TY - CHAP M1 - Book, Section TI - DISORDERS OF PSYCHIATRIC ETIOLOGY A1 - Wolff, Klaus A1 - Johnson, Richard Allen A1 - Saavedra, Arturo P. A1 - Roh, Ellen K. Y1 - 2017 N1 - T2 - Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology, 8e AB - Patients with dysmorphic syndrome regard their image as distorted in the eyes of the public; this becomes almost an obsession.The patient with BDS does not generally consult a psychiatrist but a dermatologist or plastic surgeon. The typical patient with BDS is a single, female, young adult who is anxious.Common dermatologic complaints are facial (wrinkles, acne, scars, hypertrichosis, and dry lips), scalp (incipient baldness, increased hair growth), genital (normal sebaceous glands on the penis, red scrotum, red vulva, and vaginal odor), hyperhidrosis, and bromhidrosis.Management is a problem. One strategy is for the dermatologist to establish rapport; in a few visits, the complaint can be explored and further discussed.If the patient and physician do not agree that the complaint is a vastly exaggerated skin or hair change, then the patient should be referred to a psychiatrist; this latter plan is usually not accepted, in which case the problem may persist indefinitely. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - dermatology.mhmedical.com/content.aspx?aid=1140791918 ER -