Content » Vol 96, Issue 217

Investigative Report

Hypochondriasis Circumscripta: A Neglected Concept with Important Implications in Psychodermatology

Anatoly B. Smulevich, Andrey N. Lvov, Dmitry V. Romanov
DOI: 10.2340/00015555-2371

Abstract

The article is devoted to a psychodermatological disorder with self-destructive behavior – hypochondriasis circumscripta. Presented data are based on a clinical analysis of 22 consecutive cases (15 female; mean age – 56.1 ± 12.6 years) observed in the dermatologic department of First Moscow State Medical University and managed in a multidisciplinary approach by dermatologists and a consultation-liaison psychiatrist. Psychopathology, clinical presentations, historical aspects and treatment options are discussed. The self-inflicted skin lesions result from a severe repetitive autodestruction of focal skin loci primarily affected with heterogeneous sensations associated with a hypochondrical over-valued idea. Hypochondriasis сircumscripta is a serious diagnostic and treatment challenge and should be distinguished from dermatitis artefacta, skin picking disorder and delusional infestation.

Significance

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