The Distrustful and Poorly Compliant Patient

  • Tien V. Nguyen
  • Jillian W. Wong
  • John Koo
Part of the Clinical Cases in Dermatology book series (CLIDADE)


Ms. Dickinson is a 56 year-old new patient presenting with severe scalp dermatitis and psoriasiform scaling, for which a tentative diagnosis of scalp psoriasis has been made. She reports trying several topical agents, each for a few days on six different occasions over a 3-month period, with inadequate control. The referring dermatologist, who called you prior to the patient visit, is concerned that her insufficient response to therapy has been a result of poor compliance. He notes that she typically resists his treatment recommendations, and on several occasions has made blanket statements indicating her distrust of medical professionals.


Medical Professional Poor Compliance Topical Agent Tentative Diagnosis Compliant Patient 
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Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  • Tien V. Nguyen
    • 1
  • Jillian W. Wong
    • 2
  • John Koo
    • 3
  1. 1.Department of DermatologyUniversity of New MexicoAlbuquerqueUSA
  2. 2.Department of DermatologyUniversity of CaliforniaDavis SacramentoUSA
  3. 3.Department of DermatologyUniversity of CaliforniaSan FranciscoUSA

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