Clinical review for general practice

ISSN (Print) 2713-2552
ISSN (Online) 2782-5671
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FULLSCREEN > Archive > 2022 > Vol 3, №1 (2022) > A case report of development of dysmorphophobia in a patient suffering from long-term discoid lupus erythematosus localized on face

A case report of development of dysmorphophobia in a patient suffering from long-term discoid lupus erythematosus localized on face

Yuri N. Perlamutrov , Svetlana B. Volkova , Ekaterina V. Zadionchenko , Tatiana A. Godzenko

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Abstract

The external appearance of a person is, first of all, an objective set of his mental and bodily organization. It affects the perception of a person by others, and also determines the characteristics of the psychology of the individual. As a physical component, appearance is a system of elements of a person's body organization, which are anatomical and anthropological structures. Any changes or inconsistencies with the generally accepted "patterns of appearance" in these structures, especially in the anatomical ones, especially leading to a permanent change in the face, body of a person, can lead to a psychological disorder, up to the formation of persistent mental disorders. The feeling of one's own inferiority, is reflected in the mood, worldview of the patient, relationships with others, and causes an obsessive desire to improve one's appearance. In psychiatry, such mental disorder is called dysmorphophobia. In dermatovenereology, there is a significant number of dermatoses that can cause this disorder. The article presents a case report of a young woman with severe facial skin defects, suffering from lupus erythematosus for a long time and developed dysmorphophobia. The difficulties of diagnosis, clinical picture and treatment of this disorder, as well as the features of counseling such patients by a dermatologist are described.
Key words: dysmorphophobia, autodestructive dermatoses, discoid lupus erythematosus, clinical case.

About the Author

Yuri N. Perlamutrov 1 , Svetlana B. Volkova 2 , Ekaterina V. Zadionchenko 1 , Tatiana A. Godzenko 2

1 Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia;

2 Moscow Scientific and Practical Center for Dermatovenereology and Cosmetology, branch "Ostankino", Moscow, Russia

References

1. Tomas-Aragones L, Marron SE. Body Image and Body Dysmorphic Concerns. Acta Derm Venereol 2016; 96 (217): 47–50. DOI: 10.2340/00015555-2368
2. Смулевич А.Б., Львов А.Н., Иванов О.Л. Патомимия: психопатология аутоагрессии в дерматологической практике. М., 2012; с. 27–9.
[Smulevich A.B., L'vov A.N., Ivanov O.L. Patomimiia: psikhopatologiia autoagressii v dermatologicheskoi praktike. Moscow, 2012; p. 27–9 (in Russian).]
3. Hardardottir H, Hauksdottir A, Bjornsson AS. Body dysmorphic disorder: Symptoms, prevalence, assessment and treatment. Laeknabladid 2019; 105 (3): 125–31. DOI: 10.17992/lbl.2019.03.222
4. Дороженок И.Ю., Матюшенко Е.Н., Олисова О.Ю. Дисморфофобия у дерматологиеских больных с фасциальной локализацией процесса. Российский журнал кожных и венерических болезней. 2014; 1: 42–7.
[Dorozhenok I.Iu., Matiushenko E.N., Olisova O.Iu. Dismorfofobiia u dermatologieskikh bol'nykh s fastsial'noi lokalizatsiei protsessa

For citation:Perlamutrov Yu.N., Volkova S.B., Zadionchenko E.V., Godzenko T.A. A case report of development of dysmorphophobia in a patient suffering from long-term discoid lupus erythematosus localized on face. Clinical review for general practice. 2022; 1: 24–28. DOI: 10.47407/kr2022.3.1.00114


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