cqvip:The borderline syndrome is one of the most severe disturbances of psychosomatic dermatology.Patients with borderline syndrome are situatedon the borderof psychosis, neurosis and personality disorders.The skin as a borderline organ carries a symbolic role.The clinical picture includes artefactual skin diseases due to self-mutilation by conscious or unconscious cutting, and rubbing, scratching or para-artefactual manipulations of pre-existing dermatoses.Leading symptoms of the borderline syndrome are poor impulse control, emotional instability and poor ego strength with low frustration tolerance and unstable personal relationships.We present the case of a 38-year-old female patient with borderline syndrome suffering from para-artefactual skin diseases of the face and a massive hyperhidrosis of the hands and feet.Within 9 months she was treated in four acute psychiatric hospitals and by 12 psychiatrists and psychotherapists.Early and accurate diagnosis and high-quality, sophisticated long-term therapy are necessary.
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