Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV Author Index 894 Poster Abstracts OralLecture Abstracts InvitedLecture Abstracts Abstracts: Brest, France Martine Schollhammer Paris, France Nathalie Feton-Danou Brest, France Sabine Dutray Paris, France Sylvie Consol Paris, France Silla Consoli Brest, France Myriam Chastaing Paris, France Sylviane Bertolus Brest, France Laurent Misery President Organizing Committee Journal Compilation ©2017ActaDermato-Venereologica. www.medicaljournals.se/acta Abstracts from the17 Contents ofthis Abstract book Society for DermatologyandPsychiatry 882 879 875 Bruzelles, Belgium Libre deBruxelles Hospital Erasme,BrusselsUniversite Francoise Poot Treasurer Padua, Italy of PaduaMedicalSchool Department ofDermatology, University Michael DennisLinder Past President Zaragoza, Spain of Zaragoza Department ofPsychology, University TomasLucia Aragones President ElectandSecretary General Giessen, Germany Zentrum furPsychosomatischeMedizin Uwe Gieler ESDaP President th Congress oftheEuropean Amsterdam, The Netherlands Amsterdam, The Academic MedicalCentre Nienke Vulink (TheNetherlands) Moscow, Russia Dermato-Venereology andCosmetology Moscow ScientificandPracticalCenterof Andrey Lvov(Russia) Roskilde, Denmark Roskilde HospitalUniv. ofCopenhagen Gregor Jemec(Denmark) London, UK Royal LondonHospital Antony Bewley(UK) Olso, Norway University ofOslo Florence Dalgard(Norway) Members Acta DermVenereol 2017;97: 871–894 doi: 10.2340/00015555-2711 Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta 17.30–17.45: HermanMusaph Awards Ceremony 17.15–17.30: Agneta Andersson: “ActaDermato-Venereologica” andESDaP:thekeytoasuccessfulcollaboration 17.00–17.15: KerryMontgomery(Sheffield,UK): Thepotentialroleofmindfulnessinreducingdistressdermatologypatients 15.00–15.30: Coffee breakandPosterviewing 14.30–15.00: OlivierRevol 14.00–14.30: SébastienBarbarot (Nantes,France): Therapeutic education ESDaP 3:Children andadolescents(IL9–IL10) 12.30–14.00: Lunch 11.45–12.30: CorinneDéchelette(Castres,France): Tweeter surlapeau 11.00–11.45: PatrickMoureaux(Vannes, France): SciencesPeauetPeaulithique 09.45–10.30: DavidLeBreton(Strasbourg, France):Peau etadolescence,entrescarificationtatouagesoupiercings 09.00–09.45: StéphaneHéas(Rennes,France)et Yannick LeHénaff (Rouen,France): Vivre avecunpemphigusaujourd'huienFrance;premiersélémentsd'enquêtequalitative Forum PeauHumaineetSociété 12.00–12.15: Vinciane LeBris 11.30–11.45: MohammadJafferany(Saginaw, USA): Treatment ofskinpicking:Interdisciplinaryroledermatologistandpsychiatrist 11.00–11.30: ChristinaSchut 10.30–11.00: Coffee breakandPosterviewing 10.00–10.30: Andrey Lvov(Moscow, Russia):Psychiatricequivalentsofitch 09.30–10.00: Laurent Misery(Brest,France):Psychogenicitch 09.00–09.30: GudrunSchneider(Münster, Germany):Psychosomaticaspectsofitch ESDaP 2:Itchandrelated disorders (IL5–IL8andOP3–OP4) Thursday June22,2017 20.00–….: MusicFestivalinthetownofBrest 18.00–20.00: Welcome receptionattheConventionCenter 16.15–17.00: JulienBetbèze(Nantes,France):Peauethypnose 15.00–15.45: MariaSquillante(Nantes,France):Peauetthéoriedel’attachement 14.15–15.00: SylvieConsoli(Paris,France):Peauetpsychanalyse Groupe Psychodermatologie:Repères théoriquesetabordspratiques 16.45–17.00: Vera Leibovici 16.15–16.45: LadanMostaghimi(Madison,USA):Skinandsleepdisorders(IL4) 15.45–16.15: Coffee breakandPosterviewing 15.15–15.45: Andrea Evers(Leiden,Netherlands):Placeboandnoceboeffects (IL3) 14.45–15.15: SillaConsoli 14.15–14.45: MatthieuTalagas (Brest,France):Neuro-cutaneoussynapses ESDaP 1:BridgingtheGapbetweenBodyandMind…(IL1–IL4OP1–OP2) 14.00: OpeningoftheCongress 12.00–14.00: ESDaP studymeeting 10.00–12.00: ESDaP executivecommittee 09.00: Openregistration Wednesday June21,2017 872 17 th Congress of the European Society for Dermatology and Psychiatry (OP4) (OP3) (Paris,France):FromsomatoformdisorderstoDSM-5somaticsymptomandrelateddisorder (Lyon, France): Treating the Y andZgenerations,achallengefor21 (Jerusalem,Israel):Psoriasisanddepression-areview (Giessen,Germany/Philadelphia,USA):Psychologicalinterventionsanditch (Brest,France):Usefulnessofpsychologicalinterventionforthetreatmentburningmouthsyndrome (IL6) (IL9) (IL1) (IL7) (OP1) (IL5) th centuryphysicians (IL8) (IL10) (IL2) (OP2) Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV 16.15–17.00: MartineSchollhammer&MyriamChastaing(Brest,France):Consultation conjointedepsychodermatologie 15.30–16.15: FrançoisePoot(Bruxelles,Belgique):Peauetthérapiefamiliale 14.45–15.30: Alain Golay(Genève,Suisse):Peauetéducationthérapeutique 14.00–14.45: Jean-ChristopheSeznec(Paris,France):priseencharge d’unetrichotillomanieenpratique Groupe Psychodermatologie:Repères théoriquesetabordspratiques 15.30–16.00: Postersession 15.00–15.30: CarlePaul 14.30–15.00: NicoleBasset-Seguin 14.00–14.30: GaëlleQuereux (Nantes):Copingstratégiesinmelanoma ESDaP6: Psycheandskindiseases(IL14–IL16) 12.30–14.00: Lunch 12.00–12.30: IrèneFrachon(Brest,France),PhilippeReinert(Créteil,France)et 11.30–12.00: Anne-Do Taieb-Chapelon (ParisFrance):L’entre: rencontred’unpatientetpsychothérapeute 11.00–11.30: ZoéStamatopoulou(Paris.France):L’espace relationneletl’adhésionthérapeutique 10.00–10.30: ClaudiaBéjar(Paris,France):Lamédecinenarrativeunoutilthérapeutiquepourlemédecinetmalade 09.30–10.00: NathalieFeton-Danou(Paris,France):Observance:cascliniques 09.00–09.30: SylvianeBertolus(Paris,France):Ladermatologierelationnelle Société FrancophonedeDermatologiePsycho-Somatique:Larelation médecin-maladecommeoutilthérapeutique 11.00–12.00: ESDaP General Assembly 10.30–11.00: Coffee break 10.00–10.30: AnnaZalewska(Lodz,Poland):Psychodermatologicalconsultationsinpractice 09.30–10.00: AnthonyBewley 09.00–09.30: DmitryRomanov(Moscow, Russia):Hypochondriasiscircumscriptaandrelatedartificialdisordersindermatology ESDaP5: Psychodermatologicalinteractions(IL11–IL13) Friday June23,2017 20.00–24.00: CongressDinner 17.30–18.30: ESDaP Postersession 17.00–19.00: Visite del’expositionsur lapeauàl’abbayedeDaoulas(aveclesoutienBioderma) 16.45–17.00: Joerg Kupfer(Giessen,Germany):Structuredpatienteducationinadultswithatopicdermatitis–resultsfromaGerman 16.30–16.45: 15.30–16.15: JacquesChevallier(Lyon, France):Lapeauteinte....Histoiredel'utilisationdescolorantsendermatologie 14.45–15.30: Charles Taieb (Paris,France):Fardeaudesmaladiesdermatologiques 14.00–14.45: DominiquePenso-Assathiany(IssylesMoulineaux,France):Lepatient,gantsetledermatologue:toucherélégantou? Forum PeauHumaineetSociété 16.15–16.30: FrancescaSampogna(Rome,Italy):Measuringtheimpactofdermatologicalconditionsonfamilyandcaregivers:areview 16.00–16.15: KateAdkins(Sheffield,UK): Appearancecomparisonsasmediatorandriskfactorforacne-relatedstigma 15.45–16.00: Dimitre Dimitrov (AbuDhabi,United Arab Emirates):Stigmatizationindermatology–anoverview 15.30–15.45: MelanieMiyanjideSouza ESDaP4: Free communications(OP5–OP12) 17.15–17.30: CamilleGravelier 17.00–17.15: EmilieBrenaut (Brest,France):Factorsinfluencingpatientsatisfaction:assessmentinoutpatientsdermatology Yoko Kataoka(Osaka,Japan):Iscopingofatopicdermatitispatientsoriginatedfromtheirowncharacterorsecondarilyremode ­ (OP5) multi-center study led bydiseasesuffering? Obviousimprovementofcopingandpsychiatricsymptomsafter“tighteczemacontrol”(OP9) of dermatology-specificinstruments (OP12) department (Toulouse, France):Psoriasisandalexithymia (OP11) (London,UK):Newerdevelopmentsinthemanagementofpatientswithdelusionalinfestation (Metz,France):STIGBATE: Sociologyforbettertreatmentofburnedpatientswithfaceorarmsinjuries (OP10) (Paris,France):Psychologicalconsequencesofsurgical treatmentofskincancers (Nairobi,Kenya):Pigmentarydisordersindarkskinnedpersonscauseimmensementalissues (OP8) 17 th CongressoftheEuropeanSocietyforDermatologyandPsychiatry Alexandre Ostojic(Créteil,France):tableronde«Larelationmédecinmaladeetlaconfiance» (IL16) (IL14) (IL13) Acta DermVenereol 2017 (OP6) (IL15) (OP7) (IL12) (IL11) 873 Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta PP1: 874 PP9: PP8: PP7: PP26: PP25: PP24: PP23: Impact of pruritus in systemic sclerosis according to autoimmune PP22: Casereportofself-inflictedonychodystrophy. D.Dimitrov PP21: Casereportofsands-likedysestheticsyndrome.D.Dimitrov, M. PP20: PP19: PP18: PP17: Primaryburningmouthsyndrome:aquestionnairestudyofneu PP16: PP15: PP14: PP13: A qualitativestudytoassesstheseverityofchronicpruritusand PP12: PP11: PP10: PP6: PP5: Instrumentstoassessstigmatizationindermatology. J.Szepietowski, PP4: PP3: Psychologicalimpactatopicdermatitis:across-sectionalstudy. L. PP2: A. Figueiredo between obsession and delusion. B.R. Ferreira, J.L. Pio Abreu, J.P. Reis, Brites, J.P. Reis, A. Figueiredo to severepsoriasis:acase-controlstudy. B.R.Ferreira,J.F. Simões,M.M. Gonçalo with diseaseseverity, genderandpsychopathology. B.R.Ferreira,M. pochondriasis circumscripta (preliminary results of neuropsychological S. Mastroeni,B.Didona,G.Pintori, D. Abeni of life.F. Sampogna,C.Mazzanti, A. Caggiati,S.Pallotta,R. Grande, factors. Y. Kutasevych, V. Matiushenko Renaudineau E. Pasquier A. Saraux, V. Devauchelle,E.LeMoigne,L.Misery, Y. status. G.Gourier, C.Théréné,C. Abasq-Thomas, E.Brenaut,H.Sonbol, Elsabbahy M. Tampa, M.I.Sarbu,C.Irimescu,S.R.Georgescu disorders. M.Boudjarane,Grandgeorge, L.Misery, E.Lemonnier an onlinesurvey. S.Kiupel,J.Kupfer, S.Kottlors,U.Gieler, C.Schut Toux, L.Misery ropathic andpsychologicalcomponents.M.Sevrain,E.Brenaut,G.Le Postec, C.Bodéré,P. Tandéo, B.Quinio,E.Brenaut,M.Schollhammer pain conditionsinvulvodynia:apilotstudy. L.Misery, A-C. Tersiguel, E. Poulaliou, L.Misery questionnaires toassessitch:apreliminarystudy. D-H. Kim-Dufor, A. Audebert-Bellanger, E.Brenaut,L.Misery S. Huguen, J. Abasq-Thomas, C. 1: type neurofibromatosis novo de G. Berdeaux,M. Auges, M. Valerie, L.Misery J. groups. focus using C. Nordon, Theunis, Y. Cuervo, J. Orri, Chalem,M. its impactonhealth-relatedqualityoflife,fromthepatient’s perspective Malatesta C. Matei,S-RGeorgescu Sarbu, M. Tampa, I-C.Irimescu, A-E. Sarbu,C-I.Mitran,M-I. Tepljuk, D.Katranova A. Thompson menological analysis.S.Johnston,M.Krasuska, A. Millings, A. Lavda, D. Dimitrov randomised controlledtrial.J.Lane, T. Webb, A. Thompson for thosewithavisibleskindifference andfearofnegativeevaluation:a Misery, K.Ezzedine,J.Seneschal,Z.Reguiai,S.Merhand, C. Taieb with vitiligo.C.Krüger, K.Schallreuter erapy? G.Gabison Quality oflifeimpairmentinchronicspontaneousurticariaislinked Psychotropic medicationandpsychiatriccomorbiditiesinmoderate Increased levelsofanxious-depressivemoodinparentschildren Enhancing psychologicalself-helpwithimplementationintentions Experiences of rosacea andits treatment: an interpretative pheno Prurigo nodularisandpsychopathology:acasereportofinterface Improving chronicleskindiseaseswithmetaphors...Orvocalth Case of successful treatment of psoriasis with inclusion psychosocial Case of successful treatment of psoriasis with inclusion psychosocial Trichotillomania –a challenging diagnosis. M.I.Mitran, C.I.Mitran, Screening forneuropathic pain, anxiety and other associated chronic Multiple ulcerationsinapatientwithdelusionsofparasitosis.M-I. The broad-spectrumimpactofhidradenitis suppurativaonquality Is stress related to skin symptoms in german students? Results of Evaluation oftactilesensitivityinchildrenwithautismspectrum Tactile perceptiondisturbancesindelusionalinfestation andhy Oral lesions:anewapproachonsortofno-man’s land.E.M. Pemphygus andcomorbidmentaldisorders.I.Dorozhenok,N. Post-traumatic stress disorderfollowingtheannouncementof stress Post-traumatic The needforlinguisticallyandculturallyadaptedstandard 17 th Congress of the European Society for Dermatology and Psychiatry LIST OF POSTERS - - - - PP34: PP33: The effectiveness ofapsychodermatologicalmultidisciplinary PP32: PP31: Case report of acute stress event of patient with treatment resistant PP30: Patientsatriskofmelanoma:istherecorrelationbetweenmedical PP29: Evaluationofqualitylifeinpatientswithmorphea–across- PP28: Spatiallymodulatedablationofanerbiumlaserincombination PP27: Medicaltattoo:someexamples.C.Gravelier, V. Marro, T. Maritato, PP50: Delusionalparasitosis–amysteriousproblemofpsychodermato PP47: Psychosomaticaspectsinpatientswithrosacea-associateddermato PP46: The psychosocialburdenofhidradenitissuppurativa:thepatients’ PP45: Laughterasadiagnosticmeasureofpsoriasisseverity. L. Tomas- PP44: Why istheIndiandermatologistreluctanttoacknowledge PP43: Morgellons disease, areportofcase.J.V. Valdazo, E.V. Meis, PP49: PP42: PP41: A caseoffolieàdeux:safeguardingissues?K.Hussain,M-A. PP40: PP52: PP51: PP48: PP39: PP38: Howdermatologistsareaffected whentreatingpatientswithdelu PP37: A 10-year-old girlwithmultiplepurpuricmacules.E.V. Meis,N.E. PP36: PP35: Multipleneviinshereshevsky-turnersyndrome:dermoscopic R. Taylor,R. Bewley A. approach forpatientswithrosacea.M.Perera,L.Soriano,S.Shinhmar, Navarro-Lopez, P.C. Marijuan-Fernandez diseases. S.E.Marron,L. Tomas-Aragones, R.delMoral-Bergos, J. warts. D. Dimitrov,D. warts. T. Tanev K. Titov. A. Lvov, O.Zhukova,N.Potekaev information resourceandnosogenicreaction? A. Michenko,I. Vakhitova, sectional study. J.Szczęch, A. Tobiasz, A. Reich with isotretinoininacneexcoriee. A. Igoshina, A. Michenko, A. Lvov C. Deffinis examination). E.Parfenov, I.Pluzhnikov, A. Lvov, D.Romanov of hairloss. Y. Romanova,D.Romanov, A. Lvov R.M. Diaz-Diaz,E.M.deMiguel perspectives. S.E.Marron,L. Tomas-Aragones, J.Cebrian-Martinez, Aragones, S.E.Marron,P.C. Marijuan,R.delMoral,J.Navarro-Lopez magnitude ofpsychodermatology?R.Malkani N.E. Salvado,S.V. Delgado, T.A. Alonso gangrenosum: acase-report.M-A.Gkini,R. Taylor, A. Bewley G. Pintori,D. Abeni Mazzanti, A. Caggiati,S.Pallotta, R.Grande,S.Mastroeni,B.Didona, of lifewithotherchronicconditionsusingtheSF-36.F. Sampogna,C. Gkini, R. Taylor, A. Bewley Bewley patient withdelusionalinfestation.M-A.Gkini, T. Tanev, R. Taylor, A. A. Kaszuba – casestudy. A. Kobusiewicz,K. Tomaszewska, A. Zalewska-Janowska, Benech, A. Bensussan, J-C.Choulot in maleandrogeneticalopecia.L.Michel, P. Reygagne,S. Almeida, P. Schollhammer logy. R.Reszke, A. Reich,P. Pacan,J.Szepietowski ses. E.Khlystova, A. Lvov, I.Dorozhenok,K.Bagdasarova A. Bewley sional infestation(DI)?M-A.Gkini,D.Dimitrov, T. Tanev, R. Taylor, Rodríguez Prieto Salvado, P.F. Canga, T.A. Alonso, S.V. Delgado,J.C.Gonzalez,M.A. P. Pacan, A. Reich Titov, N.Zatorskaya, A. Lvov, O.Zhukova,N.Potekaev peculiarities andpsychosocialsequelae. A. Michenko,I. Vakhitova, K. Aragones M.J. Miranda-Sivelo, Tribó-Boixareu, L. Marron-Moya, S.E. Tomas- Long standing dermatitis artefacta (DA) masquerading as pyoderma Extrapyramidal symptoms as adverse event of risperidone in a The meaning of tattoos – a cross sectional study. J. Putek, J. Szczęch, Trichotemnomania: aneedforholisticpsychodermatologicalcare Screening forbodydysmorphicdisorderinpatientswithacne. A. Walk ofskin.D.Dupre-Goetghebeur, S.Dutray, A. Gueguen,M. Relationships betweenpsychiatricconditionsanddifferent types Comparison oftheimpacthidradenitissuppurativaonquality The sociotypequestionnaire:assessingthesocialburdenofskin Deregulation of proopiomelanocortin (pomc) gene expression - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV matic SymptomandRelatedDisorders”, attemptedtoovercome major handicap. The DSM-V, bycreatingthenewcategory of“So classically inorganic, cancauseconsiderablehealthcare costsanda the insurancecompanies,sincesomatoformdisorders,although bulary. There wasalsoaquestionoffairnessintherelationswith of psychiatric nosographic classifications and the change of voca notion of simulation, have playedanessentialrole in the evolution lay peoplebetweenthemodelofhystericalconversionand symptoms”, aswellthepersistentconfusioninmindof offensive characteroftheexpression“medicallyunexplained psychological factorsand,aboveall,thenon-reassuringandeven functional andorganic disorders,theinconstancyofprecipitating toms”. A criticalreviewofthequestionableseparationbetween term of“functionalsymptoms”or“medicallyunexplainedsymp term of“somatoformdisorders”havegenerallypreferredtousethe including dermatologists,who,ratherthanadoptingthetechnical general practitioners,internists,specialistsinvariousdisciplines, by health professionals not working in the field of mental health: the genesisofthesedisorders.Suchaconceptionwaslongshared to theoccurrenceofdisorders)weresupposedparticipatein factors (personality disorders, stressors or conflict situations, prior organic abnormalitycouldbeincriminated. Psychopathological worries concerning physical health, and for which no identifiable designating a set of physical symptoms, syndromes, complaints or ders” hasbeenarelativelyconsensualconceptforpsychiatrists, For manyyears,thediagnosticcategoryof“somatoformdisor tal, Paris,France sultation-Liaison Psychiatry, European Georges PompidouHospi- Paris DescartesUniversity of Medicine and DepartmentofCon- Silla Consoli SOMATIC SYMPTOM AND RELATED DISORDER FROM SOMATOFORM DISORDERS TO DSM-V IL2 nervous systemandtheskin. present newperspectivestounderstandthedialoguebetween keratinocytes, melanocytes and Langerhans cells. These findings sion. Interestingly, synaptic features are alsopresent in contacts of that Merkelcellscommunicatewithnervesbysynaptictransmis data associatedwithultrastructuralinformationprovideevidence and each type ofepidermalcell.Recent functional and molecular and physicalcontactsarealsopresentbetweensensoryneurons homeostasis. However, thesechemicalcontactsarenotexclusive, further thepsychism,isinvolvedinmaintenanceofcutaneous These dataallowustounderstandhowthenervoussystem,and system modulatesepidermalcellpropertiesandskinfunctions. modulate neuronalactivityandgrowth.Reciprocally, thenervous the neuro-immuno-cutaneoussystem. Therefore, epidermalcells defining system, immune the and system nervous the skin, the types secreteneurotransmittersthatensurethedialoguebetween of touchstimuli.Sensoryneuronsbutalsoallepidermalcells presenting cells,andMerkelwhichreportthestaticnature responsible forskinpigmentation,Langerhanscells,antigen- epidermis: keratinocytes,the predominant cell type, melanocytes, the bodyandenvironment.Fourcelltypesarepresentin between interface the forming epidermis, the reach fibres nerve The skinisahighlyinnervatedsensoryorgan. Someofthesensory Brest, France Matthieu Talagas NEURO-CUTANEOUS SYNAPSES IL1 INVITED LECTURES - - - - - who representamajorpercentageofanymedicalpractice. patients, of range diversified very this effectively more manage in mindcanhelpdermatologists,amultidisciplinaryapproach, be distanced and bettersupported.Havingthis explanatory model pain, ofanevengreaterpsychologicalsuffering, whichcanthus discomfort, anembarrassment,orsometimesaresistantphysical concern – have in common a mechanism of “displacement” on a all thesedisorders–withafocusingofthepatientonsomatic of hystericalconversionisnolongermentionedbytheDSM-V, and treated.Itisalsotruethatalthoughthepsychoanalyticmodel particular suffering thatdeservestobetakenseriously, understood characterizes all these disorders, whatever their nature, generates a is truethatthepresenceofapervasivesomaticpreoccupation strategies very specific to each class of disorders. Nevertheless, it disorders implies therapeutic approaches andpatient management geneity ofmechanismsunderlyingtheproductionthisset behavior beingrecognizedbythepatient. This verylarge hetero dermatoses causedbythepatienthimself,withoutabnormal disease orpsoriasis,andfactitiousdisorders,including compassing a“psychosomaticcomponent”),suchascoronaryheat diseases withprecipitatingpsychologicalfactors(oren medical diseaseswithpersistentsomaticcomplaints, pervasive demandforcare,classicalfunctionaldisorders,various anda amajordistress preoccupationgenerates pretext thatsomatic hand, theyare now juxtaposed in the same large group, on the lesions, suchasexcoriatedacneortrichotillomania.Ontheother skin self-inflicted the even or disorders behavioral other various disorders, disappearedfromthepreviouscategory, alongwith classified among the obsessive-compulsive disorders and related confused. Ontheonehand,bodydysmorphicdisorder, now can leavemanypractitioners,andinparticularthedermatologists, Despite thisunifyingwish,theresultofnosographicchange impairment. functional significant a or distress psychosocial significant a causing symptoms somatic of presence the by rized these issuesbygroupingtogetherallclinicalsituationscharacte by expectancyinterventions. strategies orreplacingregularpharmacological treatmentspartly adherence, addingenvironmental cuestothepreferredoutcome fects, for example, by applying conditioning principles for therapy conscious andautomaticstrategiesofoptimizingexpectancyef patients. Treatment outcomesmightbeoptimizedbyusingboth results havedirectimplicationsforthetreatmentofdermatology methods toinduceorchangeplaceboandnoceboeffects. The nocebo effects indermatologicalconditionsaswellinnovative will bepresentedtodemonstratetheevidenceforplaceboand pharmacological conditioning.Inthepresentations,recentresults mechanisms alsoplayaroleforimmunefunctioningthrough unfavorable treatment outcome or side effects. In addition, placebo nocebo effects whichareinducedbyexpectationsofapossible already reduceswhenseeingthepainkiller”). The sameistruefor (“Pain outcome treatment beneficial possible a of expectations can beeffectively alteredby placeboeffects, duetoinductionof ditions. For example, physical complaints, such as itch or pain, nings andrelevanceofplaceboeffects fordermatologicalcon Increasing evidencedemonstratestheneurobiologicalunderpin Leiden University, Leiden,TheNetherlands Andrea Evers DERMATOLOGICAL CONDITIONS PLACEBO AND NOCEBOEFFECTSIN IL3 Acta DermVenereol 2017 Invited lectures 875 ------Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta tology, UniversityHospitalMünster, Münster, Germany understand thisdisorder. gical theoriesarenotmutuallyexclusive andcanbeusedtobetter must beproposedcautiously. Neurophysiologicalandpsycholo patients, but there is a specific diagnosis of psychogenic itch that debating. Psychologicalfactors are knowntomodulateitchinall ful. Classification, psychopathology and physiopathology are still psychological andpharmacologicalapproachcouldbeveryhelp for people suffering fromthisdisorderbutamanagementassociating huge is burden The known. poorly is frequency the ficult, data onpsychogenicitch.Becausedifferential diagnosisisdif both psychiatristsanddermatologiststhisreviewsummarize or persistence of the pruritus”. The disorder is poorly known by factors play an evident role in the triggering, intensity, aggravation is atthecenterofsymptomatologyandwherepsychological itch where disorder itch “an as defined be can itch Psychogenic Brest, France boratory ofNeurosciences oftheUniversityWestern Brittany, Department ofDermatologytheUniversityHospitalandLa - Laurent Misery PSYCHOGENIC ITCH IL6 patients withchronicpruritusdiagnosedandtreatedattheCCCP. of chronic pruritus, e.g. first results from a database of over 6000 This willbesupportedbyownresearchonpsychosomaticaspects Pruritus (CCCP) of the University Hospital Münster are presented. the Dermatological Department/Competence Center for Chronic with cooperation scientific and clinical of years 18 from results Diagnostic andStatisticalManual(DSM5)isintroduced the and (ICD-10) Diseases of Classification International the sociated psychosomaticandpsychiatricdisordersaccordingto clinical managementofpruritus. A systematicofpruritusas the and course the development, the influence can that aspects different psycho-somaticas wellassomato-psychicfactorsand In accordancewiththebio-psycho-socialmodelthistalkpresents Departments of Gudrun Schneider PSYCHOSOMATIC ASPECTS OF ITCH IL5 dermatology education. to the burden of their disease. We also identified areas of need in related directly is that disorders skin inflammatory with patients presence ofmoodproblems,andanincreaseininsomniarates quality inpatientswithchronicskindisordersindependentof healing inrats,ourhumantrialsshowedthatthereispoorsleep difference betweenacuteandchronicsleepdeprivationinwound of dermatology).Ourresultshaveshownthefollowing;thereis nymous surveyofmembers APD (AssociationofProfessors knowledge of sleep problems and their treatment, through ano with possiblesleepdisorders. We alsosurveyeddermatologists’ disorders skin inflammatory of association quality,and sleep on vation onwoundhealinginrats,effect ofchronicskindisorders clinical andlaboratorysettingsincluding;effect ofsleepdepri have studiedsleepandskinfromdifferent anglesandindifferent about sleep problems. At university of Wisconsin, Madison, we tology dailypracticeandmanydermatologistsdonotroutinelyask publications areimportantthesubjecthasnotenteredderma problems inpatientswithdermatologicdisorders. While these case reportsandpublicationshavedocumentedvarioussleep Sleep hasanessentialroleinproperbrainfunctioning.Multiple University ofWisconsin, Madison,USA Ladan Mostaghimi SKIN AND SLEEP DISORDERS IL4 876 17 th Congress of the European Society for Dermatology and Psychiatry 1 Psychosomatics and Psychotherapy, and 1 , Anna LisaGrebe 1 , SonjaStänder 2 2 Derma------psychotropic drugsincludingantipsychoticsiseffective. community. That is why only complex therapy using different association between pruritus and psycho, since embryogenesis patients with different types of itch is undoubted. There is a strong still discussed. The importance ofpsychiatric consultation for Psychopathological classifications of such somatic sensations are techial) elements,aswellinformofangioedemaismentioned. reactions” informofurticium,papular, bullous(sometimes-pe of manifestationrashastypepsychogenic“pseudoallergic panied withitcharenotlimitedonlytoerythema. The possibility stinging, feelingofxerosis.Somatovegetativedisordersaccom itch, burning,tingling,tickling,pricking,prickling,tightness, trichodynia.Phenomenalogiccharacteristicsincludesopyrosis, circumscripta, somatoform and amplified itch, glossodynia, glos different psychodermatological interactions: hypochondriasis in reflected be could and wide rather are itch of equivalents tric manifestations (depression,anxiety)isoftenmentioned.Psychia psychopathological sensations with of itch correlation problem of duration, course,quality, intensityofitchisaspecialinterest. The Psychological link between patients’ character and its influence on From theotherhandchronicitchcouldresultinmentalpathology. diseases andpsychiatricdisordersareaccompaniedwithitch. of patientswithitchisobvious.Fromtheonehandmanyskin The importanceofpsychodermatologicalapproachfortreatment cosmetology, Moscow, Russia Moscow research andpracticalcenter ofdermatovenereology and Andrey Lvov PSYCHIATRIC EQUIVALENTS OF ITCH IL7 rence, prevent complications, and improve quality of life (QoL) and/or their carers. TPE has been shown to help improve adhe to patients ment adaptation)fromatrainedhealthcare professional which entailsthe transfer ofskills (e.g., self-management,treat Therapeutic patienteducation(TPE) isapatient-centeredprocess Department ofDermatology, CHUNantes,France Sébastien Barbarot DERMATITIS THERAPEUTIC EDUCATION IN ATOPIC IL9 chronic itchyskindiseases. patients andtoincreasepsychologicalwell-beinginwith and withoutjudging.MBSRisabletolowerpaininchronic to whichpersonspayattentionthepresentmomentonpurpose Based Stress Reduction (MBSR) focusing on increasing the degree intervention whichcouldbehelpfultoloweritchisMindfulness- improve itch and/oritch-relatedcognitions. Another psychological cognitive behavioraltherapiesorpatienteducationprogramscan Also, acombinationofdifferent methods ascommonlyusedin and scratching are relaxation methods and habit-reversal trainings. Psychological treatments shown to be effective in lowering itch interventions on itch, scratching and/or itch-related cognitions. studies whichexplicitlyinvestigatedtheeffects ofpsychological beneficial in the treatment of chronic itch. Indeed, there are some Thus, itisself-evidentthatpsychologicalinterventionscouldbe coping ordepressioninpatientswithchronicitchyskindiseases. likestress, relatedtopsychologicalfactors thatitchis have shown scratching andIwilllookawful”). There areseveral studieswhich provoke catastrophizingcognitions(e.g.“Myskinwillbleedafter Itch is a symptom which usually goes along with scratching and can Germany Institute of MedicalPsychology, Justus-Liebig-University Gießen, Christina Schut PSYCHOLOGICAL INTERVENTIONS AND ITCH IL8 , DmitryRomanov, SvetlanaBobko ------Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV skin lociperceivedasforeign oreven“alien”ones. There is over-valued ideas ofastruggle against disturbing andtortious are relatedtosensoryphenomena andcomprisehypochondriacal tactile illusions,and(iv)bodyfantasies.Cognitivepresentations and include(i)intradermaldysaesthesia,iiidiopathicpain,iii ) Sensory phenomenaaffect focalskinloci(circumscribedareas) sensory phenomenaand (2) correspondingcognitive presentations. binary structureofsymptomsrepresentedby(1)pathologicalskin tations validatingitasaseparatediagnosticalentity. HChasa seems tobecharacterizedwithsomepeculiarclinicalpresen skin lesions,occurrenceofpathologicalsensationsetc.),HC some common features (e.g. self-mutilation resulting in artificial disorder anddelusionalinfestation.Hencethesedisordersshare disorder tobedistinguishedfromdermatitisartefacta,skinpicking Hypochondriasis circumscripta (HC) is apsychodermatological Dmitry V. Romanov DERMATOLOGY AND RELATED ARTIFICIAL DISORDERSIN HYPOCHONDRIASIS CIRCUMSCRIPTA IL11 creative, butalsohedonisticandpressed,togivemeaningtime. than toscience. And tostartbyteachingthisgenerationlucidand the reasonsforourdecisions,referringtoexperiencerather to listening. Know how to convince rather than coerce. Explain which thedermatologistmustadapttocreateaclimateconducive sures and the difficulty of projecting itself into the future. An era in as evidence. A newera,markedbythesearchforimmediateplea generation, whichnolongerconsidersthelegitimacyofadult consultation in the context ofa superinformed and hyperconnected of thenewadolescentcodes. With theobligationtoplaceeach ressing adherence,lifestyleorriskbehaviorsrequiresawareness becomes anecessarychallenge,excitingbutcomplicated. Add empathy. Understandingthepeculiarities ofthisgenerationthen mutualtrustand an agewhenthetherapeuticrelationshipimposes code haschanged,theobstaclecanbeimpassable.Especiallyat or evenseveralmonths,suddenlyturnsintoalockeddoorwhose adolescents. When this youngpatientistreatedforseveralweeks As parents,doctorsmightfeeldisarmedinthefaceofnowadays versity HospitalofLyon, Lyon, France Department ofneuropsychiatry ofchildren andadolescents,Uni- Olivier Revol CHALLENGE FOR21 GENERATION:TREATINGZ Y ATHE AND IL10 well-defined contentandactivities. (rather thanbeingstandardizedinformandcontent),have to apatient’s individualeducationalandculturalbackground High-quality TPE programsshouldbeevidence-based,tailored treatment failure, or to families who feel they lack social support. be offered to(never forced upon)any patient whohasexperienced doctors, anddieticianswhohaveanexpertisein AD. TPE should team ofhealthcareprofessionals,includingnurses,psychologists, of theprogram. TPE programsshouldinvolveamulti-disciplinary patient (orcarer)toacquireskills;and(iv)assessingthesuccess setting age-appropriateeducationalobjectives;(iii)helpingthe (i) understandingthepatient’s knowledge,beliefsandhopes;(ii) dermatitis (AD)havebeenproposed. TPE isafour-step process: disease. Recently, TPE recommendationsforpatients withatopic in chronicillnessessuchasdiabetes,asthma,andcardiovascular 1 tology, and cosme- and dermatovenerology for center practical and scientific I.M. Sechenov First Moscow State Medical University, 3 Mental HealthResearch Center, Moscow, Russia 1 , Andrey N.Lvov ST CENTURY PHYSICIANS 2 , Anatoly B.Smulevich 2 Moscow 3 - - - recent advancesinthemanagementofpatientswithDI. psychiatric disease concurrently. There have been many interesting instance, and then managing their skin and their psychological/ first the in patient the engaging include Treatmentstrategies DI. psychosis (DUP)may beacommon problem inpatients with of appropriatetreatment. As aresultlongdurationofuntreated often overaperiodofmonths(orevenyears)withoutinitiation an identifiable infestation leads them to visit multiple physicians, multidisciplinary psychodermatologyclinics.Patients’ searchfor that reasonpatientsaremostcost-effectively seenindedicated or otherspecialists. They areoftenhugeusersof resources. For a psychiatric illness,theyusuallyseekreferraltodermatologist million). BecausepatientswithDIdonotbelievethattheyhave was estimatedbasedonthesurveyofprivatepractices(83.23per public healthservicesinGermany, whileamuchhigherprevalence 1 millioninhabitants,basedoncasesreportedtohospitalsand secondary DI. The prevalence of DI is estimated at 5.58 casesper and recreational drug usage. Prescribed medication can also cause ses suchasdiabetes,certaincancersthatcancausepruritus,stroke, disorder, dementiaanddepression;orsecondarytomedicalillnes to mental illnesses such as schizophrenia, obsessive compulsive der, somatictype,inDSM5(code297.1).DIcanbesecondary delusional disorder inICD10(codeF22)or a delusionaldisor primary orsecondary. PrimaryDImeetscriteriaofapersistent as present can DI particles. or threads fibres, as such pathogens parasites orotherlivingcreatures(worms,fungietc.),inanimate belief thattheyortheirimmediateenvironmentisinfestedwith somatic type – ICD-10 F22) in which patients have the delusional Delusional infestation (DI) is a disorder (delusional disorder, versity Hospital)London,UK Barts Health (the Royal London HospitalandWhippsCross Uni- Anthony Bewley OF PATIENTS WITH DELUSIONAL INFESTATION DEVELOPMENTS IN NEWER THE MANAGEMENT IL12 in dermatology. ideas – that differ from presentations of other artificial syndromes disorder – as pathological skin sensory phenomena, as over-valued treatment requirestakingintoaccountbothcomponentsofthe elements arerepresentedbylocalulcers. Thus, HCdiagnosisand nails, needles, scissors, knifes, pincers, scalpels. Typically artificial “pathological” areas “possessed” by sensations. So patients use an urge toeliminate(“exorcise”)fromtheskincircumscribed, example ofcoordinatingmedicine. isaperfectandcost-effective consultations Psychodermatological the observationswithdoctors andpsychologistsafterwards. diary andanswer6shortquestions everydayinordertodiscuss self-monitoring run to expected is patient The modifications. the patientswhoagreedtotreatmentplananditsnecessary bio-psycho-social natureofinteractionsandfulladherence The psychodermatologicalinterdisciplinaryteamfollowsthe Poland isofcommercialnatureandlastsminimum45minutes. Psychodermatological consultationdeliveredbydermatologistin chiatrist (secondconsultant)andpsychologist(thirdconsultant). ciplinary teamnamelydermatologist(firstconsultant),psy Psychodermatological consultations are based onthe interdis Anna Zalewska-Janowska IN PRACTICE PSYCHODERMATOLOGICAL CONSULTATIONS IL13 Lodz, Poland Psychodermatology Department,MedicalUniversityofLodz, , Aleksandra Kobusiewicz Acta DermVenereol 2017 Invited lectures 877 - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta deny, medicalphobiaandprobably other psychologicalreasons. busy jobs. We canhypothesizeacombinationofpoorselfestime, deserted areasandisolated.Somepatientshaveafamilylife limited topatientswithpoorsocialoutcome,livinginmedical and some patients are seen at a very advanced stage. This is not quality oflife. This canleadtoparadoxical denyofthedisease disgracious appearanceoftheirtumorwhichaffects theirsocial localize onsunexposedskin.Patientsareoftenaffected bythe carcinogenic factorisUV lightandthesetumorsmorefrequently and theirincidencecontinuestoincreaseworldwide. The major Skin carcinomasarethemostfrequentcancerinadultpatients Hôpital SaintLouis,Paris,France Nicole Basset-Seguin SURGICAL TREATMENT OF SKINCARCINOMAS PSYCHOLOGICAL CONSEQUENCESOF IL15 melanoma andqualityoflifeseveralyearslater. and thelinksbetweencopingstrategiesattimeofadiagnosis concerning spirituality and change in values in melanoma patients discuss theresultsofstudiesconductedinourskincancerUnit monly adoptedsamongpatientswithmelanoma. We willalso In thislecturewewillexaminethevariouscopingstrategiescom compared with passive or avoidant strategies coping strategies. coping styles are associatedwith better adjustmentto the disease a stressfulevent.Inoncologypatientsproblem-focused,active behavioral adaptivestrategiesusedwith the aim to copewithsuch and cognitive all as defined is Coping transformations. spiritual existential questioningswhichcangeneratechangeinvaluesand threatening disease,itmaycreatefear, emotionaldistressand a diagnosisofmelanomaremainsstressfulevent. As itisalife Despite recent progresses in the treatment of metastatic melanoma, Dermatology Department,NantesUniversityHospital,France Gaëlle Quéreux COPING STRATEGIES INMELANOMA IL14 878 17 th Congress of the European Society for Dermatology and Psychiatry - improvement inanxietyanddepressionreduced alcohol de as comparedwithpatientswhostayed ALX experiencedhigher of patientswhoremained ALX. Patientswhobecamenon-ALX patients whobecamenon-ALXachievedPASI 90versus21.3% of ALX patientsbecamenon-ALXat12months.Overall,59%of with effective psoriasistreatment.Inthe EPIDEPSO study, 53.8% postulated thatalexithymiaisapersonalitytrait,itcanbereversed (Alcohol Use Disorders Identification Test). Although it has been ment inqualityoflifeandhazardousalcoholdrinkingbehaviour anxiety, depression, impair with high associated significantly is (Toronto Alexithymia Scale). Alexithymia inpsoriasispatients experiencingalexithymia general populationwith25%ofpatients alexithymia (ALX)isincreasedinpsoriasisascomparedwiththe social comorbiditiesin719psoriasispatients. The prevalenceof study, weinvestigatedtheprevalenceofalexithymiaandpsycho city to be heard and to have their needs satisfied. In the EPIDEPSO the healthpractitioner. As aconsequence,theyhavereducedcapa describe emotions. They have difficulties to interact positively with Individuals withalexithymiahavelimitedabilitytoidentifyand louse, France Dermatology Department, Toulouse University and CHU,Tou- Carle Paul AND OUTCOME COMORBIDITIES INPSORIASIS:PREVALENCE PSYCHOSOCIALALEXITHYMIA AND IL16 chologist orapsychiatristwhenneeded. the surgical actontheirpatientstogetherwiththehelpofapsy have toanticipate,evaluateandaccompanytheconsequenceof oncologist and plastic surgeons must be aware of these facts. They procedure. This is not linked to the extend ofthe surgery. Dermato can haveahardtimeacceptingtheconsequencesofsurgical Other patientsagreewiththesurgical treatmentoftheirtumorbut psychological comorbiditieswithpsoriasisclearance. pendency. EPIDEPSOdatasupport thepotentialreversibilityof - - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV Messenger in skin lesions causing significant distress or impairment in social, Skin pickingischaracterizedby recurrentskinpickingresulting Central MichiganUniversity, Saginaw, Michigan,USA Mohammad Jafferany DERMATOLOGISTPSYCHIATRIST AND INTERDISCIPLINARY ROLEOF TREATMENT OF SKINPICKING: OP3 through MBCT canbebeneficialfordermatologypatients. self-beliefs negative to attending of ways flexible learning that change inatleastone other measureof distress. Findings suggest (TAU =–0.54,p and experienced clinically significant reductions in social anxiety Seven participantscompletedthe8-weekMBCT intervention 16 weeksinpeoplelivingwitharangeofvisibleskinconditions. levels ofmindfulness,socialanxiety, anxietyanddepressionover single case design was used to explore the process of change in in peoplelivingwithvisibleskinconditions. A multiplebaseline mindfulness basedcognitivetherapy(MBCT)forsocialanxiety matology patients using the findings of our recent study of group in thecontextofhowmindfulnessinterventionsmaysupportder managing maladaptivethoughtprocesses. This willbe examined underpinnings of mindfulness, in particular, theroleitmay play in conditions. The current presentation will explore the theoretical role formindfulnessinimprovingdistressassociatedwithskin and physicalhealthpopulations,studieshaveimplicateda shown promiseinimprovingoutcomesbothmentalhealth on purposeinthepresentmomentandnon-judgmentally”,has way: particular a in attention “paying as defined Mindfulness, 1 Kerry Montgomery PATIENTS IN REDUCINGDISTRESSDERMATOLOGY THE POTENTIAL ROLEOF MINDFULNESS OP2 and Apremilast. Etretinate, Adalimumab Brodalumab, reduce depression.Sporadiccasesofsuicideweredescribedafter present higherscoresofdepression. Treatment withbiologics Psoriatic patients with severe pruritus and sexual dysfunction dities, andpsoriaticarthritisareassociatedwithhigherdepression. features andlowerlevelsofsocialsupport,presencecomorbi country-specific as such factors, cultural income, monthly lower sion. Age higherthan45years,late-onsetofpsoriasis,femalesex, along withshame,embarrassmentandisolationleadstodepres and interpersonalrelationships,suchasanxiety, social establishing in difficulties their stigmatization, to leading tion ofpsoriasis. The detrimentalbodyimageofpsoriaticpatients, a growthfactoronthekeratinocyte proliferation and T cellactiva mediators implicatedinbothdiseases,aswellserotoninacting impaired quality of life, in addition to the common inflammatory tween 1.44–8.6%.Depressioninpsoriasisislikelycausedbythe the normalpopulation.Suicidalideationinpsoriasisrangesbe­ Psoriatic patientshaveoneandahalftimesmoredepressionthan tal, Jerusalem,Israel Department ofDermatology, Hadassah-Hebrew University Hospi- Vera Leibovici PSORIASIS AND DEPRESSION– A REVIEW OP1 field, UK University of Sheffield, and Sheffield, of University 2

< 0.001) and reliable and/or clinically significant 1 , Andrew Thompson 2 Sheffield Teaching Hospitals, Shef- Hospitals, Teaching Sheffield 1 , Paul Norman ORAL PRESENTATIONS 1 , Andrew - - - - Primary outcomewasthepaindecreaseafterconsultations:com an antidepressanttreatment.Patientsansweredaquestionnaire. BMS wasalreadyassessed.Mostofthepatientswerereceiving to psychiatric and dermatologic diseases. The diagnosis ofprimary Methods: Subjects were recruited through a consultation dedicated adjuvant ofchemicaltreatment(antidepressant)inBMScuring. joint consultationwithapsychiatristanddermatologist,asan was toevaluatetheusefulnessofpsychologicalinterventionina in thegenesisofthisdisease.Objectives: The aimofthestudy studies haveshowntheinvolvementofpsychologicalmorbidities is mainlybasedonchemicalantidepressants.Moreover, some population. Noguidelinesexistregardingthetreatment,which Its prevalenceisestimatedbetween0.7%and15%ofgeneral term usedforchronicoralmucosalpainwithoutorganic cause. Introduction a is (BMS) burningmouthsyndrome : Primary Brest, France rent Misery Vinciane Le Bris, BURNING MOUTHSYNDROME INTERVENTIONFOR THETREATMENT OF USEFULNESS OF PSYCHOLOGICAL OP4 relation totreatmentofthisdisorder. The specialroleofpsychiatristanddermatologistisdiscussedin psychotherapeutic treatmentshavebeenreportedintheliterature. and pharmacological however recommended treatment specific occupational orotherimportantareasoffunctioning. There isno these caseswillbepresented. of mental devastation emerging forthwith. Difficulties in managing details severalconditionsandtheir presumedcauseswithdegrees an understandingoftheirconcerns andanxietiesMypresentation diverse and the medical and professional approach to each requires dilemma. Individualanxietyandpeculiarmentalresponsesare conditions Dealingwith the psychologicalaspectsofthesearea races havevaryingattitudesandbehaviouralpatternstothese strange explanations.Communitiesin Africa andothercoloured revengeandother curse, theories, absurd, unnatural,spiritual depigmentation and hyperpigmentation are considered taboo with Paradoxically, disordersofpigmentation,hypopigmentation, of SkinBleachingleavingmanywithdisastrous health issues. skin colourbydarkskinnedpersonshasledtothefalseconcept compound the mental anguish of sufferers. Admiration of a lighter and maltreatmentofthesevictimsbycertainmemberssociety undue distress,anxiety, embarrassmentandreclusion.Rejection taboo linkcertainconditionstoweirdcauseshenceresultingin sible skinaredistressful.Moreover, culturalfactors,beliefsand Skin disordersandevenminorskinblemishesonexposed,vi Consultant dermatologist,Nairobi, Kenya Melanie MiyanjideSouza PERSONS CAUSEIMMENSEMENTAL ISSUES PIGMENTARY DISORDERSINDARKSKINNED OP5 plete orpartially(> strategy ofBMStreatment. intervention shouldbeconsideredasanadditionaltoolintheglobal psychological BMS, addedto the antidepressant.Conclusion: This bi-specialized consultationhasapositiveimpactinthecuringof clinic improvement.Results:Firstresultstendtoshowthatthe wandering, andpsychotherapeuticselementswhocontributedto included thepersistenceofantidepressanttreatments,medical Martine Schollhammer, MyriamChastaing,Lau- 50%; 30–50%; < 30%). Secondaryoutcomes Oral presentations Acta DermVenereol 2017 879 - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta Sheikh KhalifaMedicalCity, Abu Dhabi,UAE avenue forreducingstigmatisation. appearance comparisons.Self-compassion providesanadditional with acne-related distress, with particular attention to the role of media useshouldbeconsidered whenworkingwithindividuals between Facebookphoto-activityandacne-stigmatisation.Social that upwards appearance comparisons mediated the relationship sation via upwards appearance comparison. The results suggest stigmati on use photo effect Facebook indirect of significant a 5.4%, respectively. Mediationanalysisindicatedthattherewas compassion accountedforthegreatestchangeinR2–24%and 42% ofthevarianceinstigmatisation.UPACS scoreand self- UPACS score,DACSscoreandself-compassionaccounted for sation whenUPACS wasaddedintotheregression.Severity, p r(592) =0.17, risons activity positivelycorrelatedwithupwardsappearancecompa tion. Within Facebook users (91.1%),levelsofphoto-related to testtherelationshipsbetweenFacebookuseandstigmatisa and bootstrapped moderated-mediation analyses were conducted Feelings ofStigmatisationQuestionnaire.Multipleregression comparisons (UPACS/DACS), and an adapted version ofthe activity, self-compassion,upwards/downwards skin-appearance ted onlinemeasuresofFacebookuse,photo-related relationship. UKadults(n and to test whether appearance comparisons mediated this between Facebook useandinternalised acne-stigmatisation, The presentstudywasconductedtoexaminetherelationship 1 Kate Adkins STIGMA AND RISKFACTOR FOR ACNE-RELATED APPEARANCE COMPARISONS AS MEDIATOR OP7 programs forpatientssuffering fromdermatoses. an urgent needforcreationspecial anti-stigmatizationprogram/ and conditions dermatological in stigmatization of field the in parison between the studies. There is a need for more research research groupswhichlimitthepossibilitytomakeadirectcom instruments wereusedtoevaluatestigmatizationbydifferent Different contributingtothefeelingofstigmatization. ones Visibility ofskinlesionsaswellculturalfactorsarethemain found thatstigmatizationisacommonandimportantproblem. others skinconditionswherestigmatizationwasstudied. We patients. Vitiligo, acne,leprosy, atopicdermatitiswasamong Out of58articles,18dialedwithstigmatizationinpsoriatic skin disease,wherethestigmatizationexperiencewasstudied. themostcommon is researchfoundthatpsoriasis Our conditions. After selection 58articles remains, describing 20dermatological November 2016andfoundahugenumberofarticles(n process hasbeenstudied. We performedsearch onPubMeduntil med toanalyzedermatologicalconditionswherestigmatization consequent psychologicalstressandsocialwithdrawal We ai with forstigmatization mightbecomereason lesions visible their sufferers andcertainskindiseasesareamongthem. The Numerous medical conditions arerecognized as stigmatizing 1 Jacek Szepietowski OVERVIEW STIGMATIZATION INDERMATOLOGY - AN OP6 880 versity ofMedicine,Wroclaw, Poland,and sity ofSheffield,UK Department ofPsychology, and Department of Dermatology, Venereology and Allergology, Uni- = 0.001. Photo-relatedactivitynolongerpredictedstigmati 17 th 1 Congress of the European Society for Dermatology and Psychiatry , Andrew Thompson 1 , Dimitre Dimitrov p 0.001, and stigmatisation r(592) =0.14, stigmatisation and < 0.001, = 650) withacnesymptomscomple 1 , PaulOverton 2 Department ofHistory, Univer 2

2 PMW Al Mafraqand 1 , JuliaMoses = 548). 2

------The Netherlands, Medical, and Neuropsychology unit, Leiden University, Leiden, University ofOslo,Norway, Center, Nijmegen, the Netherlands, 1 1 Wroclaw Medical University, Wroclaw, Poland, and University of Hertfordshire, Hatfield, UK, Hatfield, Hertfordshire, of University and PostgraduateMedicine, School ofLife & Medical Sciences, University Hospital,LundUniversity, Malmö,Sweden, 11 Francesca Sampogna DERMATOLOGY-SPECIFIC INSTRUMENTS FAMILY AND CAREGIVERS: A REVIEW OF DERMATOLOGICAL CONDITIONSON MEASURING THE IMPACT OF OP8 stress managementincludingcoping strategies.Howeverdifferent Objectives: Atopic dermatitis(AD)iswellknowntorequire Yoko Kataoka “TIGHT ECZEMA CONTROL” PSYCHIATRICSYMPTOMS AFTER COPING AND SUFFERING? OBVIOUSIMPROVEMENT OF OR SECONDARILY REMODELED BY DISEASE ORIGINATED FROM THEIR OWNCHARACTER IS COPINGOF ATOPIC DERMATITIS PATIENTS OP9 a disease. be measuredaspartofanythoroughevaluationtheburden that theimpactofaskindiseaseonfamilyandcaregiversshould Index, FDLQI). The EADV quality of life taskforce recommends for dermatological conditions (Family Dermatology Life Quality ichthyosis (Family Burden Ichthyosis, FBI), and one was generic (Epidermolysis BullosaBurdenofDisease,EB-BoD),one Index, PFI;FamilyPso),onetheimpactofepidermolysisbullosa red theimpactofpsoriasisinfamilymembers(PsoriasisFamily Childhood Atopic DermatitsImpactScale,CADIS),twomeasu Primary Caregiversofchildrenwith Atopic Dermatitis,QPCAD; DFI; Parents’ IndexQoL Atopic Dermatitis,PiQoL-AD;QoL in of themconcernedatopicdermatitis(DermatitisFamilyIndex, describing thecreation and validation of nine instruments. Four systematic search of the literature. Fifteen papers were identified, on the qualityoflife (QoL) of familymembers,by performing a instruments that measure the impactofadermatologicaldisease specific the identify to was study this of aim The account. into of his/herdiseaseonfamilymembersandcaregiversmustbetaken The patientisthecentreofawebrelationshipsandimpact Bucharest, Romania, viversity, Kobe,Japan Ukraine, matology andVenereology, NationalMedical University, Kiev, tal, Aragon Health Sciences Institute, Zaragoza, Spain, ment of Dermatology, ULBErasmeHospital, Brussels, Belgium, Liana Manolache University, Cardiff, UK, munity, Department of Dermatology and Wound Healing, Cardiff nyshov Tomas-Aragones ragoza, Zaragoza,Spain of Psychology, Aragon HealthSciences Institute, University of Za- (IDI) IRCCS FLMM, Rome, Italy, Spillekom-van Koulil Clinical Epidemiology Unit, Istituto Dermopatico Dell’immacolata Osaka Habikino Medical Center, Osaka,and Department of Medical Psychology, Radboud University Medical 4 , Florence Dalgard 5 Department of Dermatology and Venereology, Skåne 1 , SonomiNakajima 13 7 8 , DamianoAbeni Oslo Centre forBiostatistics and Epidemiology, , Servando Marron 11 9 1 Department of Dermatology, Alcañiz Hospi- , , Åke Svensson Andrew Finlay 3 Department ofPharmacy, Pharmacology 5 , Andrea Evers 2 1 2 12 Division of Infection and Im- 8 5 Dali Medical,Dermatology, Department ofDermatology, , 9 Jacek Szepietowski 2 , , Françoise Poot Sam Salek 4 Department of Der 2 6 Kobe Pharma. Uni- , Dennis Linder 3 , 14 Pavel Cher Department 10 10 12 6 , Depart- Health, , Saskia Lucia 7 - - - , Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV control group. At baselineandafteroneyearpatientswereder of manualized treatment by amulti-professional team) or the study andeitherrandomizedintotheinterventiongroup(12h 1 University Hospital,Brest, France rie Roguedas-Contios Claire-Alice de Salins, IN DERMATOLOGY DEPARTMENT SATISFACTION: ASSESSMENT INOUTPATIENTS FACTORS INFLUENCING PATIENT OP11 ( by symptomsduetothedisease(p cognitions” withrespecttoitching(p the control group in the following endpoints: “catastrophizing group showed a significant higher improvement compared with points. groups regardingsociodemographicvariablesandprimaryend RAD). At baseline there were no significant differences between burden bysymptoms(SKINDEX)andskin(SCO with respect to itching (JKF), “social anxiety” (MHF), subjective The primarystudyendpointsare:”catastrophizingcognitions” matologically examined and they completed the questionnaires. index SCORAD severity: (disease ping andqualityoflife(QoL).Methods:315adult AD patients a structuredpatienteducationtrainingondiseaseactivity, co countries. The aimofthisstudywastoevaluatethe effects of skin diseaseaffecting 1–3%ofadults in Western industrialized Background: Atopic dermatitis (AD)is achronic relapsing Joerg Kupfer GERMAN MULTI-CENTER STUDY WITH ATOPIC DERMATITIS –RESULTS FROM A STRUCTURED PATIENT EDUCATION IN ADULTS OP10 depression andself-blame(r=0.640,p between correlation strong a was There improved. significantly decreased (P-0.006).Eachitemofthembutself-blamewere significantly coping Maladaptive improved. significantly were long-term tightcontrol.DepressionandInterpersonalSensitivity of achievement TARCQOL, the IGA, confirmed 2: Study dard. was obviously high.Maladaptive coping werehigher than stan (83.6%), Interpersonal Sensitivity (63.7%),Somatization (50.5%) pre-interventional data(study2).Results:Study1:Depression Follow-up datacollected6monthslaterwerecomparedwith who participated in our “tight control” program were assessed. severe with AD patients adult Fifty-five 1). (study data standard were measured, and compared with Japanesepopulation based HSCL) and Coping (Brief COPE) of 317 adult with severe AD Methods: Psychiatricsymptoms(HopkinsSymptomChecklist: severe adult AD andtoclarifyiftheychangeafter“tightcontrol”. of thisstudyistoknowthepsychiatricsymptomsandcoping proactive treatmentmonitoringserumbiomarker TARC. The aim remission inductionbyeducationalhospitalizationfollowed have executedsuccessful“tightcontrol”forsevereadult AD, initial ted of their own or secondarily remodeled by disease suffering. We maneuver isneededaccordingtowhethertheircopingareorigina and QoL andtheseverityof AD. for adult AD patients shows significant improvement of coping Germany of Dermatologyand Allergy, HannoverMedicalSchool,Hannover, vision of Immunodermatology and Allergy Research, Department and Allergology, Justus-Liebig-University Giessen, Institute of MedicalPsychology, p <0.001). Results: At 1yearfollow-uppatientsfromtheeducation Discussion: The structured patient education training 1 , UweGieler Emilie Brenaut, 2 , ThomasWerfel 2

< Department ofDermatology ≥ 0.001), subjective burden subjective <0.001), 0.001) andskinsymptoms 20) were eligible for the for eligible were 20) < 0.001). Laurent Misery, 3 , Annice Heratizadeh Anne-Ma- 3 Di------3 1 Camille Gravelier INJURIES OR ARMS TREATMENT OF BURNEDPATIENTS WITH FACE STIGBATE: SOCIOLOGY FORBETTER OP12 of lifeareimportantfactorsinoutpatientsatisfaction. Interpersonal skillsofdermatologistsandattentiontothequality contributing tosatisfactionamongpatients50yearsandolder. biopsy andcomfortofthewaitingroomwereadditionalfactors skin examination,useofdermatoscopy, performanceofaskin and attention givento symptoms. Performance ofafull-body of life,physician’s concerning,interestinthemedicalproblem quality were most the satisfaction overall influence that factors greater satisfaction amongpatientsaged 50 years and older. The ( satisfaction overall to related significantly was age Patient (77.1%). consultation their with satisfied generally 58.4% ofwomenand41.6%meninthesample.Patientswere were completed. Mean age of the population was 43.6yearswith end oftheconsultation. Two hundredforty-sevenquestionnaires the at fill to questionnaire anonymous one-page a received tion All patients presenting to the secretariat for a medical consulta encing patientsatisfactioninconsultationswithdermatologists. influ factors determine to was study this of aim The diseases. treatment andconsequentlytobetterclinicaloutcomesforskin Improving patientsatisfactionmayleadtobetteradherencewith according tothesituations. Up toobjectsusedforcetheprocessesofhealingwhichcan, with radically different sensori-motor and social experiences; of whichthepeoplewakeupendowedwithanotherbodyand end the at ellipses producing coma artificial in putting the since of coverage of the serious burn victims affix on their experiences: and courses of the people. But also, tracks which the techniques pointing theobservablevariationsaccordingtosocialbackgrounds will talkaboutsometypicalnarrativesofthismetamorphosisby Metz regional Hospital. We will present intermediateresults. We 18 months,2post-traumaticyears). The studyisinprogresson the seriousburnpatients(consultationsof9months,12 scheduled withintheframeworkofsystematicsurveillance place ofthemedicalfollow-upinfallconsultationcare extraction oftherecurringthemes. The conversationshaveon-site analyse of verbatim after semi-managed sociological interview and ments oflifeatthepatientsseriousburnvictims.Methods: looking way)todeterminethepresenceornotofrecurringele interviews with discourse analysis of these patients in a forward- formal databymeansofthemedicalrecord;thatsociological tients’ sociologicalburnedparameters(somuchpointofseenby of the place of residence. in Interregionscentralizesthecareonasite,oftenveryremote implementation ofsectorsfortreatmentseriousburnvictims situation arefrequently reported by thesepatients. The French social in anxiety and Difficulties socialization. in return of stage patients withvisiblezones(face,scalp,hand,arm,neck)atthe burned for modifications life of quality showed studies Several 3 Voléry Thionville, and des BrûlésdeMetz,Centre Félix Maréchal, HôpitalMercy Metz/ Médecin derééducation,Chefserviceducentre detraitement Re-education center forburnedpatients,Metz, 4 4 MCF HDRsociology, Lorraineuniversity, France 1 , Laetitia Goffinet Laetitia Goal: Qualitative study to analyse pa 2 , Oral presentations mence Deffinis Clémence Acta DermVenereol 2017 2 U954 INSERM, p <

.1, with 0.01), 3 , Ingrid 881 - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta guiai Faculty ofLifeSciences,UniversityBradford, UK 76 men. Mean age of patients was 33 years in women and 38 in patients answeredthequestionnaires including149womenand sults: We presenttheintermediateresultsofthisstudy, with225 PO-SCORAD the of version modified a using by evaluated and economicimpactof AD. Inaddition,theseverityof AD was the evaluationofdiseaseburden (ABS-A),qualityoflife(DLQI) the impactof AD on dailylifeandincludedvalidatedtoolsfor rial/methods: We conductedacross-sectionalstudytoevaluate evaluating the burden of atopic dermatitis (AD) in adults. Introduction: To dateonlyafewstudieshavebeenconducted 1 Laurent Misery DERMATITIS: A CROSS-SECTIONAL STUDY PSYCHOLOGICALIMPACT ATOPIC PP3 when treatingtheirchildren. ten” part in the field of vitiligo, they deserve attention by experts children’s vitiligo.Conclusions: Although parentsarea“forgot a minorityofparentsfeltthattheirlivesarerestrictedby Parents implicatedpsychologicalstressindiseaseworsening.Only correlation. no revealed CDLQI-scores and ADM influence. no disturbing than an unchanging condition. Disease extension had white spots.Improvementandworseningofvitiligowasmore were linkedtosleepdisturbances/tirednessandsearchingfornew were moreanxious-depressivethancontrols.Higher ADM-scores I-III and 16/0 with IV-VI. 55/13 girls,meanage10.5/9.3years,69/18withskinphototypes fathers, mean age 41.7/37.9 years, children/controls: 30/5 boys, Groups’ characteristics:Parents/controls:66/16mothers,19/2 Eighteen parentsandtheirhealthychildrenservedascontrols. answered the ChildrenDermatology Life Quality Index (CDLQI). additional questionswasusedin85parents. Their affected children Adjustment toChronicSkinDisordersQuestionnaire(ACS)with Methods: The Anxious-Depressive Mood(ADM)scale ofthe aim wastoexplorelevelsofanxious-depressivemoodinparents. investigated, but such reports are missing for their parents. Our patches. Psychosocial implications for children have been widely Objectives: Vitiligo isapigmentation disorder causingwhiteskin 1 Christian Krüger VITILIGO MOOD INPARENTS OF CHILDREN WITH INCREASED LEVELSOF ANXIOUS-DEPRESSIVE PP2 it isreallyandnotworse. around it!Ifitisvirtualletbeagoodstoryoratleastkeepas when thepainbeginsitisafactandwebuildvirtualprojection stress as a trigger, even as a cause ofthe symptoms; explaining that our patientstofeelbetter. Nowadaysmostofourpatientsreport prurigo... Using metaphor exercises in a very practical way to help quality oflifeandaffects theseverityofUCSand As mostchroniclediseases,psoriasis,prurigoandUCSaffects Paris, France Germaine Gabison METAPHORS...OR VOCAL THERAPY? IMPROVING CHRONICLESKINDISEASES WITH PP1 882 matologique Reims, pean MarketMaintenance Assesment, France University of Greifswald, Germany, and Institute for Pigmentary Disorders (IFPD), in association with CHU Brest, 4 , StéphanieMerhand 17 th Congress of the European Society for Dermatology and Psychiatry 2 CHU HenriMondor, 1 , 1 , KarinSchallreuter Khaled Ezzedine 5 Association Française de l’Eczema, Parents of children with vitiligo Results: Parents of children with vitiligo 5 , CharlesTaieb 3 2 CHU Bordeaux, , Julien Seneschal 2

2 Centre for Skin Sciences, 6

4 Clinique der 3 , Ziad Re- 6 Mate Euro- Re POSTERS - - - - Sheikh KhalifaMedicalCity, Abu Dhabi,UAE 1 feedback. up onanyoftheoutcomemeasuresdespitepositiveparticipant no statistically significant differences between the groups at follow ct2/show/NCT03004027. depression. The study was registered at https://clinicaltrials.gov/ included fearofnegativeevaluationandsymptomsanxiety provided with a PDFof the self-help materials. Outcome measures a waiting list control. Participants in the self-help conditions were self-help, self-helpenhancedwithimplementationintentions,or skin charities)andrandomlyallocatedtooneofthreeconditions: skin difference wererecruitedonline(predominantly through CONTROLLED TRIAL RANDOMISED AND FEAROF NEGATIVE EVALUATION: A THOSE WITH ADIFFERENCE SKIN VISIBLE WITH IMPLEMENTATION INTENTIONSFOR ENHANCING PSYCHOLOGICAL SELF-HELP PP4 be usefulandrelevant. (with regularconsultationofapsychologistforexample)would dermatology isreal,considerable,suggestingthatadequatecare confirm that the psychological impact of AD in terms of psycho- with asevere AD. Conclusions:Ourintermediateresultsshow or “permanently”sadanddepressed. They are56%subjects In patientswithmoderate AD, 26%declaredtobe“veryoften” “extremely” anxious,versus61%inpatientswithmoderate AD. In patientswithsevere AD, 80%saidtheywere“moderately”or severely alteredinseverepatientscomparedtomoderatepatients. the qualityoflife(DLQI)andburden(ABS-A)scoresweremore Severe AD. Inpatientswhoconsideredthediseaseasadisability, sease, with35%and12%respectivelyamongmoderate66% feeling isdifferent dependingonwhethertheseverityofdi dermatitis tobea“disease”and24%“disability”. This 117 declaredsevere AD. 59%ofpatientsconsidertheiratopic men. Ofthe225patients,108declaredmoderate AD whereas until November2016andfound thatnumerousinstrumentsof instruments tomeasureitslevel. We performedsearch onPubMed ses. At present,thereisnogenerallyacceptedsingle orgroupof treatment andtocompare the stigmatizationinvariousdermato understanding oftheproblem,to examinehowevolveduringthe known. Properstigmatizationassessment wouldhelpforbetter Stigmatization amongsufferers ofvariousskinconditionsiswell Jacek Szepietowski DERMATOLOGY INSTRUMENTS TO ASSESS STIGMATIZATION IN PP5 promote theuseofthesetechniques. reducing fearofnegativeevaluationorif-thenplanningdoesnot dings suggesteithertheself-helptechniqueswerenoteffective at n if-then plans)designedtopromoteuseofthematerials.Methods: help interventionincorporatingimplementationintentions(or Aim: The presentresearchexaminedtheeffectiveness ofaself- undertake recommendedexercisesordeploylearnedtechniques. ver, theeffectiveness ofsuchmaterialscan belimitedbyfailureto interventions tailored to this population may be beneficial; howe negatively evaluationduringsocialinteractions.Onlineself-help Background: People with a visible skin difference commonly fear University ofSheffield,UK Jessica Lane,ThomasWebb, versity ofMedicine,Wroclaw, Poland,and Department of Dermatology, Venereology and Allergology, Uni- = 326 individuals who reported lowered confidence due to their In contrast to previous research, the fin the research, previous to contrast In Conclusion: 1 , Dimitre Dimitrov Results: A series of ANCOVAs indicated Andrew Thompson 2 2 PMW Al Mafraqand - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV attention forfemales. and shouldincludepsychopathologyassessment,withparticular mild formsandimpairmentfurtherincreaseswithCSUseverity, CSU shouldaimcompletecontrol,asQoL isalreadyimpairedat Q2oL score 64 vs.45,p and depression subscores, QoL impairment is higher (mean CU- Portugal male, has higherimpactonQoL:meanCU-Q2oL score52vs.41for 77 vs. 46 for UAS7 for UAS7 is associatedwithpoorerQoL: mean CU-Q2oL score 58 vs. 36 years, mean47years)wereevaluated.Increasingurticariaactivity Seventy-two Caucasianpatients(53female/19male;age16–78 age 59 tients with moderate to severe psoriasis (53 male, 26 female, mean Methods: We conductedacase-control studyinvolving79inpa prevalent psychiatric comorbidities in moderate toseverepsoriasis. if psychotropic medication is significant and to identify the most prove itsknowledgeandmanagement.Objective:Toinvestigate medical complications. The researchoncomorbiditiescanim bidities, including psychopathology, and can have important Introduction: Moderatetoseverepsoriasishasseveralcomor 1 Roque FerreiraBárbara PSORIASIS: A CASE-CONTROL STUDY RIC COMORBIDITIESINMODERATE TO SEVERE PSYCHOTROPIC MEDICATION AND PSYCHIAT PP7 (UAS7) were analyzed (statistical significance: depression subscores–andurticariaactivityscoreover7days (HADS) – cut-off value for psychopathology questionnaire (CU-Q2oL),hospitalanxietyanddepressionscale ment. Clinic-demographicdata,chronicurticariaqualityoflife months) withCSUpatientsfromatertiarydermatologydepart (CSU) and QoL impairment. jective: Evaluatethelinkbetweenchronicspontaneousurticaria dermatosis deserves analysis to better define treatment goals. Introduction: Qualityoflife(QoL)impairmentforeachchronic Centre, Coimbra, Portugal Department ofDermatology,Hospital andUniversity Coimbra Bárbara RoqueFerreira, Margarida Gonçalo PSYCHOPATHOLOGY WITH DISEASESEVERITY, GENDER AND SPONTANEOUS URTICARIA ISLINKED QUALITY OF LIFEIMPAIRMENT INCHRONIC PP6 matization instruments. stig disease-specific and dermatology- with obtained results the demonstrated that a significant positive correlation exists between of both qualities of life and stigmatization. It has already been analysis deeper for instrument disease-specific the with mented skin diseases,howeverwhereispossibletheyshouldbesupple specific in stigmatization of feeling study to tools line first a as tion levelinvariousskinconditions. They canbeutilizedaswell to use dermatology-specific instruments to compare the stigmatiza ones. After reviewoftheliterature,wewouldliketorecommend dermatology specific instruments and dermatosis/disease specific problems. After analyzing,wedividedthemontwomaingroups: researches toassessthestigmatizationlevelinpatientswithskin the formofquestionnairesexist. They wereutilizedinvarious Brites a controlgroupwithoutchronic dermatoses,matchedbyageand Centre, Department ofDermatology, CoimbraHospitalandUniversity 1 p , JoséPedro Reis ±

= 2 17 years), from a tertiary dermatology department, and Faculty of Medicine, University of Coimbra, 0.02. When HADS subscore > 6 vs. UAS7 > 27 vs. UAS7 ≤ 1 , 6, 1 Américo Figueiredo < 0.001). , p João FilipeSimões < 0.001 andmeanCU-Q2oL scoreof Methods: Methods: ≤ Conclusion: Managementof 27,

≥ 8 vs. p < Prospective study (10study Prospective 0.001. Femalegender

1 <

≥ 8, both for anxiety p 2 8 for anxiety and , < 0.05). Maria Manuel Results: Results: Ob ­ ------

1 University Centre, Coimbra,Portugal of Coimbra; Department of Psychiatry, Coimbra Hospital and provides dermatologyprofessionals withanuancedaccountof study and lackofconsistencyinmedical support.Conclusions:The internal andexternalavoidance, referringtothecopingstrategies; onthefearofothers’cused forthecondition; blamingparticipants clinic witha4-yearhistoryofpruriticpapulonodules,cen A 47-year-old female was referred to our psychodermatology logy thatshouldbeconsideredinitsmanagement.Casereport: Introduction: Prurigonodulariscanbelinkedwithpsychopatho Bárbara RoqueFerreira BETWEEN OBSESSION AND DELUSION PATHOLOGY: A CASEREPORT OF INTERFACE PRURIGO NODULARIS AND PSYCHO­ PP8 psychopathology andmayworsenpsoriasis. the management ofthese patients as they are linked with comorbid Substance-related andaddictivedisordersshouldbeconsideredin for psychopathologyassessmentandpsychologicalinterventions. significant inmoderatetoseverepsoriasis,highlightingtheneed orders. related (p substance-related and addictive disorders (41%), 90% alcohol- most prevalent psychiatric diagnoses in the psoriasis group were The mon: 48%inpsoriasisgroupand16%controls(p <0.05). and 27%ofcontrols(p antidepressants) waspresentin63%ofinpatientswithpsoriasis least onepsychotropicmedication(anxiolytics,antipsychoticsor gender, includinginpatientsfromthesamehospital.Results:At Three superordinatethemeswere found:self-consciousness,fo analysed usinginterpretativephenomenological analysis.Results: participantstookpart insemi-structuredinterviews, Nine Methods: experience of living with rosacea and of receiving treatment. the experienceoflifewithrosacea.Aims: To investigationthe have alarge psychosocial impact andthereisaneedtounderstand Background: Rosaceaisachronic skin condition that can often Samantha Johnston, CAL ANALYSIS MENT: AN INTERPRETATIVE PHENOMENOLOGI­ EXPERIENCES OF ROSACEA AND ITS TREAT- PP9 with topicaltreatmentinthemanagementofprurigonodularis. serotonin reuptake inhibitor and antipsychotic are useful together coexist withandbecomeadelusion.Inthiscontext,CBT, selective delusion are different, studies have suggested that an obsession can provement after2months.Conclusion: 12.5 mgbid,capsaicincreamandcalcipotriolointment,withim 1mg atnight,escitalopram20mginthemorning,hydroxyzine as previouslydescribed, risperidone therapy (CBT), tive behavior Hospital Anxiety andDepressionScale. We startedsimplecogni There werenormallevelsofanxietyanddepressionsubscoresin exhibiting obsessive-compulsivesymptomswithsomaticdelusion. she could not stop as a result of feeling better after scratching, her skin but admitted scratching, worsening the lesions. However, benefit. The patient had the belief that strange material was under clobetasol propionatefor months and narrowband UVBwithout and laboratorystudydidnotshowsystemicdisease.Shehaddone “butterfly sign”, typical of prurigo nodularis. Clinical assessment tral scale-crustonlegs,thighs,arms,forearmsandback,withthe University ofSheffield,UK Lavda, Américo Figueiredo Hospital andUniversityCentre, Psychodermatology Clinic, Department ofDermatology, Coimbra Andrew Thompson Conclusion: The prevalenceofpsychotropicmedicationis < 0.05), followedby anxiety, depressionand sleep dis 1 Marta Krasuska, < 1 , 0.05). Anxiolytics werethemostcom José LuísPio Abreu 2 Faculty of Medicine, University , Abigail Millings, Acta DermVenereol 2017 Although obsessionand 2 , José Pedro Reis Posters Anastasia 883 1 ------,

Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta Health Research Centre, Moscow, Russia Mitran of dermatosisandpatient’s subjectivereaction,duetothepredo of nosogenic reactions the dissociation between objective severity conditionally pathogenic. The studyrevealedintheclinicalpicture of pemphygusmanifestationweredistinguishedthegenuineand DSI III,DLQI5.Conclusion: Among thepsychogenicstressors hypomania duringthehighdosesofglucocorticosteroidstherapy. of the skin disease. In 5 of them were identified drug (iatrogenic) rant hypochondria:paradoxicaldisregardofgravityanddanger simism, fearsofdisability. DSI III,DLQI15-21.6hadanaber type of nosogenicmental disorders: hypothymia, insomnia, pes of steroidtherapy. DSIIII,DLQI 5–9.5hadanxious-depressed the rationalattitudetoillnessinspiteofdisablingcomplications were found nosogenic reactions. 14 had masked hypochondria: genic stressors.DSIII-III,DLQI17–21.In25patients(62.5%) patients withdelusionsofparasitosis, ifpresent,areusuallymild. in apatientwithdelusionsofparasitosis. Skinmanifestationsin lesions self-inflicted of suspicion clinical the supported nation reachable areaslikethefaceandlimbs. The psychiatricexami a generalized distributionbuttheyweremostlylocatedineasily hematic crustsaswellseveralatrophicscars. The lesionshad noticed multipleulcerationsof0.5–1.5cmindiametercoveredby parasite infestation was never confirmed. On local examination we patient hadconsultedseveralspecialistsininfectiousdiseasesbut parasites. Shewasthenapplyingalcoholtosterilizethearea. The the eliminate help to daily fingernails her with skin her picking under herskinapproximately3yearsbeforehandandthatshewas tion. The patientassertedthatshestartedfeeling parasites crawling Department formultipleulcerationswithageneralizeddistribu female patientfromtheurbanareawasreferredtoourDermatology the fixed, false belief that he is infested by parasites. A 68-year-old Delusional parasitosisisarareconditioninwhichthepatienthas 1 Maria Isabela Sarbu DELUSIONS OF PARASITOSIS MULTIPLE ULCERATIONS IN A PATIENT WITH PP11 with thetypeofpersonality. minance of somatogenic, vitalorpsychogenicfactors correlating psycho various the by influenced pemphygus of manifestation Index (DLQI). Results: matosis SeverityIndex(DSI), The DermatologyLifeQuality in processofsteroidtherapybyclinicalmethodsand The Der pemphygus (22–vulgar, 18–seborrheicform)wereexamined phygus. Objectives: Investigationofcomorbidmentaldisordersinpem 1 Igor Dorozhenok DISORDERS PEMPHYGUS AND COMORBID MENTAL PP10 chological supportinsomecases. was commonplace,andpatientsmayneedtobereferredforpsy feelings ofshame.Engaginginavoidant-focusedcopingstrategies tive impactforsomepeople,contributingtoembarrassmentand psychosocial issuesaffecting patients.Rosaceacanhaveanega in thisstudyshouldfacilitatethediscussionandidentificationof the patientexperienceofrosacea. Awareness ofthethemesfound 884 Alexandra-Elena Sarbu amed Clinic,Bucharest, Romania ”Carol Davila”University of MedicineandPharmacy, and I.M. SechenovFirstMoscowState Medical University, 1 , ClaraMatei 17 Methods: 40patients(22f.,18m.;av.age 53.7)with th Congress of the European Society for Dermatology and Psychiatry 1,2 , NataliaTepljuk 1 1 , Simona-RoxanaGeorgescu , 2 Mircea Tampa In 15 patients (37.5%) were identified were (37.5%) patients 15 In , Cristina IuliaMitran 1 , DariaKatranova 1 , Ioan-Cristian Irimescu 1 , 1 Madalina Irina

1

2 Mental , 2 Hex- 1 ------, Billancourt, similiano Orri don, UK, of thepsychologicalsphereareshowninposter. injury. Imagesofpatientswithoral pathology withinvolvement psychiatric conditionthateithercausesorderivesfromtheoral treatment of thelesionbutalsofor detection ofthe underlying only necessary for a correct differential diagnosis and subsequent plinary workbetweendentistsandpsychodermatologistsisnot suspected untilthemomentofconsultation. The interdisci yet not diagnosis psychiatric a to lead may findings these cases, to starttheappropriatetreatment,bearinginmindthat,many important togetanearlydiagnosisoftheorallesionsinorder conditions. andpsychotic addictions We itextremely consider disorderssuchaseatingdisorders, topsychiatric lesions secondary causing erosions, ulcers, leukoplakia and other injuries, aswell as oral lesionscanberelatedtorepeatedtraumaindifferent areas in thestudyofstomatologicalpathology. The consultationdueto the importanceoftakingPsychodermatologyasastartingpoint The aimofthisposteristoraiseawarenessinourcolleagues Argentina Academia deDermatologíayPsiquiatría, ADEPSI, Buenos Aires, Estela MaríaMalatesta OF NO-MAN’SLAND ORAL LESIONS: A NEW APPROACH ON A SORT PP12 patients withdelusionalparasitosis. a in ulcerations self-inflicted multiple, of case rare a Wereport through structuredliteraturereview andfocusgroups. CP severityanditsimpact onpatients’ HRQoL hasbeenachieved comprehensive andclinically sound conceptualframeworkof consistent acrossallunderlyingskinconditions.Discussion:A relations; and (9) time spent. These sub-domains of interest were (6) dailyactivities;(7)cognitionsattributedtoothers;(8)social (3) sexuallife;(4)emotionsandcognitions;(5)concentration; organized into:(1)sleepandfatigue;(2)copinganticipation; forHRQoLand (iii)extension.Sub-domainsofinterest were of itch(sensationtypeandscratchingresponse),(ii)duration, sessions. The severityofCP wasreportedintermsof:(i)intensity patients wererecruitedinonesiteandinterviewedthrough3FG tative contentanalyses(inductiveapproach).Results:Nineteen into transcripts,whichwerethematicallyanalyzedusingquali CP ofelderlypeople.Patients’ verbatimweretextually reported atopic dermatitis,seborrheicdermatitisofthescalp,urticariaand through focusgroups(FG)withpatientssuffering frompsoriasis, the literature.Itwasrevisedbasedonqualitativedatagenerated conceptual frameworkwasdevelopedafterastructuredreviewof health-related qualityoflife(HRQoL).Methods: Apreliminary nic Pruritus(CP)perceivetheseverityofCP anditsimpacton Objectives: To understandhowpatientssuffering fromChro Brest, France Jennifer Theunis USING FOCUSGROUPS LIFE, FROM THE PATIENT’S PERSPECTIVE IMPACT ONHEALTH-RELATED QUALITY OF SEVERITY OF CHRONICPRURITUS AND ITS AQUALITATIVE STUDY TO THE ASSESS PP13 1 Mengeaud Valerie Pierre Fabre, Toulouse, 6 Service de Dermatologie et Vénérologie, CHU de Brest, 4 CESP, INSERM 1018, Paris,France, 4 , Jesus Cuervo 1 , 1 , Laurent Misery Clementine Nordon 2 LASER, Paris, 5 , Gilles Berdeaux 6 2 3 , Pierre Fabre, Boulogne- Ylana Chalem 3 , Marie Auges 5 LASER, Lon- 3 , Mas- 3 - - - , Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV France Bodéré France 1 most oftendescribedasaburning pain,occurringintheabsence is which discomfort, vulvar a as defined been has Vulvodynia Laurent Misery CONDITIONS IN VULVODYNIA: A PILOT STUDY AND OTHER ASSOCIATED CHRONICPAIN SCREENING FORNEUROPATHIC PAIN, ANXIETY PP16 studies withpatientswillbeproposed. of standardandvalidatedquestionnaires.Furtherinternational creation the for method a proposes and need the confirms study studies andpathophysiologicalresearch. The presentpreliminary for clinicaltrials,investigationsintoqualityoflife,psychological niably crucialinthepatient-doctorrelationshipandindispensable understanding of the sensations experienced by patients is unde into 6languagefamiliesareincludedinourstudy. The adequate classified languages Twenty-seven adaptations. linguistic and standard andvalidatedquestionnairesconsideringcross-cultural The presentstudyisapreliminaryframeworkforthecreationof borders betweenthesesensationsarethesameinalllanguages. ling, prickling,tightnessorstinging,anditisnotobviousthatthe itch fromclosesensationssuchaspain,burning,tingling,tick patients andevendoctors,itisnotalwaysevidenttodifferentiate periods.For culturesandhistorical depending onlanguages, scratch. Nonetheless,themeaningisnotnecessarilysame to need the to leading sensation unpleasant an as defined is Itch 1 Deok-Hee Kim-Dufor PRELIMINARY STUDY ITCH: ATO ASSESS QUESTIONNAIRES CULTURALLYSTANDARD ADAPTED THE NEEDFORLINGUISTICALLY AND PP15 care. psychosocial appointmenttodiscuss afollow-up scheduling be thealleviationofparentalstress,withparticularattentionto sample. This resultsuggeststhatonefocusofinterventionshould limitations includerecallbiasandasmall,relativelyheterogeneous traumatic event,mainlyfortheparentsofachildwithNF1.Study was aclinicalconcern.DiagnosisdisclosureinsporadicNF1is people also had a score between 24 and 32 meaning that PTSD these sufferers, thirteenwereparentsofachildwithNF1.Five patients orfamilymemberssuffered fromPTSD (45.2%).Of sent to53eligiblepatients,and31responded(58.5%).Fourteen vised wasusedforthediagnosisofPTSD. A questionnairewas excluded. The FrenchversionoftheImpactEventScale–Re was retainedaccordingtoNIHcriteriaandfamilialformswere Center, ofNF1 Diagnosis France. Brest, Hospital, University NF1. Patients were recruited at the Neurofibromatosis Competence patients andtheirfamiliesfollowingthedisclosureofsporadic study was to evaluate post-traumatic stress disorder (PTSD) in variable expression with unpredictable course. The aim of our tosomal dominantgeneticdisorders.Itischaracterizedbyhighly au common most the of one is (NF1) 1 type Neurofibromatosis University Hospital,Brest, France langer, EmilieBrenaut, Laurent Misery Claire Abasq-Thomas NOVO NEUROFIBROMATOSIS TYPE 1 FOLLOWING THE ANNOUNCEMENT OF DE POST-TRAUMATIC STRESSDISORDER PP14 tine Schollhammer CNRS, UMR6285Lab-STICC,and University Hospital, and 1 , Pierre Tandéo 1 , Anne-Clémence Tersiguel 1 1 , , 2 Adéle Poulaliou Johanna Huguen,Séverine Audebert-Bel , Bertrand Quinio 2 CNRS, UMR6285Lab-STICC, Brest, 2 University Hospital, Brest, 2 , Laurent Misery 1 , 1 , Emilie Brenaut Edith Postec 2 1

, 1 Céline , Mar ------the occurrenceofskinsymptoms betweenLSSandHSS.Results: grouped into LSSand HSS. We calculated OddsRatios to compare University Hospital,Brest, France Morgane Sevrain, PSYCHOLOGICAL COMPONENTS QUESTIONNAIRE STUDY OF NEUROPATHIC AND PRIMARY BURNINGMOUTHSYNDROME: A PP17 from vulvodyniaafterfollowingscreeningwiththeDN4. treatments for neuropathic pain could be usedin patients suffering specific that suggest results disorder.These psychosomatic a as observed, whereasalthoughvulvodyniaisoftenconsideredtobe morbid painconditions. A frequently neuropathiccomponentwas confirm the association between vulvodynia and other chronic co Sensory testswereproducedpainfulin15patients.Ourresults from anxiety. Neuropathicpainwasdetectedin10/15patients. low backpain.Sixty-sixpercentofthewomenpatientssuffered had othercomorbidpainconditions,and9patients chronic itching (9/16),anddepressing16).Eightofthe16patients most commonlyusedwere:tightening(9/16),burning(12 swab, a brush and a filament. The following pain descriptors were Questionnaire. Sensorytestswerecarriedoutusingacotton 4 Questions (DN4) and the French version of the McGill Pain and DepressionScale(HAD),theDouleurNeuropathiqueen responded tothefollowingquestionnaires:Hospital Anxiety fering fromvulvodynia.Sixteenpatientswereincluded.Patients pain, particularlytheneuropathicpaincomponent,inpatientssuf neurologic disorder. The aimofthisstudywastocharacterizethe identifiable, clinically specific, a or findings visible relevant of of the25 of the Self-Reported Skin Questionnaire online. Bydetermination the Perceived Stress Questionnaire (PSQ) and a modified version man students. present study aims to replicate these findings in a sample of Ger students (HSS)comparedtolowlystressed(LSS). The A recent US-studyfound more skin complaints in highly stressed complaints. skin different to related is Stress strain. financial or Background: Studentsoftenhavetocopewithstressorslikeexams 1 Stephanie Kiupel SURVEY GERMAN STUDENTS?RESULTS OF AN ONLINE IS STRESSRELATED TO SKINSYMPTOMS IN PP18 assessment ofBMSpatients. and theHADSareeasy-to-usetoolscouldbeusedinaninitial and psychologicalaspectsarenotmutuallyexclusive. The DN4i clinicians tosuccessfullymanagethesepatients. The physiological psychological aspectsofBMSneedtobeactivelyinvestigatedby favour ofanxietyanddepressivedisorder. Bothphysiologicaland favour of neuropathic pain and 34.3% had a HADS overall score in BMS wereincludedinthestudy:31%ofthemhadaDN4iscore primary with patients Thirty-five questionnaire. pain McGill the aire de la douleur de Saint-Antoine (QDSA), the French version of Hospital Anxiety andDepressionScale(HADS)thequestionn abbreviated DouleurNeuropathique4questionnaire(DN4i),the a diagnosisofprimaryBMSwasassessed.Patientsansweredthe through aconsultationdedicatedtomouthdiseases,duringwhich of BMSinpatientswithprimaryBMS.Subjectswererecruited study was to evaluate neuropathic and psychological components is extensivelydebatedbutpoorlyunderstood. The aimofthe The pathophysiologyofprimaryburningmouthsyndrome(BMS) Christina Schut and Allergology, Justus-Liebig-University, Gießen,Germany Institute ofMedicalPsychology, and th and75 Methods: 135 male and 659 female students filled in 1

1 th , Emilie Brenaut, GuyLeToux, Laurent Misery percentileofthePSQindexparticipants were Joerg Kupfer 1 , Sophia Kottlors 2 Clinics forDermatology Acta DermVenereol 2017 Posters 1 , Uwe Gieler 885 2 - - - - , Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta Rennes, life. After severalvisitstothepsychologistevolutionwas personal her with satisfied not was she that stated She out. hair referred toapsychologistandadmitted thatshepulledherown diagnosis oftrichotillomaniawas established. The patientwas Based ontheclinicalaspectand histopathologicalfeaturesthe foranydermatologicaldisease. notsuggestive performed andwas examination revealed no pathological findings. A scalp biopsy was regrowth wasobserved. The gynecologicalandendocrinological signs of inflammation and a negative pull test. In some areas, hair Physical examinationrevealeddiffuse alopeciaofthescalpwithno plaining ofmoderatescalppruritus.Shedeniedanystressfulevent. corticosteroids withoutanyimprovement. The patientwascom had beendiagnosedwithalopeciaareataandtreatedlocal He months. five last the in loss hair for clinic our addressed girl diagnosis is alopecia areata. monly fromthescalp,resultinginhairloss. The maindifferential characterized byrecurrentpullingoutofone’s hair, mostcom Introduction: Trichotillomania isapsichodermatologicaldisease Romania “Carol Davila” University of Medicine and Pharmacy, Bucharest, ria IsabelaSarbu,CristianIrimescu,Simona-RoxanaGeorgescu Madalina Irina Mitran,CristinaIuliaMircea Tampa, Ma- DIAGNOSIS TRICHOTILLOMANIA – A CHALLENGING PP20 be presentedduringthecongress. hypersensitivity inourchildrenwith ASD. The mainresultswill children. Through ourparadigm, we attemptedtoobservetactile ASD (Asperger and High functioning Autism) paired with 25 TD on theforearm. This evaluationwasrealizedwith 27childrenwith sensitivity. We applied the stimuli onto two areas, on the palm and used a paradigm with a set of Von Frey’s filament to evaluate tactile support thesedifferences ofsensitivity reported.Inourstudy, we could that with ASD children in fibers) (C-tactile endings nerve in individualswith ASD. Finally, arecentstudyshow lossoffree (TD). Moreover, spatialdiscriminativeabilitiesseemunaffected appears inchildrenwith ASD comparedtotypicaldevelopment tactile hypersensitivityinadultswith ASD whilenodifference than visual or auditory processing. Studies on this issue highlight domains. Tactile sensitivity receivesfarlessattentioninliterature sensory disordersthroughhypo-orhypersensitivityinseveral of ASD, sincemorethan96%oftheseindividualswoulddisplay muli. Sensory disorders get a great part in the symptomatology unusual responsestotheirenvironmentnotablywithsensorysti behavioral disturbances. Individuals with those disorders produce Autism SpectrumDisorders(ASD)arecharacterizedbysocialand Mohamed Boudjarane DISORDERS IN CHILDREN WITH AUTISM SPECTRUM EVALUATION OF TACTILE SENSITIVITY PP19 HSS (n 886 1 ges, Limoges,France Eric Lemonnier Brest, and students ofdifferent disciplines. studies couldcomparetheoccurrenceofskinsymptomsbetween and wartsnotoccurmoreofteninHSSthanLSS.Future However intheUS-studyotherrashonface,dry/sorerash,pimples Discussion: The resultsaresimilartotheonesinUS-study. rash, pimplesandwartsmoreoftenthanLSS(n flaky patches on the scalp, scaly skin, other rash on face, dry/sore Laboratory ofneurosciences, Brest, = 3 17 Department ofDermatology, UniversityhospitalofBrest, 201) reportedtohaveitch,itchyrashonhands,oily/waxy/ 4 th Expert Center of Autism, University HospitalofLimo- Congress of the European Society for Dermatology and Psychiatry 4 1 , Marine Grandgeorge Case presentation: 2 EthOS UMRCNRS6552, 2 207; all = 207; , Laurent Misery A 16-year-old A p 0.05). < 0.05). 3 - - - , unexplored areaofpsychodermatology. of all of them. We believe, this case is an example of the enormous anesthesia; variousdrugsuseduringthesurgery orcombination of thedrug.Onecanspeculatethatthosesensationisresult brain, subtlecognitivedysfunctioncanpersistlongafterclearance brain issusceptibletoanestheticneurotoxicityandintheaging rochemistry andinsuchawaymightcausehallucinations. The years agoandstillcontinue. Anesthetics affect thecerebral neu and then it started to build up again. The sand sensationstarted 3 helped hertoreleasefromthatfeelingbutonlyfor30minutes few secondstobrushthesandswithherhands. Taking ofshower sand onherhands. The sensationisthatrealshetriedevery soon after she recovered from the anesthesia, she felt that has hallucination after general anesthesia. According to the patient female patientdevelopedunusualskinsensation,kindoftactile unclear. Herein,wearepresentinguncommoncaseof81-year-old Most of them have a short duration and the reason usually remain psychological deviationsofpatientsaftergeneralanesthesia. Numerous examplescanbefoundinmedicalliteratureregarding Dimitre Dimitrov SYNDROME CASE REPORT OF SANDS-LIKEDYSESTHETIC PP21 overlooked. and adolescentstrichotillomaniaisadiagnosisthatshouldnotbe a teenager, initially diagnosed as alopecia areata. Among children favorable. Greta Gourier STATUSTO AUTOIMMUNE ACCORDING IMPACT OF PRURITUSINSYSTEMIC SCLEROSIS PP23 time andresourceswasteofthehealthsystem. protect thepatientfromanunnecessarytreatmentandtoprevent mental healthspecialist.Earlyrecognitionoftheproblemcould care. After a prolong discussion, the patient agreed to consult a person with mental problem kept her away from mental health help butneverasksinceashame. The stigmaofbeinglabeledas scussion withthepatientascertainedshealwaysfeltneedof traumatization sinceyearsthathasbeenincreasedrecently. Di and surroundingskin.Detailedhistorydiscoveredanexcessive fingernails the on impact mechanical for changes characteristic her conditionbecomeworst. The medicalexaminationrevealed treatment the Despite months. 6 for terbinafine oral with was times withtopicalandoralantifungalmedicines. The lastcourse a 30-year-old ladywithlong-lastingnail-problems,treatedfew journals, encouraging suchpractice.Herein,wearepresenting firmation. Articles has been published in reputable dermatological on clinicalexaminationandtobeinitiatedwithoutlaboratorycon is increasing tendency worldwide, the treatment to be based only mycosis isconsideredasoneofthemostcommonreasons. There Patients withnaildisordersoftenvisitdermatologistsandonycho Abu Dhabi,UAE Dermatology, PMW Al MafraqandSheikhKhalifa Medical City, Dimitre Dimitrov ONYCHODYSTROPHY CASE REPORT OF SELF-INFLICTED PP22 1 Brenaut Yves Renaudineau Valérie Devauchelle Abu Dhabi,UAE and Dermatology, PMW Al Mafraq andSheikh Khalifa Medical City, 2 Behavioral Science Pavilion, Sheikh Khalifa Medical City, 1 , Haitham Sonbol Conclusion: We presentedacaseoftrichotillomania in 1 , 1 Chloé Théréné , MedhatElsabbahy 4 3 , Emmanuelle LeMoigne 1 , Elisabeth Pasquier 1 , Claire Abasq-Thomas 2 2 , 2 Laurent Misery , Alain Saraux 1 , Emilie 1 3 - - - - , , Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV Italian Association ofPatientswithHidradenitisSuppurativa,Italy Dell’immacolata (IDI) IRCCSFLMM,Rome, Surgery Unit, therapy, UniversityHospitalofBrest, Brest, France red topsoriasis. The aimofthisstudywastodescribethequality its comorbidities,thestigmaand painitcauses,hasoftencompa formation, predominantly affecting intertriginoussites. Because of chronic, inflammatory skin disease with abscess and often fistula Hidradenitis suppurativa(HS), also knownasacneinversa,isa Francesca Sampogna LIFE HIDRADENITIS SUPPURATIVA ONQUALITY OF THE BROAD-SPECTRUMIMPACT OF PP25 course ofillnessandhaveabetterlong-termprognosis. interventions intheiroveralltreatmentregimenmayimprovethe the course of treatment and incorporation of specific psychosocial patients ofpsoriasiswithnegativepsychosocialfactorsearlyin osteopenia, central obesity, hirsutism, stretch marks. Identification syndrome, exactly heart disease, gastrointestinal disturbances, ter long use systemic corticosteroids therapy patient has Cushing’s psychosocial interventions,psoriasisbecomestationarystage. Af stress atthework. When patientschangedplaceoftheworkand and unsuccessful.Duringthattimehehadchronicpsychosocial temic corticosteroidsandmethotrexate,therapyusewaschronic patient had many exacerbations; medical treatment included sys had psoriasis,psoriaticarthritisfor10years.During2016year patients withskindiseasesinprimarycare. A 27-years-oldman extensively, littleisknownabout thepsychosocialwell-beingof social consequencesofskindiseasesinsecondarycareisstudying, important intheonsetandexacerbationofpsoriasis. The psycho of allages,withnopredilectionforsex.Psychosocialfactorsare Psoriasis isachronic,non-infectiousdiseasethataffects people Kharkiv, Ukraine Yanina Kutasevych FACTORS PSORIASIS WITH INCLUSIONPSYCHOSOCIAL CASE OF SUCCESSFUL TREATMENT OF PP24 forms presenthigherdepressivesymptoms. related totheautoimmunestatusinScl,andpatientswithdiffuse to preventpruritus.Conclusion: The impactofpruritusisin part the reportthattheyspentlessmoneyondermocosmeticproducts pruritus lastsforeverwithasaconsequenceinthe ACA+ group (2) a higher depression, and(3)patientsthatwere worried thattheir diffuse formofScl(ACA-),itwasobserved(1)morescrapping, time ofpruritus,and(3)alessseverepruritus.Incontrast,inthe a pruritus concommitant with the development of Scl, (2) a longer tected in17/36(47.2%). The ACA groupwascharacterizedby(1) by 37/57(64.9%)ofthepatientsandamongthem ACA werede autoantibody statuswerecollected.Results:Prurituswasreported impact onQoL.Inthesepatients,immunologicaldataincluding tionnaire wasdevelopedtostudySclcharacteristics,pruritus,and tested in this study. Patientsandmethods: A standardizedques and in particular anti-centromere antibody positivity (ACA+) was (QoL) of the patients. The relation with the immunological profile observed (42.6–62.3%), which in turn affects the quality of life Introduction: pruritusisfrequently (Scl), systemicsclerosis During 1 1 tino Pallotta dona ogy andINSERM1227, Pneumology andVascular Medicine, Department ofDermatology, Clinical Epidemiology Unit, 2 , GiusiPintori 4 , Rossana Grande 4 5 th , Valeriia Matiushenko DermatologyClinic, Istituto Dermopatico 5 , DamianoAbeni 1 , Cinzia Mazzanti 4 Laboratory ofImmunologyandImmuno- 2 Departments ofInternalMedicine, 2 1 1 , st Simona Mastroeni DermatologyClinic, 3 1 Departments ofRheumatol 2 , Alessio Caggiati 5 Inversa Onlus,The 1 , Biagio Di- 3 3 , Plastic Saba------Hospital ofCannes, 1 Deffinis 3 1 Evgeny Parfenov NEUROPSYCHOLOGICAL EXAMINATION) (PRELIMINARY RESULTS OF HYPOCHONDRIASIS CIRCUMSCRIPTA IN DELUSIONAL INFESTATION AND TACTILE PERCEPTIONDISTURBANCES PP26 into accountwhendiagnosingandtreatingthiscondition. high burdenthatHSposesonthelifeofpatientshastobetaken the Skindex-17werealwayshigherinHSthanpsoriasis. The 56.1 (29.9),respectively. The meanscoresofthesingleitems and psychosocialscalesoftheSkindex-17were69.4(24.8) (SD) DLQIscorewas12.6(7.5),andthevaluesforsymptoms women. The mean (SD) Sartorius score was 87.0 (80.1). The mean deviation; SD)ageof32.0(13.2)years,and58.8%whomwere collected dataon80patientswithHS,havingamean(standard Dermatology LifeQualityIndex(DLQI)andtheSkindex-17. We study ontheQoL ofskinconditions.QoL wasmeasuredusingthe gical institution. Patients with psoriasis werepart of aprevious with psoriasis.DataonHSwerecollectedinasingledermatolo of life(QoL)patients with HSandtocompareit with patients Dermography, Dermopigmentation).Results:Inrecentyears,tat and informal literature on the subject (MeshTerms: Burn, Tattoo, performed byFrenchtattooist.Methods: on medical tattoo and to show some examples of medical tattoo Aim: The purposeofthisposter is to review the dataavailable Camille Gravelier MEDICAL TATTOO: SOMEEXAMPLES PP27 neuropsychological presentationsandcerebralattribution. lamus. of dysfunctioninlowersectiontalamoparietalcomplex–tha shape, weight and size of an object were observed as a reflection of perception in difficulties HC In brain. of area postcentral of kinesthetic dysfunctionandalexiarelatedtobilateral parietal areasoftherighthemisphere. The secondencompassed the in disturbances of reflection a as size objects of perception low dynamics,problemswithtextureperceptionanddiminished simultaneous perception of stimulus, their localization attribution, chological signs were discovered. The first included disability in years; 10–DI,8HC).Results:InDItwotypesofneuropsy study samplecomprised18patients(n “finger gestures with an example”, “copying finger gestures”. The ception ofweightandsize”,“textureperception”,“stereognosis”, test”, “form board test”, “figures that are hard to verbalize”, “per tests were administered: “localization of touch”, “skin-reading cerebral attribution.Methods: The followingneuropsychological in DIandHCwithneuropsychologicapproachtospecifytheir rence of tactile disturbances. Objective:Study tactile disturbances respectively,tric disorders acommonfeature–occur bothsharing circumscripta (HC)belongtodelusionalandovervaluedpsychia Background: Delusionalinfestation(DI)andhypochondriasis University; Mentalhealthresearch centre, Moscow, Russia and Narcology oftheMinistryHealthRussianFederation, centre; V. SerbskyFederal Medical Research Centre ofPsychiatry cessing centerforburnedpatients, Metz,France and Cosmetology, medicine (EA7299), Lorraine University, Lorraine, nov Moscow Scientific and Practical Centre ofDermatovenerology Centre Practical and Scientific Moscow Lomonosov Moscow State University, Metz Burntreatment center, Laboratoryofethics and forensic 4

Conclusion: Tactile disturbancesinDIandHCdiffer in 4 1 , 1 Ilia Pluzhnikov , 4 I.M. Sechenov First MoscowStateMedical Valérie Marro 3 «No limitttattoo», Antibes, and 2 , 2 Andrey Lvov , Tony Maritato = 12 female, mean age – 60 12 female,meanage–60 Acta DermVenereol 2017 2 Mental health research Review of the scientific 3 Posters , Dmitry Roma- 2 Universitary 3 , Clémence 4 Pro 887 ------Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta claw MedicalUniversity, Wroclaw, Poland Department of Dermatology, Venereology and Allergology, Wro - Life qualitywasassessedbeforetreatmentand1monthafter3 diameter 5mm,onepass;threeproceduresat1.5months interval). and Pierini ( ited plaque-typemorphea(n EQ-5D. was assessedwithDermatology LifeQualityIndex(DLQI)and calized SclerodermaCutaneous Assessment Tool (LoSCAT). QoL determined. The severity of skin lesions was evaluated with Lo immunological disturbancesandaccompanyingsymptomswere nesis anddetailedphysicalexamination.Subtypeofmorphea, of 48.8 graphic data.Methods: A totalof24patientswiththemeanage of morphea onQoL in relation to selected clinical and demo have shown conflicting results. patients hasnotbeenwidely discussed andprevious studies recently the problem ofquality oflife (QoL)among morphea to thickeningofthedermis,subcutaneoustissueorboth.Until Introduction: Justyna Szczęch, WITH MORPHEA – A CROSS-SECTIONAL STUDY EVALUATION OF QUALITY OF LIFEINPATIENTS PP29 and nosideeffects. tolerability good efficacy, showed technology laser with tinoin erbium laser(2,936nm,energy density 2.21–2.65J/cm received lowdoseisotretinoin(8–10mg/day)andSMA withan damage. (SMA) witherbiumlaserthatisnotaccompaniedbythermalskin 0.2–0.3 mg/kg)incombinationwithspatiallymodulatedablation wavelengths. and biologicaleffects ontissuesof laserradiationwithdifferent after retinoidtherapywithoutnoticeofdifferences inphysical ted sincelasertreatmentisgenerallycontraindicatedduringand with lasers. Combination ofretinoids and lasers is underinvestiga often includes retinoids. Post-acne lesions are successfully treated Therapy ofexcoriatedacne(EA)requirescomplexapproachand sia cal centerofdermatovenereology andcosmetology, Moscow, Rus- practi- and Scientific Moscow Health of Department Moscow The Anastasia Igoshina, ISOTRETINOIN IN ACNE EXCORIEE ERBIUM LASERINCOMBINATION WITH SPATIALLYMODULATED ABLATIONOF AN PP28 as inconvenienceshastobeknownbypatients. Medical tattoocanbeusedinsomeskinpathology. Advantages present some tattoo performed onpathological skin. Conclusions: by patientssoitisimportanttoproposeotherpossibilities. We about theirphysicalaspect.However, sometimessurgery isrefused complaining patients for life of quality increasing is camouflage ginal and unstructured. Several studies show that damaged-skin come tattoo seekers on pathologicalskin. This practice is stillmar increased significantly. Alongside these changes some patients be too became commonplace and number of tattooed individuals has 888 with appearancewashigh. Thus, combination oflowdoseisotre developed. Quality of life improved and self-reported satisfaction surface becamesmoother. Nonewexcoriationsandacnelesions Skin improved. significantly depth their or completely regressed scars atrophic spots, hyperpigmented and inflammatory acne post- stable comedones, and papules inflammatory of regression laser procedure(DLQI).Results:treatmentresultedincomplete this cross-sectionalstudy. All patientunderwentthoroughanam ± 17 Results: The mostcommonmorpheasubtypeswerelim

Methods: Five females (mean age 26) with acne excoriee 20.7 yearsdiagnosedwithmorpheawererecruitedinto th Congress of the European Society for Dermatology and Psychiatry n

= Morphea is a rare fibrotic disease which leads which disease fibrotic rare a is Morphea To assess efficacy of isotretinoin (low doses (low isotretinoin of efficacy Toassess Aim:

4, 16.7%) and generalized morphea ( Aleksandra Tobiasz, Anna Michenko,

= 12, 50.0%), atrophoderma of Pasini 12, 50.0%),atrophodermaofPasini Objective: To analyzetheimpact Andrey Lvov Adam Reich n

=

4, 16.7%). 16.7%). 4, 2 , spot rd ------

(21.0 and neck had significantly higher mLoSSI than the rest of patients 1 1 in respectofQoL. needed tobettercharacterizethemostrelevantmorpheasubtypes have ratheramodesteffect onpatients’ QoL.Furtherstudiesare morphea regardingQoL.Conclusions:Morphealesionsseemto significant differences were observed between different variants of (r =0.56, DLQI impaired QoL. Morphea activityscore(mLOSSI)correlated with normal QoL, 10 (41.7%) had slightly and 5 (20.8%) moderately Lvov was 64.3 Anna Michenko REACTION? INFORMATION RESOURCE AND NOSOGENIC THERE CORRELATION BETWEENMEDICAL PATIENTS AT RISKOF MELANOMA:IS PP30 Scleroderma Skin Activity Index(mLoSSI)was7.7 91.7%) andlowerlegs(n Most frequentlyskinlesionswerelocalizedonthetrunk(n =22, monly consideredasacontributor tonumeroushealthconditions, and the child has been wart free for the last3 years. Stress is com was bittenbyadog. After severalweeks,thewartsdisappeared the decisionofparentstostop treatment. A yearlater, thechild treatments with topicals and liquid nitrogen failed which resulted in treatment resistantwarts,diagnosed sincetheageof5.Multiple Herein, we present anuncommon case ofa10-year-old child with Dimitre Dimitrov PATIENT WITHTREATMENTRESISTANT WARTS CASE REPORT OF ACUTE STRESSEVENT OF PP31 to searchformedicalinformation. hypochondriacal manifestations more often useInternet resources be providedbydoctorsandspecialistsinthemedia.Patientswith Internet resources,toinformelderlypatients,informationshould middle-aged patientsaboutriskfactors,itispreferabletouse removal ofelevenneoplasms.Conclusion: To informyoung and nevus syndromewasaccompaniedbynevofobicsymptomsand hypochondria ofbeauty. Inanotherfemale (36yearsold)dysplastic years old),anxious-hypochondriacalideasdevelopedfollowing reaction, in6patients–subclinicaldepression.Onewoman(33 aged patientsfromtheInternet.Inallcases,therewasananxious oftenfrom less doctors, TV andyoungpeoplemiddle- shows, 50 yearsoldreceivedinformationmostoftenfromrelativesor Hamilton anxietyanddepressionscale.Results:patientsover and questionnaire developed specially a out filled lesions skin 51 yearsold,9men)withcomplainsonsuspiciouspigmented sponse inpatientsathighrisk.Methods:25(meanage and assess the relationship with the nature of the nosogenic re patients receiveinformationaboutriskfactorsforskinmelanoma pochondriacal ideas.Objective: To characterize thewaysinwhich dangers ofmelanomaandnevioftenleadstoactualizationhy Spreading ofinformationthroughmediaandInternetaboutthe points, mean EQ5D 5.9 London, UK Moscow, Russia Center, Clinical Scientific Moscow Health of Department Moscow (LoSDI) was9.0 and meanvalueofLocalizedSclerodermaSkinDamageIndex tical center of dermatovenereology and cosmetology, and Abu Dhabi,UAE,and The Moscow Department of Health Moscow Scientific and prac- and Scientific Moscow Health of Department Moscow The Dermatology, PMW Al Mafraq andSheikh Khalifa Medical City, 1 , OlgaZhukova ±

29.7 vs.5.8 ±

16.6%. According toDLQI,9(37.5%)patientshad p 1 ± 1 , < , Tanyo Tanev

6.7 points. Patients with lesions involving head 6.7 points.Patientswithlesionsinvolvinghead Irina Vakhitova ± 0.01), butnotwithgenericQoL measures.No

1 6.2, , NikolayPotekaev 2 Dermatology, TheRoyalLondonHospital, p ± = =

1.1 points and general health status 14, 58.3%).MeanvalueofLocalized 0.03). The meanDLQIwas3.0 2 1 , Konstantin Titov 1 ±

11.4 point, 2 , Andrey ± 2 The

2.7 - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV 1 Bergos gon HealthSciencesInstitute(IACS),Zaragoza,Spain compared usingapairedt-test. of psychological burden before and after treatments, which were Depression Scale (HADS) scores were used as objective measures to 9monthsaftertheinitialappointment. Hospital Anxiety and aire after the second follow-up appointment, which occurred 3 telephone-survey wasconducted usingastandardizedquestionn rosacea managedwithinaregionalpsychodermatologyclinic. A performed aretrospectiveevaluationofconsecutivepatientswith dermatological approachinmanagingthiscondition.Method:We psychosocial impactofrosaceaandtheeffectiveness ofapsycho morbidity in affected individuals. This study investigated the psychosocial causing condition dermatological inflammatory Background &aim:Rosaceaisacommon,chronic,relapsing Marek Perera APPROACH FORPATIENTS WITH ROSACEA DERMATOLOGICAL MULTIDISCIPLINARY THE EFFECTIVENESSOF A PSYCHO ­ PP33 the resultswerecloselycorrelated. shown tohaveahighlevelofreliability(α-Cronbach questionnaires (UCLA,GHQ-12,andEPQ-R),thesociotypewas diseases and gender. When usedinconjunctionwithotherhealth ments ofthesampleregardingdiagnosticseverity, dermatological ments of laughter), there were significant differences between seg aspects (socialcontacts,lengthordurationofconversations,mo cerning family, friends, work,andacquaintances)quantitative showed thatinbothstructuralterms(subjectiveestimatescon dermatological conditions:psoriasis,acneandeczema.Results (Aragon, Spain),with159patientssuffering fromavarietyof conditions. A pilotstudywasconductedattheHospitalof Alcañiz structures andrelationalfactorsassociatedwithdermatological in theformofaquestionnaire;itexaminessocialbonding recently beenproposedasanewtheoreticalconstructimplemented developed. This study isbasedonthesociotypeapproachthathas sufficiently been not have individual, the of health mental and impoverished conversationalexchangesthataffect thewellbeing social interaction difficulties, diminished social networks, and the psychological disorders.However, adequatemeansforevaluating of life,increasedanxiety, depression, suicidalideationandother number of studies have considered issues such as a lower quality A burden. psychosocial significant a cause can diseases Skin Servando E.Marron THE SOCIAL BURDENOF SKINDISEASES THE SOCIOTYPEQUESTIONNAIRE: ASSESSING PP32 dermatological conditions. door fordiscussionontheimpactofacutestressvarious was thereasonwartscleared. We believeourcaseopens a One mightspeculatethattheacutestressfromtraumaticevent It iswellknownfactthatcommonwartscanclearspontaneously. can beexpectedonthevariousskinconditionfromacutestress. as commonwarts. The questionweraiseiswhatconsequences immune system,andcanactivateaninfectiousskindiseasesuch stress, especiallychroniconecouldhaveanegativeeffect onthe dermatitis, alopecia areata. Another widely accepted opinion is that trigger or exacerbate certain skin diseases such as psoriasis, atopic including dermatological. It isgenerally accepted that stress could lor 1 Derby, UK (IACS), Royo Villanova Hospital, Aragon HealthSciences Institute Barts HealthNHSTrust, London,and 1 , Anthony Bewley 3 , Jorge Navarro-Lopez 2 University of Zaragoza, and University ofZaragoza, 1 , Livia Soriano 1 1 , Lucia Tomas-Aragones 1 3 , , Pedro C.Marijuan-Fernandez Satwinderjit Shinhmar Results: 3 Bioinformation Group,Bioinformation Ara- 12 outof16patientspar 2 Royal DerbyHospital, 2 , Raquel delMoral- 2 0.83) and =0.83) , Ruth Tay- 4 ------torskaya 1 1 (IACS), Zaragoza,Spain chology, UniversityofZaragoza, Aragon HealthSciencesInstitute about thestudyandaskedtoreadsignconsent. The Derma A totalof403patientswerescreened.Patientsinformed questions. appearance-specific asking by BDD for vulgaris acne study carriedoutinSpain,wastoscreenpatientsdiagnosedwith talk abouttheirsymptoms. The mainobjectiveofthismulticenter years ofsuffering, inpartbecause patientsaretooashamedto during adolescence, patients are usually diagnosed after many in dermatologypatients. Although theonsetofBDDisusually feelings ofdistress.PrevalenceBDD is between9% and 12% perceived defectandtheactionstakentoreduceaccompanying lenge totreat. The mainsymptoms arethepreoccupationwith chal a is suffering and much causes diagnose, to difficult is that Body DysmorphicDisorder(BDD),isamentalhealthdisorder Alberto Miranda-Sivelo DISORDER INPATIENTS WITH ACNE SCREENING FORBODY DYSMORPHIC PP34 with rosacea. approach iseffective inreducingpsychologicalburdenforpatients Conclusion: Our study demonstratesthat a psychodermatology pre andpost-treatmentHADSscoreswereobtained(n improvement inHADSscore(0.0068)wasseenthosewhere therapy only(n behavioural cognitive mood-stabilising medicationsonly(n =4), hobbies (n and (n =7) exercise (n =8), diet (n =10), work activities (n =11), was 45 years (range 23–77). Rosacea was noted to affect social ticipated. Eight participants were female and 4 male.Median age flat with few elevated nevi. In the adult patient multiple flat and of nevi–86and276accordingly. Inthechildmostlesionwere after initiationofestrogenreplacement therapy. Total number and compared.Results:Inbothcasesmultiplenevideveloped dermoscopic characteristics of all skin lesions were documented syndrome (12and37yearsold) wereexamined.Clinicaland Two patients with confirmed diagnosis of Shereshevsky-Turner nevi in Turner syndrome in different age groups.Materials: sess dermoscopicpatternsandpsychosocialaspectsofmultiple nevi in Turner syndromewerenotyetaddressed.Aim:Toas Dermoscopic characteristics and psychosocial aspects of multiple Turner syndrome(45X)isoftencharacterizedbymultiplenevi. Anna Michenko AND PSYCHOSOCIAL SEQUELAE SYNDROME: DERMOSCOPICPECULIARITIES MULTIPLE NEVIINSHERESHEVSKY-TURNER PP35 to seekprofessionalhelp. questions asked by thedermatologist can help patients with BDD be implemented in the daily clinic. The use of appearance specific specialist. ScreeningforBDDinacnepatientsiseasyandshould about BDDandthepossibilityofareferraltoMentalHealth positivelyto the screeningquestions were offeredinformation answered who Patients questions. appearance-specific patients asked and questionnaire socio-demographic a in filled tologist ment ofDermatology, HospitaldelMar, Barcelona, Moscow, Russia Center, Clinical Scientific Moscow Health of Department Moscow of Dermatology, RoyoVillanova Hospital, tical center of dermatovenereology and cosmetology, and E. Marron Department ofPsychiatry, Palencia Hospital,Palencia, The Moscow Department of Health Moscow Scientific and prac- and Scientific Moscow Health of Department Moscow The 1 , 3 Andrey Lvov = , LuciaTomas-Aragones 5). Ten patientsunderwentactivetreatmentwithoral 1 = , 2) orboth(n Irina Vakhitova 1 , OlgaZhukova 1 , Maria Jose Tribó-Boixareu = 4) used. A statistically significant 1 , 4 Konstantin Titov 1 , NikolayPotekaev Acta DermVenereol 2017 4 Department ofPsy- Posters 2 , 3 Department 2 Natalia Za- , Servando 2 Depart- 1 =5). 2 The 889 - - -

Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta 1 Reich is why, clinicalsuspicionisthe basis toachievethecorrect di ulcers, burns,hematomasand panniculitis amongothers. This Frequent formsofpresentation includeexcoriations,blisters, this dermatitissupposesaclinical challengefordermatologists. always elucidated. The wide variety ofclinicalmanifestations in psychological disturbance,butthe motivationalbackgroundisnot or neediness emotional an reflect may it Occasionally,sibility. self-induced skinlesionsforwhichthepatientdeniesallrespon in consists factitia Dermatitis suction. self-inflicted by caused diagnosis ofdermatitisfactitiawasmade,asthepurpurahadbeen ruled out by hematologic and immunological tests. Finally, the arms andankles. Autoimmune andcoagulopathydisorderswere multiple purpuricroundmaculesontheextensorsurfaceofboth other symptoms were referred. Upon examination, she presented the past six months, with clinical suspicion ofvasculitis. No asymptomatic skinlesionsthathadappearedspontaneouslyover tory wasremittedtotheDermatologyDepartmentformultiple A 10-year-old girlwithanunremarkablepersonalmedicalhis León, Spain Dermatology department, Complejo Asistencial Universitario de Gonzalez, Manuel Angel RodríguezPrieto Teresa AlonsoAlonso, Eduardo Varas Meis, PURPURIC MACULES A 10-YEAR-OLDGIRL WITH MULTIPLE PP37 reproducibility andvalidity. Severity Scale could be taken into consideration due to its good tattoo shouldbescoredregardingitsmedicalrelevance, Tattoo currently tattooingismostlyperformedforestheticreasons.If form a tattoo for variousreasons,however, basedonour results, reproducibility aswellconvergent validity. Peoplemayper proposed “Severityscaleoftattoos”demonstratedgoodinterrater the age of 20 years, frequently already as they were teenagers. The ming atattoo.Mostofanalyzedsubjectsstartedtattooingbefore indicated estheticconsiderationsasthemajorreasonforperfor regarding thepresenceoftattoos.Majorityincludedsubjects of suchskin“lesions”.Morethan400volunteerswereassessed have preparedascale,whichcouldbeusedas“severityscale” As tattoo could be considered as an artificial cutaneous lesion, we ted basedonthecooperationofapsychiatristanddermatologist. was performedaccordingtothequestionnaire, which waselabora people perform tattoos and when they decide to do them. The study in Europeancountries. The aimofourstudywastoanalyze,why Over thelastdecadestattooshavebeenbecomingverypopular 2 Justyna Putek SECTIONAL STUDY THE MEANINGOF TATTOOS – A CROSS PP36 sed byspecialistsinpsychodermatology. age. Psychosomatic sequelae of multiple nevishould be addres dermoscopic patterns,usuallyseeninchildhood,throughadult stimulates growth of melanocytic lesions and persistence of in Turner syndromeinducesdevelopmentofmultipleneviand her toremovelesions.Conclusion:Estrogenreplacementtherapy boyfriend duetomultipleneviafterattemptsforce and “fried-egg”nevi). The adultpatientreportedpartingwith was globularinthechildaswelladult(eveneclipse 2 cmindiameterwerepresent.Signaturedermoscopicpattern multiple elevated,eclipse(targetoid) and“fried-egg”neviupto 890 Poland Department of Psychiatry, Wroclaw Medical University, Wroclaw, Department ofDermatology, Venereology and Allergology, and 1 17 th Congress of the European Society for Dermatology and Psychiatry 1 , utn Szczęch Justyna Noeí Eiris Salvado, Sonsoles Vicente Delgado, JoseCastiñeiras 1 , reyłw Pacan Przemysław Paula Fernandez Canga, 2 , Adam ------Lodz, Poland Pediatric Dermatology andOncology, Medical University ofLodz, 1 Royal LondonHospital,London,UK 5 colleagueswereverballyabusedand/orthreatenedofdefama clinical governanceteam/chiefexecutiveand3toGMC.Finally, diagnostic testswith6ofthecomplaintsbeingescalatedtolocal Sixteen (36.36%)had complaints about misdiagnosis and/or wrong percent admittedfeelingstressedwhendealingwithDIpatients. Seventy-five 37.67. is time consultation Mean psychiatrist. a to patients, while8referthemtoapsychodermatologyclinicand22 is 11.68. Fourteendermatologistsmanagepsychodermatological yearly byphysician seen Meannumberofpatients 44 respondents. and European Academy ofDermatologyandPsychiatry. We had to dermatologists–membersofPsychodermatologyUKSociety and/or stalkingtodermatologists. A 10-itemquestionnairewassent approach, and to evaluate the prevalence and nature of complaints the numberofdermatologistswhotreatpatientswithDIandtheir high riskofbeingstalked.Objectivesourstudyweretoassess psychiatrist andseekhelpfromdermatologists.Psychiatristsareat Patients withdelusionalinfestation(DI)usuallydenyreferralto Maria-Angeliki Gkini INFESTATION (DI)? TREATING PATIENTS WITH DELUSIONAL DERMATOLOGISTSHOW WHEN AREAFFECTED PP38 psychiatric conditions. therapeutic attitudesandhelptorecognizeothercommonlyrelated clues. The correct diagnosis of this entity will avoid unnecessary to thepatientwithageometricalpatterncanbekeydiagnostic agnosis. Locationoflesionsonsitesthatarereadilyaccessible further evaluationatthepsychodermatological team. psychotherapists) is of utmost importance. The patient is under and psychiatrists team(dermatologists, of theinterdisciplinary psychodermatological approach to this issue and cooperation Therefore dermatologist. a to presented first are patients many hed fromtrichotillomania.Itis apsychiatricproblem,however is a rare obsessive-compulsive disorder that should be distinguis revealed self-harm(reportedbyhermother). Trichotemnomania discussing herproblemsandfeelings.Herpastmedicalhistory pulsive habitofcuttingandshavingherscalphairdenied of trichotemnomaniawasestablished. The patientdeniedcom were filled with a hair shaft and showed cut surfaces. A diagnosis examinationallinfundibula microscopic negative.On was pull test scaring. Hairswereofvariablelength–from1to3cm. The hair and desquamation inflammation, without area, parietotemporal of incompletealopeciaandshorterhairinthefrontoparietal admission. A closedermatologicalexaminationrevealedpatches with abizarrepatternofscalphairlossthatstartedatnightbefore A 16-year-old girlwasadmittedtotheDermatologyDepartment Aleksandra Kobusiewicz STUDY PSYCHODERMATOLOGICAL CARE–CASE TRICHOTEMNOMANIA: A NEED FORHOLISTIC PP39 to themselvesofdealingwithDIpatients. bodies need to be aware of the specific personal and litigious risks psycho-cutaneous diseases.Dermatologistsandtheirregulatory of complaints among dermatologists, who manage patients with tion. This study was the first to evaluate the prevalence and nature 1 lor Immunology andMicrobiology, and lewska-Janowska Department ofDermatology, Psychodermatology Department, Interfaculty Chair ofClinical 2 , Anthony Bewley 1 , Andrzej Kaszuba 1 1 , Dimitre Dimitrov 1 , Katarzyna Tomaszewska 2 Department ofLiaisonPsychiatry, 2 2 Department ofDermatology, 1 , Tanyo Tanev 1 , 1 , Anna Za- Ruth Tay- - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV London, UK Bewley to a40-yearhistoryofulceron herleftforearm,accompanied A 58-year-old Caucasian womanwasreferredtoourclinicdue Maria-Angeliki Gkini SUM: ACASE-REPORT MASQUERADING AS PYODERMA GANGRENO­ LONG STANDING DERMATITIS ARTEFACTA (DA) PP42 physician inmaintainingpatientsafety. adults areraisedinsuchcases,suggestingthecrucialroleof onto herson.Issuesofsafeguardingchildrenandlatervulnerable in whichthedelusionalbeliefsofmotherhavebeenprojected clinical examination. We present aninteresting case offolie à deux, from herson’s diet.Hersononlyhadseborrhoeicdermatitison dietary factorsasacausativefactorandwantedthemremoved identified also She child. young a as needs his to due care into behalf, ashewasnotabletotalkandcommunicate.Hetaken inherson’s ofinfestation symptoms described and she onhis skin believed that her sondevelopedthe condition as ayoungchild cortico-visual impairment,hadalsodevelopedMorgellons. She with her23-year-old son,whowasprofoundlydeaf,autistic,with on risperidone.Shewasalsoaccompaniedtoclinicappointments tive. ShewasdiagnosedwithMorgellons diseaseandwasstarted pain. Blood,urineandmicrobiologicalinvestigationswerenega back chronic in resulting accident traffic road a included history medical only Her skin. her of out coming were fibres that belief A 57-year-old Caucasianfemalepresentedtoourclinicdueher Khawar Hussain, ISSUES? A CASEOF FOLIEÀDEUX:SAFEGUARDING PP41 A multidisciplinarymanagementiscrucial. like extrapyramidalsymptoms,whichresolveafteritscessation. effectiveness, physiciansshouldbe alertofpotentadverseevents widely usedinthetreatmentofdelusionalinfestation.Despiteits which improvedherdelusionalsymptoms.Risperidonehasbeen akathisia remaining. The patient was finally switched to quetiapine, resulting in their significant improvement only with some residual symptoms wereattributedtorisperidone,whichwasstopped, who excluded other organic causes. Therefore, extrapyramidal scanning wasnegative.Shefurtherreferredtoneurologists as slurredspeechwerenoticedafter3monthsoftreatment.Brain was re-startedonrisperidone1mg.Nevertheless,atremoraswell discharged. After two years the symptoms recurred and the patient tapering dose regime, medication was ceased and thepatientwas 3mg,resulting inthecompleteresolutionofsymptoms. After a riod, her risperidone was progressively increased till the dose of Chlorhexidine Hydrochloride0.1%topically. Overa5-yearpe infestation andshewasstartedonrisperidone1mgdaily investigations werenormal.Shewasdiagnosedwithdelusional medical historywasunremarkable.Fulllaboratoryandscanning logy clinicduetoherbeliefofbeinginfestedwithmites.Herpast A 69-year-old inourpsychodermato femalepresented Caucasian Maria-Angeliki Gkini DELUSIONAL INFESTATION EVENT OF RISPERIDONEIN A PATIENT WITH SYMPTOMSEXTRAPYRAMIDAL ASADVERSE PP40 1 ley 1 atry, Royal LondonHospital,London,UK atry, RoyalLondonHospital,London,UK Department of Dermatology, and Department of Dermatology, and 1 Maria-Angeliki Gkini, RuthTaylor, 1 1 , RuthTaylor , Tanyo Tanev 2 2 2 Department of Liaison Psychi Department of Liaison Psychi , 1 , Anthony Bewley Ruth Taylor 2 , Anthony Bew- 1 Anthony - - - - - do Javier Valdes Valdazo MORGELLONS DISEASE, A REPORT OF A CASE PP43 can bechallenging. with psychologicalandpsychiatriccomorbiditiestreatment the differential of chronic ulcers. Most patients with DA present case reportsuggestingthatDA shouldalwaysbeconsideredin by orthopaedicsurgeons wasproposed. This isaninteresting of painwasarrangedbytheteamandfurtherassessment Daily changeofdressingswithsilverwasinitiated,management assessment wasperformedandshestartedoncitalopram. ting the diagnosis ofdermatitis artefacta (DA).Urgent psychiatric revealed non-specific inflammatory features and ulceration, indica appeared tobeseverelydepressedwithsuicidalideation.Biopsy logy, and scanning were unremarkable. Furthermore, the patient investigations, including autoimmune profile and vasculitis sero purplish suggestingpyodermagangrenosum.Skinswab,blood left forearmwithafewsatellitelesionswaspresent.Edgeswere On clinicalexamination,averylarge ulcercoveringmostofthe amputation. with treated finally was which forefinger, left the gastroenterologists. 40yearsagoshehadsepticparonychiaof Barrett, epilepsy and bowel symptoms under investigation by by severepain.Herpastmedicalhistoryincludedoesophagus in inadequate diagnosis and management of dermatological cases. in inadequatediagnosisandmanagement ofdermatologicalcases. medications; and 4) Limited monetary benefits. This often results logical history;3)Notcomfortable inprescribingpsychotropic between stressanddermatology; 2)Notrainingtoelicitpsycho psychoneurocutaneous diseases orconvictionoftherelation movements. This maybedueto:1)Limitedknowledge about bowel and appetite or disturbances, sleep liabilities, financial the individual,relationshipwithfamilymembers,temperament, biologics. However, theydonotenquireaboutemotionalstateof willing totreat patients withsteroid, immunomodulators, and Indian dermatologiststalkaboutphysicalandclinicaldetails are This apathy also oftentranslatesin clinical practice. For example, zed world-wide,itisyettoreceiveadequaterecognitioninIndia. dermatological practice. Though thespecialtyhasbeenrecogni Psychoneurocutaneous diagnosesareanimportantpartofthe Jaslok HospitalandResearch Centre, Mumbai,India Ram Malkani MAGNITUDE OF PSYCHODERMATOLOGY? RELUCTANT TO ACKNOWLEDGE THE WHY IS THE INDIANDERMATOLOGIST PP44 of thiscondition. therapeutic attitudes,allowinganearlydiagnosisandtreatment entity bydermatologistandpsychiatristswillavoidunnecessary or anxietydisordershavebeenreported. The knowledge ofthis extracutaneous manifestations asfatigue, muscular and joint pain excoriations, ulcerationsandblisters,amongothers.Moreover, pain sensation.Frequentformsofcutaneouspresentationinclude like material coming out of the skin, with associated pruritic or nal infestation; where patient complaints of multiple fibers or fiber- Morgellons disease.Morgellons diseaseisconsideredasadelusio mechanical manipulation.Finally, she wasdiagnosedofpossible multiple intradermalforeignbodies,andtriedtoextractthemby lesions onthesurfaceofbotharms. The patientinsistedshehad cutaneous self-inflicted multiple of history 6-month a for ment clinical response.ShewasremittedtotheDermatologyDepart 3 yearshadtakenmicofenolatemofetilandebastine,withgood A 68-year-old womanwithhistoryofpemphigusfoliaceusfor 1 Asistencial UniversitariodeLeón,Spain Department ofPsychiatry, 2 , SonsolesVicente Delgado 1 , Eduardo Varas Meis 2 Dermatology Department,Complejo 1 , Teresa Alonso Acta DermVenereol 2017 1 , Noemí EirisSalva- Posters 1 891 ------Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta Madrid, and juan Spain search Group, Aragon HealthSciencesInstitute(IACS),Zaragoza, these interviewswillbepresented morefully. and theirsuffering isusuallyinvisibletoothers. The analysisof patients oftenfeelisolatedandstigmatized, theysuffer insilence intimate, psychosocial, medical, and social interaction. These affect patients with HS, were identified: economic, work, personal/ identified, grouped into 9 categories. Finally, 6 main areas, which terviews weretranscribedandanalyzed. A totalof96codeswere with theHurleyStage,yearsofevolutionandtreatment. The in dermatologist had previously seen the patients and filled in a form and were carried out by a psychologist and a social worker. The interviews. The interviewslastedbetween30and60minutes wed andtobevideotapedfacilitatethetranscriptionof treatments, etc. wereasked. Patients consented tobeintervie their skindiseaseonfamily, friends,work,intimaterelationships, structured interview. Questionsonqualityoflife,theimpact Hidradenitis Suppurativa. Thiswas done by means ofa semi- We designedaqualitativestudytointerview12patientswith Servando E.Marron PERSPECTIVES HIDRADENITIS SUPPURATIVA: THE PATIENTS’ THE PSYCHOSOCIAL BURDEN OF PP46 they willlaugh. healthy controls,andthatthemoreseverepsoriasis,less hypothesis is that people with psoriasis will laugh less than the the other quality of live and psychological measures used. Our patients, controls,sexandtheassociationbetweenlaughter and discriminantanalysiswillbedonetodistinguishbetween lab, withcalculationof8variablesperlaughplosive.General the laughter. The processingofthelaughterwillbedoneinMat with humoroussketches.Eachhasamicrophone,whichrecords accompanying healthcontrols(inpairs),watcha15-minutevideo 30 healthycontrolswillberegistered. To dothis,patientsand psoriasis (15mildcasesand15moderatetoseverecases), (personality traits).Finally, thelaughs of30patientswithplaque well astheHADS(anxietyanddepression)NEOPI-R patients completetheDLQIandEQ-5D-3L (qualityoflife),as thePASI thepatientandregisters examines andBSA scores. Then first dermatologist the study, this In tool. diagnostic severity We explorethepredictivepotentialoflaughterasapsoriasis as atherapeuticmethodtopreventandtreatmedicalconditions. Laughter has been studied for its beneficial effects on health and 1 Lucia Tomas-Aragones PSORIASIS SEVERITY LAUGHTER AS A DIAGNOSTICMEASUREOF PP45 prescribing psychotropicdrugs. model whiletakingthehistoryandsubsequentlycounseling is plannedtoassessthenumberspracticingbio-psycho-social logists inIndia. An onlinesurveyamongIndianDermatologists called “Psychological Truths” isbeingcirculated to the dermato interested DermatologiststostartanIndiachapter. A newsletter Thus, theInternationalPsychocutaenousSocietyshouldidentify 892 1 Martinez ences Institute (IACS), ment ofPsychology, University of Zaragoza, Aragon Health Sci- Zaragoza, of Dermatology, RoyoVillanova Hospital, Department ofPsychology, University of Zaragoza, Department ofDermatology, RoyoVillanova Hospital, 3 , RaqueldelMoral 17 3 , RosaM.Diaz-Diaz th 4 eatet f emtlg, optl nat Sofia, Infanta Hospital Dermatology, of Department Congress of the European Society for Dermatology and Psychiatry 5 Hospital SanPau,Barcelona, Spain 1 , 1 3 Lucia Tomas-Aragones 3 , Aragon Health Sciences Institute (IACS), , Jorge Navarro-Lopez Servando E.Marron 4 , EstherMargarit deMiguel 3 Bioinformation Re- 3 2 2

, , Javier Cebrian- Pedro C.Mari- 2 Department 2 Depart- 5 - - - - Italy Italian Association Of Patients With Hidradenitis Suppurativa, Dell’immacolata (IDI)IRCCSFLMM,Rome, 1 Surgery Unit, not associated with objective clinical symptoms. Nosogenicreac hypochondria dominatedwithavarietyofsubjectivecomplaints with seborrheicdermatitis,socio-phobicreactionsintheformof skin processisthereductionofdepressivesymptoms.Inpatients even withminimalskinsymptoms.Inthefadingactivityof dominates sensations bodily on fixation depression, chondriacal area ofdamage(over50%). Among themanifestationsofhypo women with early onset of persistent dermatosis, with a large the fearoflifelongugliness.Suchconditionsdevelopinyoung the outcomeofdisease,coupledwithasensehopelessness, For anxiety and depression, to the foreground were concerns about the severityofwhichcorrespondedtodermatosis. differences betweenpatientswithrosaceaweresensitivereactions, process and affected area of the skin. It was shown inflammatory that the significant of activity the with correlated symptoms sion depressions ofmildandmoderateseverity. The severityof depres (56.8% –rosaceaand43.2%perioraldermatitis),representedby It wasfoundthatdepressivereactionsprevailedinbothgroups facial dermatoses – rosacea and perioral dermatitis – were studied. Mental disorders(nosogenicreactions)inpatientswithchronic Elena Khlystova ROSACEA-ASSOCIATED DERMATOSES PSYCHOSOMATIC ASPECTS INPATIENTS WITH PP47 often higherthanotherchronic conditions. Functioning scale. HS poses a significant burden on patients’ life, to (butalwayslowerthan)all the otherconditionsin Physical the GeneralHealthand Vitality scales(50.8and45.5),similar They wereslightlyhigherthanthe worstcondition(i.e.,CHF)in and MentalHealthscale(36.3,50.9, 43.1and51.0,respectively). with HS for the Body Pain, Social Functioning, Role-Emotional, SF-36 scoreswerethelowest(indicatingaworseQoL)inpatients tients withpsoriasis. We collecteddataon56patientswithHS. recent acutemyocardialinfarction,andwithapopulationofpa hypertension, congestive heart failure (CHF),type IIdiabetes, for HS were compared with normative scores for patients with of healthpolicy. Ithas36itemsand8scales. The resultsobtained health statusforuseinpopulationsurveysandevaluativestudies other chronicconditions,usingtheSF-36,agenericindicatorof to comparetheQoL inpatientswithHStothatof pact onpatients’ qualityoflife(QoL). The aimofthisstudywas chronic, inflammatory skin disease which may have a strong im Hidradenitis suppurativa(HS),alsoknownasacneinversa,is a 1 Francesca Sampogna SF-36 USING THE OF LIFE WITH OTHERCHRONICCONDITIONS HIDRADENITIS SUPPURATIVA ONQUALITY COMPARISON OF THE IMPACT OF PP48 in mostcasesrequirepsychopharmacologicalcorrection. tions in patients with facial dermatosis exacerbate their course and dasarova tino Pallotta dona Russia tology, DepartmentofHealthMoscow, and of theMoscowStateMedical University named afterIMSechenov, try and Psychosomatics of the Institute of Professional Education Moscow Scientific Practical Center of Dermatology and Cosme- and Dermatology of Center Practical Scientific Moscow Clinical Epidemiology Unit, 3 2 Central Institute of DermatologyandCosmetology, Moscow, , GiusiPintori 3 4 , Rossana Grande 4 1 5 , th Andrey Lvov DermatologyClinic, Istituto Dermopatico 5 , DamianoAbeni 1 , Cinzia Mazzanti 1 2 , 1 1 , Igor Dorozhenok st Simona Mastroeni DermatologyClinic, 1

2 , 2 Alessio Caggiati Department ofPsychia 5 Inversa Onlus,The 2 , Kristina Bag- 1 , Biagio Di- 3 3 , Plastic Saba------Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV was higher(6.4 disorder (PD)–withSCID-II.Results:HADSmeasuredanxiety Anxiety andDepressionScale(HADS);assessmentofpersonality n among them,especiallyOC. with different typesofhairloss.Personality disordersarecommon Conclusions: Anxious symptomsseemtopredominateinpatients (3.4%), schizotypaldepressive(2.5%),dependent(1.7%). (5.1%), passive–aggressive(4.2%),histrionicantisocial narcissistic (11.9%), avoidant(8.5%),paranoid(7.6%),schizoid obsessive-compulsive (21.2%),followedbyborderline(12.7%), PD weredetected in 86.4% cases. The most common PDwas – in 16.1% cases (12.7% subclinical, 3.4% clinical). SCID-II in 34.7%cases(16.9%subclinical,17.8%clinical),depression n androgenic alopecia(AGA,n and CA (6.0 p of DP occurredattheageof63.7 41–89 years) and the male:female ratio 1:6.5. The first symptoms are basedonantipsychotics,especially risperidone.Cooperation affects females in their seventh decade oflife. Treatment modalities visit wasonlyattendedby40%of patients. Conlusions:DP mostly (6.7%), promazine(6.7%)and chlorprotixen (6.7%).Follow-up of patients), haloperidole (6.7%),withparoxetine in eachpatient. Treatment regimensincludedrisperidone(66.7% the presenceofparasites.Psychiatricconsultationwasperformed induced delusionaldisorder. Microscopicexaminationsexcluded was presentin26.7%. Two patients(amarriedcouple)presented (15%), spiders(13.3%),andbacteria(6.7%). The specimensign flies (40%), worms (40%), parasites as organisms suspected the The meanageofincludedpatientswas65.2 tive patientswhichweresubjectedforfurtheranalysis.Results: between 1997and2017. We obtaineddataregarding15consecu retrospective analysisofDP patientstreatedinour Department cal University, Poland.MaterialandMethods: We performed a of Dermatology, Venereology and Allergology, Wroclaw Medi clinical featuresofDP patientshospitalizedintheDepartment their skinisinfestedwithvariousparasites.Objective:Toanalyse sional parasitosis(DP)inwhichpatientsarefalselyconvincedthat dimensional. Oneofthemostpeculiarpsychodermatosisisdelu Introduction: The associationbetween psycheandskinismulti 1 Radomir Reszke PROBLEM OF PSYCHODERMATOLOGY DELUSIONAL PARASITOSIS – A MYSTERIOUS PP50 (n personality disordersinpatientswithhairloss.Methods:Patients Analysis ofpsychiatriccomorbidity(anxiety, depression)and associated withpsychiatricandpersonalitydisorders.Objective: Background: iscommonindermatologyandcanbe loss Hair 1 Yulia Romanova LOSS CONDITIONS AND DIFFERENT TYPES OF HAIR RELATIONSHIPS BETWEENPSYCHIATRIC PP49 Medical University, Wroclaw, Poland compared to AGA (6.1 versity; MentalHealthResearch Center, Moscow, Russia and cosmetology, etowski Department ofDermatology, fordermatovenerology center practical and scientific Moscow

= = < = 37), alopeciaareata(AA,n 9). DepressionandanxietywerescreenedwiththeHospital 0.05). Anxiety wasmoreprominentin AA (7.1 118; 97female,meanage36.6 1

±

5.3 points, n.s.). In general anxiety was detected 1 1 , , DmitryRomanov ± 2 Adam Reich

I.M. Sechenov First MoscowState Medical Uni- 4.0 points)thendepression(4.8 ±

3.8 points, n.s.), TE (6.1

= 2

1 Department ofPsychiatry, Wroclaw = , 44), diffuse telogen effluvium (TE, 28) and cicatricial alopecias (CA, 28) andcicatricialalopecias(CA, Przemysław Pacan Przemysław ± 2

14.3 years.Patientsdescribed , ± Andrey Lvov

13.4) werediagnosedwith ±

13.8 years(range ± 2

4.3 points, n.s.) 4.3 points, n.s.) 2 , ± ± Jacek Szepi- 3.4 2.9 points, points) - - - - Brest, France Martine Schollhammer Agilent Whole Human Genome Oligo Microarrays.Gene expres expression analysisofhumanskinbiopsieswasperformedusing subjects, oratasimilaremplacementforthecontrolgroup.Gene the vertex,eitheratedgesofalopeciaareaingroup A Two scalpbiopsies(2mmdiametereach)werecarriedouton Sabouraud, Hôpital Saint-Louis, Paris, ANDROGENETIC ALOPECIA ANDROGENETIC (POMC) GENEEXPRESSIONINMALE DEREGULATION OF PROOPIOMELANOCORTIN PP52 its structureandgeneralpurpose. as astep-by-stepexplanationofthegame’s rulesthatwilloutline deck ofcards,charactersandtoolsdesignedbythe Team, aswell the facilitators. There willbeapresentationofthegameboard, role- final playing allowsplayerstocommunicatewitheachotherand This ended. is it once players other the with found a goalbeforethegamebeginsandsharessolutionstheyhave along theirpathandinthevillagestheycross.Eachplayerselects answers find they as it, around work to how and condition their through different landscapes and seasons. Players will learn about Skin” isaboardgamedesignedtohelpthemtakecareoftheirskin children andteenagerssuffering fromatopicdermatitis.“Walk of University Hospitalintroducesitsnewtherapeutictoolaimedat The dermatology department’s Skin Workshop Team at Brest Dominique Dupre-Goetghebeur WALK OF SKIN PP51 nostic andtherapeuticapproachtothosepatients. between dermatologistsandpsychiatristswarrantsproperdiag be potentialtherapeutictargets inhairlossyoungsubjects. pathway andcontributestoalopecia. These twopathways might that alteration of POMC synthesis affects Wnt/βcatenin signaling by microfluidic qPCR and immunochemistry, our results indicate that mightalsocontributetoPOMC downregulation. Validated VGF, aninduciblememberoftheNerveGrowthFactor family of thehighest downregulated gene expression in group A was activation ofhairgrowthandresponsetoneuromediators.One precursor of ACTH andMSH,twopeptidesinvolvedinthelocal as pro-opiomelanocortin (POMC) in particular. POMCis the regulation ofgenesinvolvedinstemcelldevelopmentaswell vs controls, the transcriptomic analysis reveals a significant down annotation. Among thenumerousgenesalteredinalopeciagroup by paircomparisonusingadiscriminantanalysisandfunctional evaluated were between groups differences C profile and sion A hairless/bald participants(alopecia,“A”;age:29.4 volunteers wereincludedinthismonocentricstudy:group A: 14 from AGA subjects. Two groups of18–35yearsoldcaucasian through whole-genometranscriptomicanalysesofscalpbiopsies aimed toidentifymolecularbiomarkersassociatedwith AGA growth impairmentinthisdisorderremainstobeelucidated. We genetic risklocihavebeenidentified,thefullmechanismofhair age. with aprevalenceincreasing with the scalp, several Although gressive hairlossstartingfromthefrontalareaandvertexof hair loss in men and is characterized by a distinct pattern of pro Male androgeneticalopecia(AGA)isthemostcommonformof 4 1 5 subjects (age:26.1 subjects control 14 C: – group Norwood; by modified as classification premature AGA, withstage V to VII accordingtotheHamilton’s GENEX, Longjumeau,and Inserm UMR976,HôpitalSaint-Louis, ±

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3.4), with 893 - - - - Advances in dermatology and venereology ActaDV Acta Dermato-Venereologica ActaDV www.medicaljournals.se/acta Gieler, Uwe881,885 Georgescu, Simona-Roxana884, Gabison, Germaine882 G Finlay,880 Andrew 883 Figueiredo, Américo Ferreira, BárbaraRoque883 F Ezzedine, Khaled882 Evers, Andrea 875,880 Elsabbahy, Medhat 886 E Dutray, Sabine893 Dupre-Goetghebeur, Dominique Dorozhenok, Igor884,892 Dimitrov, Dimitre 880,882,886, Didona, Biagio887,892 Diaz-Diaz, RosaM.892 Devauchelle, Valérie886 Delgado, Sonsoles Vicente 890,891 Deffinis, Clémence881,887 Dalgard, Florence880 D Cuervo, Jesus884 Consoli, Silla875 Chernyshov, Pavel880 Chastaing, Myriam879 884 Chalem, Ylana Cebrian-Martinez, Javier892 Canga, PaulaFernandez890 Caggiati, Alessio 887,892 C Brites, MariaManuel883 Bris, Vinciane Le879 Brenaut, Emilie881,885,886 Boudjarane, Mohamed886 Bodéré, Céline885 Bobko, Svetlana876 Bewley, Anthony 877,889,890, Berdeaux, Gilles884 Basset-Seguin, Nicole878 Barbarot, Sébastien876 Bagdasarova, Kristina892 B Auges, Marie884 Audebert-Bellanger, Séverine885 Alonso, Teresa Alonso 890,891 Adkins, Kate880 Abreu, JoséLuísPio883 Abeni, Damiano880,887,892 Abasq-Thomas, Claire885,886 A 894 886 893 888, 890 891 Authors Matiushenko, Valeriia887 Matei, Clara884 Mastroeni, Simona887,892 Marro, Valérie887 Marron, Servando880,889,892 Maritato, Tony887 Marijuan, PedroC.892 Marijuan-Fernandez, PedroC.889 Manolache, Liana880 Malkani, Ram891 Malatesta, EstelaMaría884 M Lvov, Andrey 876,877,887,888, Linder, Dennis880 Lemonnier, Eric886 Leibovici, Vera879 883 Lavda, Anastasia Lane, Jessica882 L Kutasevych, Yanina887 Kupfer, Joerg 881,885 Krüger, Christian 882 Krasuska, Marta883 Koulil, SaskiaSpillekom-van880 Kottlors, Sophia885 Kobusiewicz, Aleksandra 877,890 Kiupel, Stephanie885 Kim-Dufor, Deok-Hee 885 Khlystova, Elena892 Katranova, Daria884 Kataoka, Yoko880 890 Kaszuba, Andrzej K Johnston, Samantha883 Jafferany, Mohammad879 J Irimescu, Ioan-Cristian884 Irimescu, Cristian886 888 Igoshina, Anastasia I Hussain, Khawar891 Huguen, Johanna885 881 Heratizadeh, Annice H 893 Gueguen, Annie Grebe, Anna Lisa876 Gravelier, Camille881,887 Grandgeorge, Marine886 Grande, Rossana887,892 Gourier, Greta886 Gonzalez, JoseCastiñeiras890 Gonçalo, Margarida 883 Goffine, Laetitia881 Gkini, Maria-Angeliki890,891 889, 892,893 Romanov, Dmitry V. 876,877,887, Romanova, Yulia893 881 Roguedas-Contios, Anne-Marie Revol, Olivier877 Reszke, Radomir893 Renaudineau, Yves886 Reis, JoséPedro883 Reich, Adam 888,890,893 Reguiai, Ziad882 R Quinio, Bertrand885 Quéreux, Gaëlle878 Q Putek, Justyna890 Prieto, Manuel Angel Rodríguez890 885 Poulaliou, Adéle Potekaev, Nikolay 888,889 Postec, Edith885 Poot, Françoise880 Pluzhnikov, Ilia887 Pintori, Giusi887,892 Perera Marek889 Paul, Carle878 Pasquier, Elisabeth886 Parfenov, Evgeny887 Pallotta, Sabatino887,892 Pacan, Przemysław890,893 P Overton, Paul880 Orri, Massimiliano884 O Norman1, Paul879 Nordon, Clementine884 Navarro-Lopez, Jorge 889,892 Nakajima, Sonomi880 N Mostaghimi, Ladan876 Moses, Julia880 Moral, Raqueldel892 Moral-Bergos, Raqueldel889 Montgomery, Kerry879 Moigne, EmmanuelleLe886 Mitran, MadalinaIrina884,886 Mitran, CristinaIulia884,886 Misery, Laurent876,879,881,882, 889 Miranda-Sivelo, Alberto 883 Millings, Abigail Miguel, EstherMargarit de892 Michenko, Anna 888,889 Michel, Laurence893 879 Messenger, Andrew Merhand, Stéphanie882 Meis, Eduardo Varas 890,891 Mazzanti, Cinzia887,892 893 884, 885,886 Zhukova, Olga888,889 Zatorskaya, Natalia889 Zalewska-Janowska, Anna 877,890 Z Werfel,881 Thomas Webb,882 Thomas Voléry, Ingrid881 Valerie, Mengeaud884 Valdazo, Javier Valdes 891 Vakhitova, Irina888,889 V Tribó-Boixareu, MariaJose 889 Toux, GuyLe885 Tomaszewska, Katarzyna890 Tomas-Aragones, Lucia889,892 Tomas-Aragone, Lucia880,892 Tobiasz,888 Aleksandra Titov, Konstantin888,889 Thompson, Andrew 879,880,882, Theunis, ennifer884 Théréné, Chloé886 Tersiguel,885 Anne-Clémence Tepljuk, Natalia884 Taylor, Ruth889,890,891 Tanev, Tanyo 888,890,891 Tandéo, Pierre885 Tampa, Mircea884,886 Talagas, Matthieu 875 Taieb, Charles 882 T Szepietowski, Jacek880,882,893 Szczęch, Justyna888,890 Svensson, Åke880 Ständer, Sonja876 Souza, MelanieMiyanjide879 Soriano, Livia889 Sonbol, Haitham886 Smulevich, Anatoly B.877 Simões, JoãoFilipe883 Shinhmar, Satwinderjit889 Sevrain, Morgane 885 Seneschal, Julien882 Schut, Christina876,885 Schollhammer, Martine879,885, Schneider, Gudrun876 Schallreuter, Karin882 Sarbu, MariaIsabela884,886 884 Sarbu, Alexandra-Elena 886 Saraux, Alain Sampogna, Francesca880,887,892 Salvado, NoemíEiris890,891 Salins, Claire-Alicede881 Salek, Sam880 S 883 893