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Body dysmorphic disorder in patients with telangiectasias
Javier A Bravo1, Sebastián Cifuentes1, Jorge H Ulloa2
1University of Los Andes, Bogotá, Colombia.
Summary
A significant 17% of patients with telangiectasias exhibit symptoms of Body Dysmorphic Disorder (BDD). These individuals may seek unnecessary treatments due to distorted self-perception, highlighting the need for psychiatric evaluation before cosmetic procedures.
Area of Science:
- Vascular Medicine
- Psychiatry
- Dermatology
Background:
- Chronic venous disease (CVD) encompasses a range of conditions, from severe ulcerations to minor telangiectasias.
- Some patients with minimal telangiectasias exhibit excessive concern, potentially indicating Body Dysmorphic Disorder (BDD).
Purpose of the Study:
- To investigate the prevalence of Body Dysmorphic Disorder (BDD) in patients seeking treatment for telangiectasias.
- To assess the relationship between telangiectasias and BDD in a clinical setting.
Main Methods:
- A multicentric study involving 223 patients with telangiectasias (C1s).
- Patients completed the Body Dysmorphic Disorder Questionnaire (BDDQ).
- Data were evaluated against DSM-V criteria for BDD.
Main Results:
- Out of 223 patients, 38 met the DSM-V criteria for BDD.
- The prevalence of BDD in patients with telangiectasias was found to be 17%.
Conclusions:
- Telangiectasias can trigger distress and alter patients' perception of their appearance.
- BDD patients may demand unnecessary treatments for minor telangiectasias.
- A considerable proportion of patients with C1 disease exhibit BDD, necessitating psychiatric referral before cosmetic treatment.
