9. A preoccupation with body habitus, both of the patient's own and with that of others. In male sufferers, this can manifest as an extreme concern with definition of abdominal muscles ("washboard abs," "sixpack"). These patients have a notable comorbidity for steroid drug use. In women, this same tendency can manifest as an obsession with body weight, or concern about perceived, often imagined, "defects". Elective surgery or other medical intervention changing body or specific organ appearance/prominence is frequently sought by KPD sufferers, and thus morbidity associated with these operations is more frequent among KPD patients. Female sufferers may exhibit anorexia/bulimia. KPD patients may have a mild form of Body Dysmorphic Disorder (DSM-IV 300.7).
