Dermatosi occupazionali psicosomatiche e traumatiche

Objective We described the psychosomatic occupational skin diseases and the traumatic occupational skin diseases noted in the workers, sought for useful criteria to differentiate them and proposed a pathogenetic process. Methods Were enrolled in this study 94 woman and 94 men, 25-53 years old, with skin diseases (dyshidrosis, lichen planus, urticaria, psoriasis, rosacea) and psychosomatic diseases. We appraised the working psychic dynamics with the Berger questionnaire, the Rosenzweing test and the physician-patient interview. Results The psychosomatic occupational skin diseases regard 85 patients with high emotivity, psychosomatic diseases and skin lesions. In these patients the emotional conflict produces a reaction of defence that is converted in an organic symptom. The traumatic occupational skin diseases regard 101 patients with low emotivity, no psychosomatic diseases and with skin lesions. In these patients the damage produce in direct way or by reactive isomorphism the skin lesions. Conclusions The questionnaire and the test as a suitable and fast diagnostic technique that can help the physician to differentiate psychosomatic occupational skin diseases from traumatic occupational skin diseases.