Somatic symptom disorder in dermatology.

Abstract:

:Somatic symptom disorder (SSD) is defined by the prominence of somatic symptoms associated with abnormal thoughts, feelings, and behaviors related to the symptoms, resulting in significant distress and impairment. Individuals with these disorders are more commonly encountered in primary care and other medical settings, including dermatology practice, than in psychiatric and other mental health settings. What defines the thoughts, feelings, and behaviors as abnormal is that they are excessive, that is, out of proportion to other patients with similar somatic symptoms, and that they result in significant distress and impairment. SSD may occur with or without the presence of a diagnosable dermatologic disorder. When a dermatologic disorder is present, SSD should be considered when the patient is worrying too much about his or her skin, spending too much time and energy on it, and especially if the patient complains of many nondermatologic symptoms in addition. The differential diagnosis includes other psychiatric disorders, including depression, anxiety disorders, delusions of parasitosis, and body dysmorphic disorder. This paper describes SSD and its applicability in dermatologic practice, with illustrative cases.

journal_name

Clin Dermatol

journal_title

Clinics in dermatology

authors

Levenson JL,Sharma AA,Ortega-Loayza AG

doi

10.1016/j.clindermatol.2017.01.010

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

246-251

issue

3

eissn

0738-081X

issn

1879-1131

pii

S0738-081X(17)30024-X

journal_volume

35

pub_type

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