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Cartwright R. Sleepwalking violence: a sleep disorder, a legal dilemma, and a psychological challenge. The value of sleep deprivation as a diagnostic tool in adult sleepwalkers. Body dysmorphic and/or obsessive-compulsive disorder: where do the diagnostic boundaries lie? Transtorno dismórfico corporal e/ou obsessivo-compulsivo: onde ficam as fronteiras diagnósticas? Dear Editor, Obsessive-compulsive disorder (OCD) and body dysmorphic disorder (BDD), although described in different sections of psychiatric classifications, present with many phenomenological similarities 1-3 and the latter is included in the obsessive-compulsive (OC) spectrum. 4 BDD is characterized by irrational preoccupations with nonexistent or minimal physical defects, which interfere in the individual's activities. Patients usually show mirror checking, avoidant and reassurance seeking behaviors that resemble OCD; both usually present early onset, chronic and fluctuating course and are frequently comorbid. 2,3 Herein we report a clinical case that raised considerable debate regarding the diagnostic boundaries between these disorders. Case report: S.P.O., a 50 year-old married woman, presented excessive preoccupation with her hair for six years, after she lightened it believing that dark hair made her look older. She began to ask blond women the type and name of products they used on their hair, writing down the information " so as not to forget it " , using the same pen and with " perfect " letters, in a ritualized manner. She went to beauty and cosmetic shops several times a day, checked product catalogues and when at home, phoned to recheck the information. She admitted that " this was absurd " , but could not control herself, otherwise she would become extremely anxious. She noted that attendants avoided her and was ashamed to think they were making fun of her. Sometimes they would call her family members, because she spent hours in the stores asking the same questions and bothering other clients. She developed depressive mood, insomnia, appetite and weight loss, hopelessness, apathy, self-depreciation, isolation, and suicidal ideation. Since adolescence she avoided going out during daylight, because she was ashamed of her " big and tortuous " nose and " enormous " hands and feet. She also believed her skin had many spots and used excessive sun protection measures. These thoughts continuously made her suffer and interfered considerably in her life and relationships. She also presented cleaning and ordering compulsions, which led to frequent quarrels with her husband and children. Family history: one sister with OC symptoms and excessive worries about her low …