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Somatic symptom disorder in dermatology.

James L Levenson1, Aditi A Sharma2, Alex G Ortega-Loayza3

  • 1Department of Psychiatry, Virginia Commonwealth University School of Medicine, Richmond, Virginia.

Clinics in Dermatology
|May 18, 2017
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Summary

Somatic symptom disorder (SSD) involves significant distress and impairment from prominent physical symptoms and abnormal thoughts. It is frequently seen in dermatology, impacting patient care.

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Area of Science:

  • Psychiatry
  • Dermatology

Background:

  • Somatic symptom disorder (SSD) is characterized by prominent somatic symptoms with excessive thoughts, feelings, and behaviors.
  • Individuals with SSD are frequently encountered in primary care and medical settings, including dermatology.

Purpose of the Study:

  • To describe Somatic Symptom Disorder (SSD).
  • To explore the applicability of SSD diagnosis in dermatologic practice.

Main Methods:

  • Literature review and case illustrations.

Main Results:

  • SSD can occur with or without a diagnosed dermatologic condition.
  • In dermatology, SSD should be suspected when patients exhibit excessive worry about skin, spend excessive time on skin concerns, or report numerous non-dermatologic symptoms.

Conclusions:

  • Somatic symptom disorder (SSD) is relevant in dermatologic practice.
  • Recognition of SSD is crucial for appropriate patient management and differential diagnosis, which includes depression, anxiety disorders, delusions of parasitosis, and body dysmorphic disorder.