Naidu Jaya, Bhattacharya Pritha, Mendonsa Joyce P, M Manju, Satish Kirthana
Department of Paedodontics and Preventive Dentistry, Vydehi Institute of Dental Sciences and Research Centre, Bengaluru, Karnataka, India.
Int J Clin Pediatr Dent. 2020 Mar-Apr;13(2):196-198. doi: 10.5005/jp-journals-10005-1729.
The following case report discusses the diagnostic dilemma presented by and the multidisciplinary management of a patient with chronic atypical facial pain of psychogenic origin.
Though oral health care professionals are primarily concerned with the treatment of somatic disorders of the orofacial region, there remains a particularly challenging need to identify, diagnose and treat various psychological and psychosomatic symptoms.
This case report describes the management of a 13-year-old male patient with the chief complaint of pain and discoloration of the skin over the right side of the face for the last 5 months, who also demonstrated symptoms of chronic anxiety and social withdrawal. As no associated soft or hard tissue abnormalities could be identified, a diagnosis of atypical/psychogenic facial pain was established. The skin discoloration was diagnosed as pityriasis versicolor and treatment for the same commenced. Following the complete resolution of the skin lesion the patient was asymptomatic, and no longer anxious.
Our role as dentists is to mitigate the suffering of patients and to improve their quality of life in collaboration with specialists in psychosomatic medicine.
This case highlights that dentists must be trained to treat not only teeth, but also attend to patient's psychosomatic symptoms.
Naidu J, Bhattacharya P, Mendonsa JP, Multidisciplinary Management of Chronic Atypical Facial Pain of Psychogenic Origin: A Unique Case Report. Int J Clin Pediatr Dent 2020;13(2):196-198.
以下病例报告讨论了一名心因性慢性非典型面部疼痛患者所呈现的诊断困境及多学科管理。
尽管口腔保健专业人员主要关注口面部区域躯体疾病的治疗，但识别、诊断和治疗各种心理及心身症状的需求仍然极具挑战性。
本病例报告描述了一名13岁男性患者的治疗情况，该患者主诉右侧面部皮肤疼痛和变色达5个月之久，还表现出慢性焦虑和社交退缩症状。由于未发现相关的软硬组织异常，故诊断为非典型/心因性面部疼痛。皮肤变色被诊断为花斑糠疹，并开始了相应治疗。皮肤病变完全消退后，患者无症状，也不再焦虑。
我们牙医的职责是与心身医学专家合作，减轻患者痛苦，提高他们的生活质量。
本病例强调牙医不仅要接受治疗牙齿的培训，还必须关注患者的心身症状。
奈杜J、巴塔查里亚P、门东萨JP，《心因性慢性非典型面部疼痛的多学科管理：一例独特病例报告》。《国际临床儿科牙科学杂志》2020年；13(2)：196 - 198。
