina A. 751,752 Çerman, Aslı Aksu 753 Can, Yeşim 737 Caggiati, Alessio 749 C Buromskaya, Nina734 Bundy, Christine745 Bulur, Işıl753 Bruland, Philipp748 Brenaut, Emilie742 Brazhnikov, Aleksei 740 Brähler, Elmar727 Borodulina, Kristina737 Boira-Sarto, Santiago752 Bobko, Svetlana731 Biedermann, Tilo 726,732733 Bewley, Anthony 728,736737752 Bertolus, Sylviane740 Bergh, Omervanden730 Bender, Armin 750 Becker, JenniferM.730,743 Balieva, Flora742 Baldellou-Lasierra, Rosa752 Bagde, Pranaya728 B Aydın, Çiğdem726 Austin, Jennifer748 Augustin, Matthias733 Arteaga, Reinel Vásquez 725,734 Armoni, Gil742 Aranibar, F. JavierGarcia-Latasade751 Apfelbacher, Christian743 Alvarez-Salafranca, Marcial751 Altunay, İlknur726,732733737742 Al-Sarraf, Alaa 737 Allenova, Anastasiia 729 Alcalde-Herrero, Victor M.751,752 Abeni, Damiano741 A www.medicaljournals.se/acta 754 752 726, 735 752 753 Author Index , 749 , 730 , 732733 , 733 , 744749 , 738 , 748 , 742 , 748 , 752 , , , Krüger, Christian726 Kristensen, JohannesKjeldstrup740 Kornyat, Maria736 Kobusiewicz, Aleksandra 731 Kleyn, ChristineElise739 Klatka, Karolina731 Keuthen, NancyJ.742 Kemperman, Patrick745 Kayastha, BhaskarMohanMeher731 Kaszuba, Andrzej 731 Kasikhina, Elena732 Karmarkar, Suman740 K Jörg, Kupfer746 Joly, Pascal740 Jemec, Gregor742 Janus, Christine748 Jakob, Thilo 739 Jafferany, Mohammad744 J Iuzbashian, Polina741 Igoshina, Anastasia 736 Iemboli, MariaLuisa744 Ibrahim, Ruba742 Iani, Luca741 I Hussain, Khawar728 Husain, Anwar 735 Huet, Flavien750 Holze, MónicaSuarez751 Hlystova, Elena738 Hewitt, Rachael745 Heuft, Gereon748 Hawro, Tomasz 746 Häusser, Jan723 Halvorsen, Jon Anders 742 Hafi, Bishurul729,735 H Grejsen, Dorthe Vestergård 740 Grebe, Anna Katharina748 Gracia-Cazaña, Tamara 751 Gomberg, Mikhail738 Golberg, Laura751 Gojny, Łukasz749 Głowaczewska, Amelia 741 Gkini, Maria-Angeliki728 Gilaberte-Calzada, Yolanda 751 Giesbers, JolijnJ.J.730 Gieler, Uwe722,727730731739 Maurer, Marcus746 Matusiak, Łukasz741 Matiushenko, Valeriia 732 Mastroeni, Simona741 Mashayekhi, Vahid 726,735 Martin-Marco, Ricardo752 Marron, ServandoE.742,751752 Mani, Arash 734 Malvido, Karina751 Malkani, Ram740 Malatesta, Estela751 Makmatov-Rys, Mikhail734 Magerl, Markus746 Madeo, Pietro750 M Lvov, Andrey 729,731736740741 Lomonosov, Konstantin743 Linder, Dennis742 Lien, Lars742 Lesiak, Aleksandra 731 Leibovici, Vera 742 Layegh, Pouran725 Lavrijsen, Adriana 727,730 Latheef, Abdul 727,735 Lambertz, Zora731 Lada, Georgia 739 Label, Marcelo751 Laarhoven, Antoinette I.M.van730 L Kutasevych, Yanina 732 Kupfer, Jörg 723,727730731742 Kruse, Johannes739,750 742, 745746750 742, 749 , 750 , 748 , 737 , 733 , 743744748 , 749 , 749 , 745 , 736 , 743748 AUTHOR INDEX , 752 , 743 Rasoulzadeh-Tabtabaei, SeyyedKazem R Quinto, RossellaMattea741 Q Potekaev, Nikolay729 Porta-Aznarez, Nieves751 Poot, Françoise742,745 Pluzhnikov, Ilya736 Pintori, Giusi749 Philipp, Sandra750 Peters, Eva739 Peifer, Corinna726 Pattinson, Rachael748 Parfenov, Evgeny736 Parfenova, Elizaveta736 Parekh, Komal740 Paradisi, Andrea 744 Panebianco, Annarita 749 Palma-Ruiz, Ana M.751,752 Pallotta, Sabatino749 Pacheco-Lopez, Gustavo730 Pacan, Przemysław728 P Otlewska, Agnieszka 750 Osman, Ossama745 Ortega, Angela Medina725 Oliinyk, Iryna732 Ofenloch, Robert743 O Ninaber, Maarten730 Nieman, Dorien745 NA, Uvais729,735 Naughton, Declan737 Narbutt, Joanna731 N Mulert, Christoph723 Mrowietz, Ulrich750 Moyakine, A.V. 725 Moridi, Melika734 Morales-Callaghan, Ana M.751 Moradi, Arezoo 725,726735 Monje, SaraMosquera725 Moncin-Torres, Carlos A. 751 Mitina, Olga736 Misery, Laurent740 Milia, MónicaDi751 Middendorp, Henriëtvan727 Michenko, Anna 729,736742 Michel, Laurence740 Mercan, Sibel737 Meier-Naust, Lisette731 Meeuwis, Stefanie727 Mazzanti, Cinzia749 Schollhammer, Martine740 Schock, Michael739 Schneider, Gudrun742,748 Schmid, Ulla728 Schielein, Maximilian732 Schallreuter, KarinU.726,733 Santos, SusanaPérez752 Sanchez-Hernandez, Milagros751 Sampogna, Francesca741 Samboní, DiegoHoyos734 Salguero, Carolina725 Salek, Sam742 Salaeva, Kenyul726 Saeidi, Maryam725 S Ryckeghem, DimitriM. Van 743 Rose, Matthias746 Romanov, Dmitry729,731736740 Romanova, Yulia 740 Richard, Marie-Aleth740 Ricci, Francesco744 Revenson, Tracey A. 725 Reszke, Radomir728 Reich, Hanna727 Reich, Adam 728 Razmi, Muhammed729 Razmara, Mahdi725 726 745, 749 741, 742749 , 746750 , 730 , 753 , 748 , 750 , 742749750 , 726735 , 732 , 726735 , 750 , 744 , 730 , 750 , 742744 , 733 , 752 , 734 , 730 , 752 Özkur, Ezgi732 Ö Zouboulis, Christos739 Zink, Alexander 726 Zimmermann, CarolineF. 725 Zaytsev, Pavel734 Zanjani, Scherwin739 Zanjani, Sanaz739 Zalewska-Janowska, Anna 731 Z Yosipovitch, Gil722 Yoshinaga, Iara740 Y Wong, Yak Mee745 Włodarek, Katarzyna743 Winter, Elke746 Wiers, Reinout 743 Weisshaar, Elke723 Wehrmann, Jochen 746 Warren, RichardBruce 739 Wahrhaftig, Noemi 744 Vulink, Nienke745 Vreijling, SarahRosa730 Vleuten, C.J.M.vander725 Versapuech, Julie740 Verma, Shyam744 Veldhuijzen, Dieuwke W.S. 727,730 Vasani, Resham744 Varzhapetyan, Asmik 743 van der Wee, Nic730 Valencia, DavidLópez725 Vakhitova, Irina729 V Uğurer, Ece726 U Trotta, Virginia 751 Tripathi, Richa731 Trialonis-Suthakharan, Nirohshah748 Tomas-Aragones, Lucia742 Tizek, Linda732 Titov, Konstantin729 Thompson, Andrew 722 Tereshenko, Anastasiya 741 Temnikov, Vadim 738 Temnikov, Dmitry738 Temnikova, Ekaterina738 Taylor, Ruth728,736 Tausk, Francisco741 Tarkowski, Bartlomiej731 Tanev, Tanyo 752 Talbot, PeterStanley739 Taieb, Charles740 T Szepietowski, JacekC.728 Szabo, Csanad742 Stumpf, Astrid 742 Ständer, Sonja723,748 Stierle, Christian746 Stiegler, Julia741 Steinbach, Reinhold742 Stefaniak, Aleksandra 749 Stavrou, Pinelopi-Zoi736 Ständer, Sonja742 Spreckelsen, Reginavon750 Spillekom-van Koulil,S.725 Sonego, Giulio744 Sommer, Rachel733 Smulevich, Anatoly 741,742749 Skvortsova, Aleksandrina 730 Sivelo, Alberto Miranda752 Simal-Gil, Estrella751 Shrestha, Rushma731 Shourick, Jason749 Shackaya, Elena735 Seznec, JeanChristophe740 Setia, ManinderSingh740 Şekerlisoy, Gül733,737 Séité, Sophie750 Schut, Christina731 Schuster, Barbara726 Schourick, Jason750 752 743, 744748749750 , 732 , 733737753 , 733 , 749750 , 743 , 736 , 746 , 732733 , 750 , 752 , 748 , 734 , 741742 , 745751