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  Vol. 78 No. 2, August 1958 TABLE OF CONTENTS
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The Central Fixation Phenomenon

A Factor in the Prevention of Psychosomatic Skin Diseases

LEON GOLDMAN, M.D.

AMA Arch Derm. 1958;78(2):171-173.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Those interested in the preventive aspects of the so-called psychosomatic skin reactions need to consider the central fixation phenomenon. This phenomenon has been seen before in instances of painful phantoms which occur after amputation. It is seen also in postherpetic neuralgia; here we have observed failure of relief of pain even with such vigorous peripheral measures as cord section. This same type of central fixation phenomenon can occur in chronic pruritic dematoses as a central fixation of "perceptability of itching."

In the analysis of the background of the persistence of chronic pruritic dermatoses there are certain phases to be considered. One is the local structural change in the skin which makes for continued stimuli of itching sensation. This structural change is associated with acanthosis, fibrosis, chronic inflammation, and local neural changes. These changes then can cause endogenous stimulation of the so-called itch point of Shelley and Arthur1 . . . [Full Text PDF of this Article]


Author Affiliations

Cincinnati

From the Department of Dermatology, University of Cincinnati College of Medicine.


Footnotes

Submitted for publication Feb. 10, 1958.

Presented in the Psychosomatic Dermatology Program, University of Cincinnati College of Medicine, Nov., 1957.



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