Dennin Margaret H, Lee Margaret S
Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.
Department of Dermatology, School of Medicine, Boston University, Boston, MA, USA.
Pediatr Dermatol. 2018 Nov;35(6):868-874. doi: 10.1111/pde.13581. Epub 2018 Jul 9.
Body dysmorphic disorder is an obsessive-compulsive spectrum disorder involving a perceived defect in physical appearance that most commonly develops in early adolescence and causes significant functional impairment and suicidality at much higher rates than in affected adults. Patients may also present with subthreshold body dysmorphic disorder or obsessive concerns over a diagnosable dermatologic condition, both of which can present similarly to body dysmorphic disorder. Pediatric dermatologists can play an important role in detecting body dysmorphic disorder and body dysmorphic disorder-like symptoms, which may occur in as many as 20% of dermatology patients. Greater awareness of the prevalence, clinical presentation, and effect of these symptoms, as well as better screening tools and greater collaboration with our mental health colleagues, may lead to earlier, more effective intervention.
躯体变形障碍是一种强迫谱系障碍，涉及对身体外观的感知缺陷，最常见于青春期早期，导致的功能损害和自杀率远高于受影响的成年人。患者也可能表现为阈下躯体变形障碍或对可诊断的皮肤病状况的强迫性担忧，这两者的表现可能与躯体变形障碍相似。儿科皮肤科医生在检测躯体变形障碍和类似躯体变形障碍的症状方面可以发挥重要作用，这些症状可能在多达20%的皮肤科患者中出现。提高对这些症状的患病率、临床表现和影响的认识，以及更好的筛查工具和与心理健康同事的更多合作，可能会带来更早、更有效的干预。
