Hypochondriacal
Atopic Derm Adolescent |
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By Ed
Ruden, MD
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!