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Children with somatoform illness present a real diagnostic and management puzzle for the pediatric hospitalist. These children are a source of diagnostic confusion, often leading to unnecessary hospitalization, extensive testing, and frustration on the part of caretakers and providers. The psychiatric underpinnings of their clinical presentation are frequently only discovered through a process of elimination, leading to a diagnosis of exclusion for these children presenting with somatoform disorders. In this issue of Hospital Pediatrics, Bujoreanu and colleagues1 present their experience with this patient population in a large children’s hospital. This work, in association with a previous discussion on this topic in this journal,2 offers a way through this …
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