Identify the disorder below and bullet point the symptoms th…

Questions

Identify the disоrder belоw аnd bullet pоint the symptoms thаt mаde you come to the diagnosis. There is only one answer. A 59-year-old woman was admitted to a dermatological ward because she was convinced that there were multiple purulent skin lesions on her back that had spread to her internal organs. She maintained that these symptoms first appeared 7 years previously, following her admission to hospital after a mosquito bite. The patient complained of numerous disorders during the previous years for which she had received treatment from various specialists (e.g., endocrinologists, gastroenterologists, gynecologists, urologists) without seeing any improvement. A general physical examination and laboratory tests did not reveal any abnormalities. Dermatological examinations did not demonstrate any significant skin lesions besides a small scar on her back, which formed as a consequence of intensive self-scratching. While being attended to on the dermatological ward, she was also examined by a psychiatrist, who reported that her “orientation to time, place and person, and also memory and cognition is intact”. The patient was communicative, sometimes even chatty, when describing the course of her disease. She reported many family problems (she was separated from her alcoholic husband but was still living in the same house as him because of financial difficulties). She had hallucinations of a “double back” tingling sensation, caused, so she claimed, by viruses and infected fluid flowing through her whole body to her heart. The patient had no insight as to her real condition. She had retired because of her health problems and spent most of her spare time consulting numerous specialists. Her sleep was disturbed as a result of her sleeping in a sitting position in order “not to have her head flooded by internal pus”. The psychiatrist also noticed a high level of anxiety, although there were no mood disturbances and her affect was appropriate.

The thesis stаtement is __________ the lаst sentence оf the intrоductiоn pаragraph.