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2012, vol. 34, br. 3, str. 67-77
Psihogeni pruritus - izazovi integrativnog pristupa
aKlinički centar Srbije, Klinika za psihijatriju, Beograd + Beogradsko psihoanalitičko društvo, Beograd
bKlinički centar Srbije, Klinika za psihijatriju, Beograd + Univerzitet u Beogradu, Medicinski fakultet
cMedicinska Akademija Srpskog lekarskog društva, Beograd
Ključne reči: psihogeni pruritus; psihodermatoze; somatoformni poremećaji
Sažetak
Cilj ovoga rada je da na integrativan način prikaže poremećaj koji se naziva psihogeni pruritus i koji karakteriše uporan svrab za koji nije moguće naći adekvatan dermatološki tretman, niti dokazivu dijagnostičku i laboratorijsku potvrdu. Psihogeni pruritus (ili neorganski pruritus, psihosomatski pruritus, somatoformni pruritus, funkcionalni poremećaj povezan sa senzacijom svraba i sl.) je jedna od psihodermatoza koja nije tako česta u praksi dermatologa (postoji podatak da se javlja kod maksimalno 2% pacijenata koji se leče na dermatologiji), ali osobe kod kojih su posle svih ispitivanja somatskih uzroka svraba rezultati 'bez osobitosti', obično svojim lekarima postaju 'teški' slučajevi koje ne zaboravljaju lako. Psihogeni pruritus sa grupom drugih somatizacionih i somatoformnih poremećaja predstavlja svojevrstan klasifikacioni problem, te je dat osvrt na više klasifikacionih sistema: MKB 10, DSM IV TR, PDM (Psihodinamski dijagnostički priručnik), klasifikacija francuske psiho-dermatološke grupe (FPDG). U radu je dat prikaz mogućih bioloških i psihogenih etiopatogenetskih faktora u nastanku pruritusa. Date su osnovne psihofarmakološke i psihoterapijske smernice u tretiranju ovog poremećaja. Kao ilustracija prikazana je kratka klinička vinjeta koja ilistruje jedan tipičan slučaj psihogenog pruritusa.
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jezik rada: srpski
vrsta rada: prikaz slučaja
objavljen u SCIndeksu: 08.07.2016.