New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin

Cristiane Amaria Caldas Queiroz; Josiane Dantas Viana Barbosa; Milena Soares; Leticia de Alencar Pereira Rodrigues; Robert Schooley; Roberto Badaro

doi:doi:10.11648/j.ijcd.20250801.13

Research Article |

New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin

Cristiane Amaria Caldas Queiroz, Josiane Dantas Viana Barbosa, Milena Soares, Leticia de Alencar Pereira Rodrigues, Robert Schooley, Roberto Badaro^*

Published in International Journal of Clinical Dermatology (Volume 8, Issue 1)

Received: 28 January 2025 Accepted: 22 February 2025 Published: 21 March 2025

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Abstract

The literature describes several dermatological conditions that are not caused by external agents but result from the complex interaction between the brain and the skin. This interaction gives rise to a variety of dermatological lesions, which can be broadly classified into two major categories: psychogenic dermatoses and psychosomatic dermatoses. In this article, we present three cases of Psychodermatosis to illustrate a proposed detailed classification based on the underlying mechanisms and clinical manifestations of these conditions. The cases include: (1) crusty, greasy, brownish facial lesions; (2) excoriated lesions with post-inflammatory hypopigmentation, alopecia, and fractured hairs—characteristic of trichotillomania; and (3) lichenified plaques on the dorsum of the feet, leaving hyperpigmented and atrophic hypopigmented scars, typical of factitious dermatitis. We propose a refined dermatological classification of Psychodermatosis, encompassing two primary categories: (1) cutaneous diseases associated with psychiatric disorders and (2) psychiatric conditions linked to specific cutaneous disorders known to be influenced by psychosomatic factors.

Published in	International Journal of Clinical Dermatology (Volume 8, Issue 1)
DOI	10.11648/j.ijcd.20250801.13
Page(s)	11-21
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Psychodermatosis, Dermatophobia, Trichotillomania

References

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Queiroz, C. A. C., Barbosa, J. D. V., Soares, M., Rodrigues, L. D. A. P., Schooley, R., et al. (2025). New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin. International Journal of Clinical Dermatology, 8(1), 11-21. https://doi.org/10.11648/j.ijcd.20250801.13

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ACS Style

Queiroz, C. A. C.; Barbosa, J. D. V.; Soares, M.; Rodrigues, L. D. A. P.; Schooley, R., et al. New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin. Int. J. Clin. Dermatol. 2025, 8(1), 11-21. doi: 10.11648/j.ijcd.20250801.13

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AMA Style

Queiroz CAC, Barbosa JDV, Soares M, Rodrigues LDAP, Schooley R, et al. New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin. Int J Clin Dermatol. 2025;8(1):11-21. doi: 10.11648/j.ijcd.20250801.13

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@article{10.11648/j.ijcd.20250801.13,
  author = {Cristiane Amaria Caldas Queiroz and Josiane Dantas Viana Barbosa and Milena Soares and Leticia de Alencar Pereira Rodrigues and Robert Schooley and Roberto Badaro},
  title = {New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin
},
  journal = {International Journal of Clinical Dermatology},
  volume = {8},
  number = {1},
  pages = {11-21},
  doi = {10.11648/j.ijcd.20250801.13},
  url = {https://doi.org/10.11648/j.ijcd.20250801.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcd.20250801.13},
  abstract = {The literature describes several dermatological conditions that are not caused by external agents but result from the complex interaction between the brain and the skin. This interaction gives rise to a variety of dermatological lesions, which can be broadly classified into two major categories: psychogenic dermatoses and psychosomatic dermatoses. In this article, we present three cases of Psychodermatosis to illustrate a proposed detailed classification based on the underlying mechanisms and clinical manifestations of these conditions. The cases include: (1) crusty, greasy, brownish facial lesions; (2) excoriated lesions with post-inflammatory hypopigmentation, alopecia, and fractured hairs—characteristic of trichotillomania; and (3) lichenified plaques on the dorsum of the feet, leaving hyperpigmented and atrophic hypopigmented scars, typical of factitious dermatitis. We propose a refined dermatological classification of Psychodermatosis, encompassing two primary categories: (1) cutaneous diseases associated with psychiatric disorders and (2) psychiatric conditions linked to specific cutaneous disorders known to be influenced by psychosomatic factors.
},
 year = {2025}
}

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TY  - JOUR
T1  - New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin

AU  - Cristiane Amaria Caldas Queiroz
AU  - Josiane Dantas Viana Barbosa
AU  - Milena Soares
AU  - Leticia de Alencar Pereira Rodrigues
AU  - Robert Schooley
AU  - Roberto Badaro
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PY  - 2025
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DO  - 10.11648/j.ijcd.20250801.13
T2  - International Journal of Clinical Dermatology
JF  - International Journal of Clinical Dermatology
JO  - International Journal of Clinical Dermatology
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EP  - 21
PB  - Science Publishing Group
SN  - 2995-1305
UR  - https://doi.org/10.11648/j.ijcd.20250801.13
AB  - The literature describes several dermatological conditions that are not caused by external agents but result from the complex interaction between the brain and the skin. This interaction gives rise to a variety of dermatological lesions, which can be broadly classified into two major categories: psychogenic dermatoses and psychosomatic dermatoses. In this article, we present three cases of Psychodermatosis to illustrate a proposed detailed classification based on the underlying mechanisms and clinical manifestations of these conditions. The cases include: (1) crusty, greasy, brownish facial lesions; (2) excoriated lesions with post-inflammatory hypopigmentation, alopecia, and fractured hairs—characteristic of trichotillomania; and (3) lichenified plaques on the dorsum of the feet, leaving hyperpigmented and atrophic hypopigmented scars, typical of factitious dermatitis. We propose a refined dermatological classification of Psychodermatosis, encompassing two primary categories: (1) cutaneous diseases associated with psychiatric disorders and (2) psychiatric conditions linked to specific cutaneous disorders known to be influenced by psychosomatic factors.

VL  - 8
IS  - 1
ER  -

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Author Information

Cristiane Amaria Caldas Queiroz

Dermatology Clinic of Salvador, Bahia, Brazil; Institute of Health Technologies, University SENAI CIMATEC, Salvador, Bahia, Brazil
Josiane Dantas Viana Barbosa

Institute of Health Technologies, University SENAI CIMATEC, Salvador, Bahia, Brazil
Milena Soares

Institute of Health Technologies, University SENAI CIMATEC, Salvador, Bahia, Brazil
Leticia de Alencar Pereira Rodrigues

Institute of Health Technologies, University SENAI CIMATEC, Salvador, Bahia, Brazil
Robert Schooley

Division of Infectious Diseases and Global Public Health, University of California San Diego, San Diego Ca, USA
Roberto Badaro

Institute of Health Technologies, University SENAI CIMATEC, Salvador, Bahia, Brazil

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Queiroz, C. A. C., Barbosa, J. D. V., Soares, M., Rodrigues, L. D. A. P., Schooley, R., et al. (2025). New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin. International Journal of Clinical Dermatology, 8(1), 11-21. https://doi.org/10.11648/j.ijcd.20250801.13

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ACS Style

Queiroz, C. A. C.; Barbosa, J. D. V.; Soares, M.; Rodrigues, L. D. A. P.; Schooley, R., et al. New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin. Int. J. Clin. Dermatol. 2025, 8(1), 11-21. doi: 10.11648/j.ijcd.20250801.13

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AMA Style

Queiroz CAC, Barbosa JDV, Soares M, Rodrigues LDAP, Schooley R, et al. New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin. Int J Clin Dermatol. 2025;8(1):11-21. doi: 10.11648/j.ijcd.20250801.13

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@article{10.11648/j.ijcd.20250801.13,
  author = {Cristiane Amaria Caldas Queiroz and Josiane Dantas Viana Barbosa and Milena Soares and Leticia de Alencar Pereira Rodrigues and Robert Schooley and Roberto Badaro},
  title = {New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin
},
  journal = {International Journal of Clinical Dermatology},
  volume = {8},
  number = {1},
  pages = {11-21},
  doi = {10.11648/j.ijcd.20250801.13},
  url = {https://doi.org/10.11648/j.ijcd.20250801.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcd.20250801.13},
  abstract = {The literature describes several dermatological conditions that are not caused by external agents but result from the complex interaction between the brain and the skin. This interaction gives rise to a variety of dermatological lesions, which can be broadly classified into two major categories: psychogenic dermatoses and psychosomatic dermatoses. In this article, we present three cases of Psychodermatosis to illustrate a proposed detailed classification based on the underlying mechanisms and clinical manifestations of these conditions. The cases include: (1) crusty, greasy, brownish facial lesions; (2) excoriated lesions with post-inflammatory hypopigmentation, alopecia, and fractured hairs—characteristic of trichotillomania; and (3) lichenified plaques on the dorsum of the feet, leaving hyperpigmented and atrophic hypopigmented scars, typical of factitious dermatitis. We propose a refined dermatological classification of Psychodermatosis, encompassing two primary categories: (1) cutaneous diseases associated with psychiatric disorders and (2) psychiatric conditions linked to specific cutaneous disorders known to be influenced by psychosomatic factors.
},
 year = {2025}
}

Copy | Download

TY  - JOUR
T1  - New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin

AU  - Cristiane Amaria Caldas Queiroz
AU  - Josiane Dantas Viana Barbosa
AU  - Milena Soares
AU  - Leticia de Alencar Pereira Rodrigues
AU  - Robert Schooley
AU  - Roberto Badaro
Y1  - 2025/03/21
PY  - 2025
N1  - https://doi.org/10.11648/j.ijcd.20250801.13
DO  - 10.11648/j.ijcd.20250801.13
T2  - International Journal of Clinical Dermatology
JF  - International Journal of Clinical Dermatology
JO  - International Journal of Clinical Dermatology
SP  - 11
EP  - 21
PB  - Science Publishing Group
SN  - 2995-1305
UR  - https://doi.org/10.11648/j.ijcd.20250801.13
AB  - The literature describes several dermatological conditions that are not caused by external agents but result from the complex interaction between the brain and the skin. This interaction gives rise to a variety of dermatological lesions, which can be broadly classified into two major categories: psychogenic dermatoses and psychosomatic dermatoses. In this article, we present three cases of Psychodermatosis to illustrate a proposed detailed classification based on the underlying mechanisms and clinical manifestations of these conditions. The cases include: (1) crusty, greasy, brownish facial lesions; (2) excoriated lesions with post-inflammatory hypopigmentation, alopecia, and fractured hairs—characteristic of trichotillomania; and (3) lichenified plaques on the dorsum of the feet, leaving hyperpigmented and atrophic hypopigmented scars, typical of factitious dermatitis. We propose a refined dermatological classification of Psychodermatosis, encompassing two primary categories: (1) cutaneous diseases associated with psychiatric disorders and (2) psychiatric conditions linked to specific cutaneous disorders known to be influenced by psychosomatic factors.

VL  - 8
IS  - 1
ER  -

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