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Psychodermatology: Not Just a Delusion. 'Bugs', Trichotillomania, and the Morgellons Debate
Friday, March 01
7:15 AM - 8:45 AM
Jason S. Reichenberg, MD, FAAD - Handout
Following this course, the attendee should be able to:
- Perform the appropriate evaluation and testing on a patient that "sees bugs.“
- Manage a patient who says "I have Morgellons disease."
- Appropriately evaluate and treat a patient that pulls at hair or picks at skin.
This session will discuss the approach to a patient who presents with ‘bugs on the skin.’ We will “pick apart” the differential diagnoses, including true infections, delusions (from organic and psychiatric causes), somatoform disorders, hypochondriasis, and delirium. We will review appropriate history-taking, physical examination, and laboratory testing for these patients. Clinical examples will be used, and a basic treatment algorithm will be presented. This session will feature an open discussion regarding the controversial term “Morgellons Disease.” We will also discuss a basic approach to trichotillomania, skin picking, and body dysmorphic disorder.
This session is intended for all dermatologists.