Hypochondriacal Atopic Derm Adolescent

Hypochondriacal Atopic Derm Adolescent
Ed Ruden, MD

Spring 2006 - Volume 10 Number 1

His body is like crocodile skin ­ every Angstrom of it

A scaley mass of crustaceous keratin

A warty six-foot toad of a teen

Intense use of fluoridated steroid ointments,

Petrolatum baths, antihistamines q4h, and

Newer Immunmodulator agents have little effect on his intense pruritis

The true cause of his eczema lies not in the superficial layers of his body;

but deep in his somaticizing mind

The "boy" tortures himself from within

Perseverating in his brain about this malady or that

"If only there were another blood test," "A Radiographique"

"A serum porcelain level to pinpoint my illness!"

He stammers/agitates

I present this theory ­ "The mind-skin" gap!

If you "soothe" your mind, you will surely "soothe"

your alligator dermis

In theory, he takes it in but never really engulfs the reality of his tortured cerebrum

Fitfully, the young lad wallows in his "crustiness" and painstakingly

relentlessly scratching as he exits my exam room!

etoc emailClick here to join the E-TOC list or text TPJ to 22828. You will receive an Email notice with the Table of Contents of each issue.

CME

The Kaiser Permanente National CME Program designates this journal-based CME activity for 4 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Circulation

27,000 print readers per quarter, 15,350 eTOC readers, and in 2018, 2 million page views of TPJ articles in PubMed from a broad international readership.

The Permanente Press

The Permanente Press publishes The Permanente Journal and books related to healthcare. For information about subscriptions, missing issues, billing, subscription renewal, and back issues, Email: permanente.journal@kp.org.


ISSN 1552-5775 Copyright © 2019 thepermanentejournal.org.

All Rights Reserved.