An extreme case of environmental neurosis

A 64 year old female patient was diagnosed with scleroderma and has been be d-ridden for 25 years. She wears no clothing whatsoever on the grounds of a n intolerance to textiles, and has spent the last eight years uninterrupted ly in bed in a construction of kitchen paper towels and rubber bed sheets. A somatic disease has been be ruled out and cenesthesic schizophrenia diagn osed. As differential diagnoses, somatization, somatiform disorders and hyp ochondria were considered. The patient refused any psychiatric treatment.