{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T15:42:12Z","timestamp":1773330132045,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2004,5,10]],"date-time":"2004-05-10T00:00:00Z","timestamp":1084147200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2004,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>The borderline syndrome is one of the most severe disturbances of psychosomatic dermatology. Patients with borderline syndrome are situated \u2018on the border\u2019 of 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\u2010mutilation by conscious or unconscious cutting, and rubbing, scratching or para\u2010artefactual manipulations of pre\u2010existing 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\u2010year\u2010old female patient with borderline syndrome suffering from para\u2010artefactual skin diseases of the face and a massive hyperhidrosis of the hands and feet. Within 9\u00a0months she was treated in four acute psychiatric hospitals and by 12 psychiatrists and psychotherapists. Early and accurate diagnosis and high\u2010quality, sophisticated long\u2010term therapy are necessary.<\/jats:p>","DOI":"10.1111\/j.1468-3083.2004.00965.x","type":"journal-article","created":{"date-parts":[[2004,6,11]],"date-time":"2004-06-11T14:43:39Z","timestamp":1086965019000},"page":"503-507","source":"Crossref","is-referenced-by-count":19,"title":["The borderline syndrome in psychosomatic dermatology Overview and case report"],"prefix":"10.1111","volume":"18","author":[{"given":"W","family":"Harth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Mayer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Linse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,6,11]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-1781(00)00179-7"},{"key":"e_1_2_4_3_2","first-page":"221","article-title":"Borderline syndromes: borderline area or no\u2010man's land? 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