There are more things in heaven and earth, Horatio, Than are dreamt of in your philosophy. – Hamlet (1.5.167-8) By David J. Elpern, M.D.The Skin Clinic 12 Meadow Street, Williamstown, MA 01267djelpern@gmail.com Keywords: medically unexplained symptoms, medically unexplained dermatological symptoms, MUDS, functional symptoms, dermatology All dermatologists see patients with complaints that defy definitive medical diagnosis.  They consult us with hopes for a conclusive diagnosis and treatment, or even just for someone to listen to their symptoms with a supportive ear. Some of our patients have baffling, unexplained symptoms often related to cutaneous pain, pruritus, unexplained skin sensations or excoriations.   These patients frequently have other symptoms: headaches, chest pain, gastrointestinal disorders, … Continue reading →