Clinical phenotypes of lichen planus and transnosological psychosomatic comorbid states
A sample of 120 patients with lichen planus presents the results of a prospective clinical study of phenotypic variants of dermatosis, in which itching acts as a leading nosogenic factor in the development of adjustment disorders of the depressive, neurotic, hypochondriac circle. The study of comorbid psychosomatic disorders associated with phenotypic manifestations of lichen planus is an urgent problem both in connection with severe forms of the disease, including excruciating itching, localization of rashes in open areas of the body, in the genital area, oral mucosa and the risk of malignant transformation of lesions, so and mediated violations of compliance at the stage of therapy and in the process of rehabilitation. The introduction of an integrated interdisciplinary approach into clinical practice contributes to the optimization of therapy for skin diseasе and an improvement in the quality of life of patients with comorbid psychosomatic pathology.