Resumo

MENDOZA, Constanza. Delusional Disorder, Somatic Type. rev.colomb.psiquiatr. [online]. 2007, vol.36, n.4, pp.761-771. ISSN 0034-7450.

Objective: To review and illustrate a case of delusional disorder, somatic type. Methods: Case report. Results: A 41-year-old female patient presents with a chronic somatic delusion of infestation, of suffering a severe cardiac ailment and cancer in the central nervous system and left breast. Repeated cleansing of the left breast leads to a contact dermatitis. Her insight regarding the disease is null and her support system is precarious. Therefore, she does not adhere to medical recommendations or to psychiatric treatment and continues to consult different specialists and medical services, although neoplasia and other systemic illnesses have been discarded. Conclusions: Delusional disorder, somatic type, is a challenging illness to diagnose and treat. It warrants integral and multidisciplinary management.

Palavras-chave : Delusional disorder; somatic type; cancer; diagnosis; treatment.

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