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#1
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12-03-2024, 06:07 PM
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 These are the rooms Poster Rank:26 of ruin. Join Date: Sep 2014 Posts: 54,008 54,008Posts 87,658Thanked 30,403Quoted 145Mentioned 0Contrib. |
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Severe Dermatillomania
C.W. a 39-year-old woman, mother of 5, with a history of depression who presented with an enlarging full-thickness right paramedial scalp wound. . Over the past year, the patient was noted by multiple family members to be compulsively picking her scalp until she finally presented by the urging of her mother with exposed calvarium. Social history was pertinent for mothering 5 children along with multiple pets at home including cats and a bearded dragon. Psychiatry, neurosurgery, and plastic and reconstructive surgery (PRS) were consulted. Her depression had been worsening, but she had not sought out any additional treatment. Psychiatry diagnosed her with body-focused repetitive behavior (BFRB) disorder, starting her with fluoxetine and cognitive behavioral therapy (CBT). Neurosurgery denied indication to intervene, as the calvarium was intact and there were no neurological deficits. PRS then performed a 2-stage reconstruction of the 6 x 8-cm defect. Stage 1 included debridement, bone burring and placement of a dermal matrix template, and negative pressure wound therapy (NPWT) . Stage 2 took place 5 weeks later with placement of a meshed split-thickness skin graft . Reconstruction was successful, and the patient is doing well amidst ongoing psychiatric challenges .
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#2
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12-03-2024, 11:08 PM
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| ♚ Legacy Gold Member ♚ Poster Rank:92 Male Join Date: Nov 2009 Posts: 17,178 17,178Posts 44,906Thanked 4,702Quoted 8Mentioned 0Contrib. |
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Re: Severe Dermatillomania
Well, she needed THAT like a hole in the head! Oh...............wait!.................. |
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#3
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12-03-2024, 11:42 PM
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 My Rank: MASTER GUNNERY SERGEANT Poster Rank:352 Manly Man Join Date: Sep 2017 Posts: 3,601 3,601Posts 12,427Thanked 700Quoted 0Mentioned 0Contrib. |
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Re: Severe Dermatillomania
I guess her skull really itched.
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