Ho Chi Minh City , a 42-year-old man with nail fungus, claimed that the fungus had entered his body and caused stomach pain, and requested a transfer from the Dermatology Hospital to the Oncology Hospital.
The above case was shared by Dr. Nguyen Truc Quynh, Department of Clinical Medicine 1, Ho Chi Minh City Dermatology Hospital, at the Southern Dermatology Scientific Conference on September 24. The male patient had been treated for nail fungus many times, the fresh fungal microscopy results were negative, but he was still very worried, "convinced" he had cancer. The patient had been hospitalized twice in his hometown of Binh Thuan with a diagnosis of gastric reflux, and a gastric endoscopy showed HP bacteria.
From the patient's account and assessment of the skin lesions, the doctor determined that the patient may have hypochondriacal paranoia and was referred to the Department of Psychiatry for further treatment.
According to Dr. Quynh, hypochondria is a person who believes that he or she has a disease despite medical evidence to the contrary. These delusions are common in the elderly, reflecting the increased concern about health in this age group. Hypochondria is often related to cancer, dermatology, or the shape of body parts, especially the nose. "Hypochondria is found in depressive disorders and schizophrenia," said Dr. Quynh.
Recently, the rate of mental illness has been increasing among patients who see dermatologists. Recently, Dr. Quynh received a 56-year-old female patient with red rashes on her face. She thought she had cancer, so she went to see a fortune teller to pray, but the lesions continued to spread. The patient went to many private hospitals, and tests confirmed a skin infection. However, the patient refused to accept it and requested treatment for skin cancer.
According to Dr. Quynh, in these cases, doctors must talk to and observe the patient's behavior to promptly detect mental disorders and promptly transfer them to another hospital.
Le Phuong
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