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Monosymptomatic hypochondriacal syndromes in dermatology
Journal of the American Academy of Dermatology
|July 1, 1983
Summary
Monosymptomatic hypochondriasis (MH) is a single, persistent belief of illness despite contrary evidence. It presents as delusions of parasitosis, dysmorphosis, or bromosis, often linked to various underlying conditions.
Area of Science:
- Psychiatry
- Neurology
- Dermatology
Background:
- Monosymptomatic hypochondriasis (MH) is characterized by a single, fixed delusion of disease.
- MH encompasses syndromes like delusions of parasitosis, dysmorphosis, and bromosis.
Purpose of the Study:
- To review the clinical presentations and underlying etiologies of monosymptomatic hypochondriasis.
- To emphasize the importance of a comprehensive biopsychosocial evaluation for MH treatment.
Main Methods:
- Literature review of consistently described syndromes within monosymptomatic hypochondriasis.
- Analysis of potential underlying pathological conditions contributing to MH.
Main Results:
- Identified three primary forms of MH: delusions of parasitosis, dysmorphosis, and bromosis.
- Highlighted that MH can stem from psychiatric, neurological, metabolic, endocrine, or toxic conditions.
Conclusions:
- Monosymptomatic hypochondriasis requires a thorough evaluation to identify diverse etiologic factors.
- Treatment necessitates addressing the multifaceted causes through a biopsychosocial approach.