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Psychosomatic Medicine 12:250-253 (1950)
© 1950 American Psychosomatic Society
1 Research Physician in Psychiatry, College of Physicians and Surgeons, Columbia University, Presbyterian Hospital and Vanderbilt Clinic.
Dermatologic hypochondriasis is an acute recurrent anxiety state occurring in some latent schizophrenic patients. It may be precipitated by acne vulgaris, hypertrichosis, seborrhea of the scalp, or other cutaneous changes. Investigation of the 11 patients included in this report elicited a history of latent schizophrenia prior to the dermatologic disturbance plus hereditary and constitutional factors frequently associated with the schizophrenic syndrome. The acute anxiety state resulted from two related sources: loss of status through threatened or marred attractiveness; and inability to compete along any other level of adaptation. Treatment consists of dermatologic correction in addition to protection and supportive type of psychotherapy.
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