Richard Fried, Author at Psychiatry Advisor

Richard Fried

All articles by Richard Fried

Acne Excoriee des jeunes filles (Skin disorder arising from mental factors)

Are You Confident of the Diagnosis? What you should be alert for in the history The history is marked by a tendency to pick at skin lesions or “imperfections.” Characteristic findings on physical examination Characteristic findings include excoriated acne lesions ranging from superficial excoriated lesions to deep excoriations and scarring (Figure 1). Angulated configuration from…

Psychogenic Purpura (Gardner-Diamond syndrome, autoerythrocyte sensitization syndrome, painful bruising syndrome)

Are You Confident of the Diagnosis? Rule out factitious, malingering, and abuse. What you should be alert for in the history Be alert for predictable bruising associated with psychological stress in the absence of a hematologic, vascular, immunologic, or infectious process. Continue Reading Characteristic findings on physical examination Characteristic findings include unexplained painful, ecchymotic lesions,…

Body Dysmorphic Disorder (Dermatologic Non-Disease and Dysmorphophobia)

Are You Confident of the Diagnosis? What you should be alert for in the history Patients with body dysmorphic disorder (BDD) show an obsessive preoccupation with real or imagined cosmetic imperfection or defect: acne, scars, pigmentation, oiliness, redness, paleness, facial vessels, hair loss, excessive facial hair. Complaint may involve a dysesthesia (ie, burning, itch, crawling…

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