<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932017000100077</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2017.04(01)77-086</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[¡Ayúdeme doctor, estoy muy enfermo! Una actualización de la clásica hipocondría al vigente trastorno de ansiedad por enfermedad]]></article-title>
<article-title xml:lang="en"><![CDATA[Help me doctor, I'm very sick! An update on the classic hypochondria to the current illness anxiety disorder.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torales]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2017</year>
</pub-date>
<volume>4</volume>
<numero>1</numero>
<fpage>77</fpage>
<lpage>86</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932017000100077&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932017000100077&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932017000100077&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La característica fundamental del trastorno de ansiedad por enfermedad (antes conocido como hipocondría) es la preocupación, no por los síntomas, sino por la creencia que tiene un paciente de padecer una enfermedad. Esta creencia, basada en una interpretación errónea de signos y sensaciones corporales, genera en el paciente un intenso malestar clínicamente significativo, con disfunción notable de sus actividades de la vida diaria y con un uso exagerado de recursos de salud. El paciente recorre varios servicios médicos y es atendido por varios profesionales, incluidos especialistas en Medicina Interna, Medicina Familiar y Psiquiatría. No obstante, la creencia de estar enfermo persiste a pesar de adecuada evaluación médica y reaseguramiento. A veces, la atención médica resulta en un aumento paradójico de la ansiedad, sin soslayar la posibilidad de complicaciones derivadas de pruebas y procedimientos diagnósticos a los que el paciente es sometido. Los pacientes afectados se sienten frustrados e insatisfechos con la atención médica recibida y la consideran inútil, sintiendo que los médicos no les prestan debida atención. Con base en lo anterior, en este artículo de revisión se hace una puesta al día del concepto, la etiopatogenia, la clínica y el diagnóstico del trastorno de ansiedad por enfermedad, así como de los principios que rigen su tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The fundamental characteristic of illness anxiety disorder (formerly known as hypochondria) is the concern not for the symptoms, but for the patient's belief that he or she is suffering from a disease. This belief, based on a misinterpretation of bodily signs and sensations, generates intense clinical discomfort in the patient, with marked dysfunction of his or her daily activities, and with an exaggerated use of health resources. The patient visits several medical services and is attended by many health professionals, including internal medicine specialists, family medicine physicians and psychiatrists, nevertheless, the belief of &#8203;&#8203;being sick persists despite adequate medical evaluation and reassurance. Sometimes, medical attention results in a paradoxical increase in anxiety, without overlooking the possibility of complications arising from tests and diagnostic procedures to which the patient is subjected. Affected patients are frustrated and dissatisfied with the medical care they receive and they find it useless, feeling that doctors do not give them proper attention. Based on the above, this review article updates the concept, etiopathogenesis, clinical signs and symptoms and diagnosis of illness anxiety disorder, as well as the principles governing its treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[de ansiedad por enfermedad]]></kwd>
<kwd lng="es"><![CDATA[hipocondría]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[tratamiento.]]></kwd>
<kwd lng="en"><![CDATA[illness anxiety disorder]]></kwd>
<kwd lng="en"><![CDATA[hypochondria]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
<kwd lng="en"><![CDATA[treatment.]]></kwd>
</kwd-group>
</article-meta>
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