Agbelusi G A, Famuyiwa O O
Department of Preventive Dentistry, College of Medicine, University of Lagos.
West Afr J Med. 2008 Jul;27(3):178-81.
Body dysmorphic disorder (BDD) is an obsessive preoccupation with a perceived defect in one's physical appearance which the individual persistently seeks medical attention to correct surgically. BDD often goes unrecognized and undiagnosed, due to patients' reluctance to divulge their symptoms because of secrecy and shame.
To present the case of a patient who presented with an extreme form of dysmorphophobia.
A 22-year-old university graduate presented with complaints of not "looking like herself any more" and of looking ugly. Patient was fully clinically and psychologically assessed. Psychological and dental surgical treatment were offered to the patient.
She was a young woman who was complaining seriously of how her teeth made her ugly and of hating herself. She chiseled and filed her tooth to make them appear better but to no avail. She had thought of committing suicide. She appeared distressed, tearful and remorseful of her actions. The teeth were chipped and stained. She refused treatment modalities offered, and would not accept a psychological support.
The case highlights the need for the dentist to be educated on these disorders so that they can recognize and refer accordingly. There is also need for interdisciplinary interactions between the dentists and the psychologist.
躯体变形障碍（BDD）是一种对自身外貌存在感知缺陷的强迫观念，患者会持续寻求医疗关注以通过手术矫正。由于患者因保密和羞耻感而不愿透露症状，BDD常常未被识别和诊断。
介绍一例表现为极端形式畸形恐惧症的患者病例。
一名22岁的大学毕业生主诉不再“像自己”且看起来很丑。对患者进行了全面的临床和心理评估。为患者提供了心理和牙科手术治疗。
她是一名年轻女性，严重抱怨自己的牙齿让她变丑且讨厌自己。她凿磨自己的牙齿以使它们看起来更好，但无济于事。她曾想过自杀。她显得苦恼、流泪且对自己的行为感到懊悔。牙齿有缺损和污渍。她拒绝所提供的治疗方式，也不接受心理支持。
该病例凸显了对牙医进行这些疾病教育的必要性，以便他们能够识别并相应转诊。牙医和心理学家之间也需要跨学科互动。
