[Nihilodermia in psychodermatology].
"Nihilodermia" refers to a group of difficult "problem" patients in dermatology without objective findings but with recurrent symptoms and stubborn demand for medical examination. These primary emotional disorders are somatoform disorders, but the patients usually strictly deny a psychosocial aspect and expect purely somatic treatment. Clinical patterns include pruritus, pain, paresthesias, feelings of disfiguration, eco-syndromes, erythrophobia and psychogenic pseudoeffluvium. The relevant somatoform disorders in dermatology can be differentiated as somatization disorders, hypochondriacal disorders, somatoform autonomous disorders, persistent somatoform pain disorders and "other somatoform disorders". A precise differential diagnostic division is necessary in order to initiate adequate therapy strategies.
Harth
W
W
Klinik für Dermatologie und Phlebologie, Vivantes Klinikum, Berlin Friedrichshain, Akademisches Lehrkrankenhaus der Charité - Universitätsmedizin Berlin, 10249, Berlin. wolfgang.harth@vivantes.de
Hermes
B
B
Seikowski
K
K
Gieler
U
U
D000342:Affective Symptoms / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D003937:Diagnosis, Differential; D006801:Humans; D006998:Hypochondriasis / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D010348:Patient Care Team; D012008:Recurrence; D012017:Referral and Consultation; D012803:Sick Role; D012871:Skin Diseases / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy