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Published in: BMC Psychiatry 1/2019

Open Access 01-12-2019 | Somatoform Disorder | Case report

Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case report

Authors: Narifumi Yokoyama, Ryousuke Shiraki, Takashi Watanabe, Makiko Shiinoki, Michihiro Nin, Taro Shimizu, Norio Yasui-Furukori, Kazutaka Shimoda

Published in: BMC Psychiatry | Issue 1/2019

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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.
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Metadata
Title
Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case report
Authors
Narifumi Yokoyama
Ryousuke Shiraki
Takashi Watanabe
Makiko Shiinoki
Michihiro Nin
Taro Shimizu
Norio Yasui-Furukori
Kazutaka Shimoda
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2019
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-019-2390-2

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