title: Body dysmorphic disorder symptoms among patients with acne vulgaris.
abstract: BACKGROUND
  Acne is one of the most common concerns of patients with body dysmorphic disorder (BDD), a psychiatric condition defined as a preoccupation with a slight or imagined defect in appearance that causes significant disruption in daily functioning.
  
  
  OBJECTIVE
  We sought to screen for BDD symptoms among patients with acne across a spectrum of acne severity.
  
  
  METHODS
  We used a validated self-report questionnaire and an objective assessment of acne severity by a single observer.
  
  
  RESULTS
  Rates of BDD ranged from 14.1% using more stringent criteria to assess acne severity to 21.1% using less stringent criteria. Two-fold increased odds of having BDD was seen in patients requiring systemic isotretinoin therapy.
  
  
  CONCLUSIONS
  Cross-sectional study design is a limitation.
  
  
  CONCLUSIONS
  A significant proportion of patients, regardless of their acne severity at the time of examination, have substantial distress and preoccupation related to their facial appearance.
authors.affiliation: Department of Dermatology, The Children's Hospital of Philadelphia, USA.
authors.forename: Whitney P
authors.initials: WP
authors.lastname: Bowe
authors.forename: James J
authors.initials: JJ
authors.lastname: Leyden
authors.forename: Canice E
authors.initials: CE
authors.lastname: Crerand
authors.forename: David B
authors.initials: DB
authors.lastname: Sarwer
authors.forename: David J
authors.initials: DJ
authors.lastname: Margolis
mesh_terms: D000152:Acne Vulgaris / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D015994:Incidence; D015474:Isotretinoin / Q000627:therapeutic use; D008297:Male; D015995:Prevalence; D012720:Severity of Illness Index; D013001:Somatoform Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D011795:Surveys and Questionnaires
chemical_list: D015474:Isotretinoin