Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case report
Abstract Background Somatization is regarded as psychological or emotional distress in the form of physical symptoms that are otherwise medically unexplained. Case presentation We report a case of a patient with a somatic symptom disorder (SSD) and depression who was later diagnosed with anterior cu...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-019-2390-2 |
| _version_ | 1819061569273724928 |
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| author | Narifumi Yokoyama Ryousuke Shiraki Takashi Watanabe Makiko Shiinoki Michihiro Nin Taro Shimizu Norio Yasui-Furukori Kazutaka Shimoda |
| author_facet | Narifumi Yokoyama Ryousuke Shiraki Takashi Watanabe Makiko Shiinoki Michihiro Nin Taro Shimizu Norio Yasui-Furukori Kazutaka Shimoda |
| author_sort | Narifumi Yokoyama |
| collection | DOAJ |
| description | Abstract Background Somatization is regarded as psychological or emotional distress in the form of physical symptoms that are otherwise medically unexplained. Case presentation We report a case of a patient with a somatic symptom disorder (SSD) and depression who was later diagnosed with anterior cutaneous nerve entrapment syndrome (ACNES) when Carnett’s test was positive and block anesthesia using trigger point injections dramatically improved the symptom of abdominal pain. Conclusion We concluded that the differentiation of SSDs, such as psychogenic pain, from ACNES is very difficult. Psychiatrists should be aware of this syndrome. |
| first_indexed | 2024-12-21T14:44:58Z |
| format | Article |
| id | doaj.art-2c56a19f750542f080bdffcd55e3cb4a |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-12-21T14:44:58Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-2c56a19f750542f080bdffcd55e3cb4a2022-12-21T19:00:02ZengBMCBMC Psychiatry1471-244X2019-12-011911310.1186/s12888-019-2390-2Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case reportNarifumi Yokoyama0Ryousuke Shiraki1Takashi Watanabe2Makiko Shiinoki3Michihiro Nin4Taro Shimizu5Norio Yasui-Furukori6Kazutaka Shimoda7Department of Psychiatry, Dokkyo Medical University, School of MedicineDepartment of Psychiatry, Dokkyo Medical University, School of MedicineDepartment of Psychiatry, Dokkyo Medical University, School of MedicineDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, School of MedicineDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, School of MedicineDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, School of MedicineDepartment of Psychiatry, Dokkyo Medical University, School of MedicineDepartment of Psychiatry, Dokkyo Medical University, School of MedicineAbstract Background Somatization is regarded as psychological or emotional distress in the form of physical symptoms that are otherwise medically unexplained. Case presentation We report a case of a patient with a somatic symptom disorder (SSD) and depression who was later diagnosed with anterior cutaneous nerve entrapment syndrome (ACNES) when Carnett’s test was positive and block anesthesia using trigger point injections dramatically improved the symptom of abdominal pain. Conclusion We concluded that the differentiation of SSDs, such as psychogenic pain, from ACNES is very difficult. Psychiatrists should be aware of this syndrome.https://doi.org/10.1186/s12888-019-2390-2ACNESSSDsDifferentiating diagnosis |
| spellingShingle | Narifumi Yokoyama Ryousuke Shiraki Takashi Watanabe Makiko Shiinoki Michihiro Nin Taro Shimizu Norio Yasui-Furukori Kazutaka Shimoda Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case report BMC Psychiatry ACNES SSDs Differentiating diagnosis |
| title | Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case report |
| title_full | Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case report |
| title_fullStr | Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case report |
| title_full_unstemmed | Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case report |
| title_short | Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case report |
| title_sort | difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome acnes a case report |
| topic | ACNES SSDs Differentiating diagnosis |
| url | https://doi.org/10.1186/s12888-019-2390-2 |
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