RT Book, Section
A1 Wolff, Klaus
A1 Johnson, Richard Allen
A1 Saavedra, Arturo P.
A1 Roh, Ellen K.
SR Print(0)
ID 1140791918
T1 DISORDERS OF PSYCHIATRIC ETIOLOGY
T2 Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology, 8e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259642197
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1140791918
RD 2024/04/19
AB Patients  with  dysmorphic  syndrome  regard  their  image  as  distorted  in  the  eyes  of  the  public;  this  becomes  almost  an  obsession.The  patient  with  BDS  does  not  generally  consult  a  psychiatrist  but  a  dermatologist  or  plastic  surgeon.  The  typical  patient  with  BDS  is  a  single,  female,  young  adult  who  is  anxious.Common  dermatologic  complaints  are  facial  (wrinkles,  acne,  scars,  hypertrichosis,  and  dry  lips),  scalp  (incipient  baldness,  increased  hair  growth),  genital  (normal  sebaceous  glands  on  the  penis,  red  scrotum,  red  vulva,  and  vaginal  odor),  hyperhidrosis,  and  bromhidrosis.Management  is  a  problem.  One  strategy  is  for  the  dermatologist  to  establish  rapport;  in  a  few  visits,  the  complaint  can  be  explored  and  further  discussed.If  the  patient  and  physician  do  not  agree  that  the  complaint  is  a  vastly  exaggerated  skin  or  hair  change,  then  the  patient  should  be  referred  to  a  psychiatrist;  this  latter  plan  is  usually  not  accepted,  in  which  case  the  problem  may  persist  indefinitely.