Body Dysmorphic Disorder

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Definition/Description[edit | edit source]

Body dysmorphic disorder (BDD) , is a disorder characterized by extreme preoccupation with appearance, that also causes personal distress in the presence of minimal or no defects. BDD is commonly considered to be an obsessive-compulsive spectrum disorder, based on extreme similarities it has with obsessive-compulsive disorder. Often BDD is presented to dermatologists and plastic surgeons without referral to a psychiatrist. Currently this disorder is classified as a somatoform disorder, but may also fall under the heading of an anxiety disorder. [1][2][3]


A patient that may have this disorder is concerned with a specific body part, which may help differentiate them from a patient who may suffer from an eating disorder. [4]


First described as dysmorphaphobia, in 1886 in European medical literature, and later numerously described under several names, such as; dermatologic hypochondriasis, beauty hypochondria, dermatologic nondisease, primary monosymptomatic hypochondriacal psychosis. [3]

Bodydysmorphicdisorderhair.jpg

[5]

Prevalence[edit | edit source]

BDD effects approximately 0.7% to 2.4% of general population. Specifically, in the United States, 2.2% of men and 2.5% of women suffer from BDD. [6] Typically patients present in adolescence with an average age of sixteen years. Increased prevelance of BDD is seen in dermatological and cosmetic surgery practices.[3]

Characteristics/Clinical Presentation[edit | edit source]

add text here

Associated Co-morbidities[edit | edit source]

add text here

Medications[edit | edit source]

add text here

Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]

add text here

Etiology/Causes[edit | edit source]

add text here

Systemic Involvement[edit | edit source]

add text here

Medical Management (current best evidence)[edit | edit source]

add text here

Physical Therapy Management (current best evidence)[edit | edit source]

add text here

Alternative/Holistic Management (current best evidence)[edit | edit source]

add text here

Differential Diagnosis[edit | edit source]

add text here

Case Reports/ Case Studies[edit | edit source]

add links to case studies here (case studies should be added on new pages using the case study template)

Resources
[edit | edit source]

add appropriate resources here

Recent Related Research (from Pubmed)[edit | edit source]

see tutorial on Adding PubMed Feed

Extension:RSS -- Error: Not a valid URL: addfeedhere|charset=UTF-8|short|max=10

References[edit | edit source]

see adding references tutorial.

  1. Crerand CE, Franklin ME, Sarwer DB. Body dysmorphic disorder and cosmetic surgery. Plast Reconstr Surg. 2006;118(7):167e-80e.
  2. Bjornsson AS, Didie ER, Phillips KA. Body dysmorphic disorder. Dialogues Clin Neurosci. 2010;12(2):221-32.
  3. 3.0 3.1 3.2 Gupta R, Huynh M, Ginsburg IH. Body dysmorphic disorder. Semin Cutan Med Surg. 2013;32(2):78-82.
  4. WebMD: Mental Health Center. Body Dysmorphic Disorder. http://www.webmd.com/mental-health/mental-health-body-dysmorphic-disorder (accessed 3 March 2014).
  5. Onlymyhealth. Understanding Body Dysmorphic Disorder. http://www.google.com/imgres?imgurl=&imgrefurl=http%3A%2F%2Fwww.onlymyhealth.com%2Funderstanding-body-dysmorphic-disorder-1285581494&h=0&w=0&sz=1&tbnid=LZ67Cr1MthucwM&tbnh=240&tbnw=160&zoom=1&docid=3ZhrRNCJI4ZE0M&ei=rJwUU-HHO-GfyQG-8IDQDw&ved=0CAUQsCUoAQ (Accessed 3 March 2014).
  6. Koran LM, Abujaoude E, Large MD, Serpe RT. The prevalence of bodyfckLRdysmorphic disorder in the United States adult population. CNS Spectr.fckLR2008;13(4):316-322.