[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.205.150.215. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
August 27, 1997

A 37-Year-Old Man With Multiple Somatic Complaints

Author Affiliations

Discussant
Dr Barsky is Director, Psychosomatic Research, Brigham & Women's Hospital, and Professor of Psychiatry, Harvard Medical School, Boston, Mass.

JAMA. 1997;278(8):673-679. doi:10.1001/jama.1997.03550080083044
Abstract

DrDelbanco:  Mr H is a 37-year-old man who has had multiple physical complaints for years without a clear medical diagnosis. An immigrant from Colombia to the United States, he is selfemployed, and works as an educator for the young in the inner city. He is covered by a commercial managed care insurance plan and is cared for by a medical resident in primary care practice at the Beth Israel Deaconess Medical Center.His multiple physical complaints began during adolescence with nausea and vomiting without weight change In recent years, he has suffered from periodic pruritus ani, legs that become "weak" at times, and allergic symptoms including hay fever, allergy to cats, and recurrent itchiness around the eyes. He notes a frequent rectal discharge and had 1 episode of bleeding, evaluated by colonoscopy, which was normal. Liver function tests were mildly elevated in the past. He has experienced pain and numbness

×