Iwata Kentaro, Katsuda Yoshiaki
Division of Infectious Diseases Therapeutics, Kobe University Graduate School of Medicine, Kobe, Japan.
Department of Social Welfare, Kansai Fukushi Daigaku, Hyogo, Japan.
J Family Med Prim Care. 2016 Jul-Sep;5(3):706-708. doi: 10.4103/2249-4863.197297.
Somatic symptom disorder (SSD) often leads to frequent doctor visit not only to psychiatrists but also to various kinds of physicians. We encountered four cases of SSD, particularly associated with sexual intercourse and fear of sexually transmitted diseases (STDs). To best of our knowledge, there is no independent clinical entity assigned to this phenomenon. Here, we propose a variation of SSD called four STD as an independent clinical entity since the presentation of this disorder is very distinctive, and lack of awareness of it may lead to unnecessary laboratory workup and antimicrobial prescription as well as augmented anxiety of the patients with potential "doctor shopping." Further studies are needed to elucidate the pathophysiology, diagnosis, and treatment of this disorder.
躯体症状障碍（SSD）常常导致患者频繁就医，不仅会去看精神科医生，还会去看各类其他医生。我们遇到了4例SSD病例，尤其与性交及对性传播疾病（STD）的恐惧相关。据我们所知，目前尚无针对这一现象的独立临床实体分类。在此，我们提出一种名为“四性病”的SSD变体作为独立临床实体，因为这种疾病的表现非常独特，对其缺乏认识可能会导致不必要的实验室检查、抗菌药物处方，以及加剧有潜在“辗转就医”行为患者的焦虑。需要进一步研究以阐明这种疾病的病理生理学、诊断和治疗方法。
