title: [An extreme case of environmental neurosis].
abstract: 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.
authors.affiliation: Dermatologische Klinik der Ruhr-Universität Bochum im St. Josef-Hospital.
authors.forename: S
authors.initials: S
authors.lastname: Laumann
authors.forename: M
authors.initials: M
authors.lastname: Bacharach-Buhles
authors.forename: D
authors.initials: D
authors.lastname: Pöhlau
authors.forename: P
authors.initials: P
authors.lastname: Altmeyer
mesh_terms: 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