| Body dysmorphia, self-mutilation and the reconstructive surgeon. | |
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MedLine Citation:
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PMID: 20392680 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Body dysmorphic disorder (BDD) is a disabling preoccupation with a slight or an imagined defect in appearance. It is recognised in some patients who present to the plastic surgeon requesting multiple cosmetic procedures. Very rarely, BDD patients may wish for amputation of a healthy limb and may even mutilate themselves deliberately in order to necessitate amputation. These patients pose a diagnostic challenge as BDD is uncommon and they are often uncooperative whilst appearing mentally sound. Furthermore, they raise difficult ethical and legal issues for the surgeon. Although there is some guidance for the management of BDD patients seeking elective amputation, there is currently none for the management of those who present in the emergency setting. Illustrated by the case of a man who, having failed to find a complicit surgeon, attempted self-amputation of the hand, we review the relevant ethical, legal and management issues with advice by the British Medical Association and General Medical Council. |
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Authors:
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James Kwok-Kwan Chan; Sophie M Jones; Anthony J Heywood |
Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2010-04-13 |
Journal Detail:
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Title: Journal of plastic, reconstructive & aesthetic surgery : JPRAS Volume: 64 ISSN: 1878-0539 ISO Abbreviation: J Plast Reconstr Aesthet Surg Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-20 Completed Date: 2011-01-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101264239 Medline TA: J Plast Reconstr Aesthet Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 4-8 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Plastic and Reconstructive Surgery, Stoke Mandeville Hospital, Aylesbury HP21 8AL, UK. jackichan17@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Amputation, Traumatic / etiology, psychology* Body Dysmorphic Disorders / complications, diagnosis, psychology, surgery* Body Image Emergency Service, Hospital Great Britain Hand Humans Male Prognosis Reconstructive Surgical Procedures / methods* Risk Assessment Self Mutilation / diagnosis, psychology, surgery* Self-Injurious Behavior / complications, psychology Treatment Outcome |
| Comments/Corrections | |
Comment In:
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J Plast Reconstr Aesthet Surg. 2011 Jan;64(1):8-9; discussion 9-10
[PMID:
20627759
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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