Psychosomatic? | Figure 1

ReginaldoCastro
Internal Medicine

Patient Details
Age: 32 years old, Sex: female.
Medical History: No important medical history.
Symptoms: For 3 months she has been showing sweating, tachycardia and nocturnal dyspnea. She says it’s a feeling of death.
5 days ago, pruritus appeared in the frontal region, with local erythema.

Probable Diagnosis Questions?
What is the probable diagnosis in this case?

Update
Panic disorder (or paroxysmal anxiety) with skin lesion secondary to local pruritus/irritation, not necessarily related to systemic disease.

Diagnosis Added
Panic disorder (or paroxysmal anxiety) with skin lesion secondary.

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