American College of Physicians: Internal Medicine — Doctors for Adults ®

 
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Test yourself

A 34-year-old woman is evaluated for very dry, painful hands. She works in a daycare center and washes her hands 15 to 20 times daily, often for 2 to 3 minutes at a time. She has been applying lotion multiple times daily with no relief of the pain. She has a history of obsessive-compulsive disorder and takes no medications. In addition to decreasing the frequency of hand washing, what is the most appropriate therapy?

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