[An extreme case of environmental neurosis].
A 64 year old female patient was diagnosed with scleroderma and has been bed-ridden for 25 years. She wears no clothing whatsoever on the grounds of an intolerance to textiles, and has spent the last eight years uninterruptedly in bed in a construction of kitchen paper towels and rubber bed sheets. A somatic disease has been be ruled out and cenesthesic schizophrenia diagnosed. As differential diagnoses, somatization, somatiform disorders and hypochondria were considered. The patient refused any psychiatric treatment.
Laumann
S
S
Dermatologische Klinik der Ruhr-Universität Bochum im St. Josef-Hospital.
Bacharach-Buhles
M
M
Pöhlau
D
D
Altmeyer
P
P
D003937:Diagnosis, Differential; D018876:Environmental Illness / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D006998:Hypochondriasis / Q000175:diagnosis / Q000523:psychology; D008875:Middle Aged; D010328:Patch Tests; D012559:Schizophrenia / Q000175:diagnosis*; D012565:Schizophrenic Psychology; D012595:Scleroderma, Systemic / Q000523:psychology*; D012803:Sick Role; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology