AssessmentsBody dysmorphic disorder
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 25-year-old woman who is in the surgical ward after an appendectomy is being evaluated for an erythematous excoriation with a serosanguinous crust on her right antecubital fossa where an IV line was placed. The nurse says that the patient has been picking at that area continuously despite being urged to stop. Physical examination shows dozens of hypertrophic, hyperpigmented scars on her chin, cheeks, and forearms. The patient says that she has caused them herself since her teenage years because she has not been able to break the stress habit, even after several infections. Which of the following is the most likely diagnosis?