240 results match your criteria Dermatitis Artefacta


Occupational dermatitis artefacta: a clinical case in a flight attendant.

Clin Ter 2020 Jul-Aug;171(4):e288-e290

Dermatology Department, Sapienza University of Rome, Sant'Andrea General Hospital, Rome.

Dermatitis artefacta is a psychosomatic disorder characterized by cutaneous lesions that are self-inflicted by the patient, apparently due to itchy sensation. Usually, the patient denies any direct involvement with this condition and is rarely conscious of the underlying psychosomatic etiology. Authors report a case of a flight assistant with hypertrophic scars, symmetrically located on both upper arms. Read More

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http://dx.doi.org/10.7417/CT.2020.2229DOI Listing

Trigeminal trophic syndrome: an important simulator of discoid cutaneous lupus erythematosus - a case series.

Lupus 2020 Jun 26:961203320935169. Epub 2020 Jun 26.

Department of Dermatology, University of São Paulo, Brazil.

Trigeminal trophic syndrome occurs secondary to trigeminal nerve injury, leading to anaesthesia and paraesthesia, with consequent vigorous facial skin manipulation and lesion production, simulating other facial diseases such as ulcerative discoid lupus erythematosus, tumours and other artificially produced lesions. Ulceration and destruction of the ala nasi is a typical feature besides scratching end excoriations in the cutaneous segment affected. In this series, we present the features of five patients with trigeminal trophic syndrome, highlighting possible confusion with cutaneous lupus. Read More

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http://dx.doi.org/10.1177/0961203320935169DOI Listing

Pruritic cutaneous lesions mimicking dermatitis artefacta in the course of mediastinal gray-zone lymphoma.

Postepy Dermatol Alergol 2020 Apr 6;37(2):280-282. Epub 2020 May 6.

Department of Dermatology, University Hospital, Krakow, Poland.

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http://dx.doi.org/10.5114/ada.2020.94850DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262819PMC

[Bullous dermatitis with multinucleated keratinocytes in dermatitis artefacta: A case report].

Ann Pathol 2020 Jan 27. Epub 2020 Jan 27.

Service de dermatologie, hôpital de la Source, CHR d'Orléans, 14, avenue de l'Hôpital, CS 86709, 45067 Orléans cedex 2, France.

We report the case of a 13-year-old young lady with a one year reccuring bullous dermatitis history for which the diagnostic hypothesis of dermatitis arterfacta was made. This hypothesis was made by the pathologist, without it being suggested by the dermatologist, after observing singular histological lesions coresponding to a cutaneous blister associated with epidermic necrosis with multinucleated keratinocytes. When dermatitis artefacta is suspected, a biopsy is usually conducted to rule out differential diagnosis such as auto-immmune dermatitis when there is a blister. Read More

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http://dx.doi.org/10.1016/j.annpat.2019.12.004DOI Listing
January 2020

Dermatitis Artefacta: An Update.

Skinmed 2019 1;17(5):311-316. Epub 2019 Sep 1.

Department of Dermatology and Venereology, All India Institute of Medical Sciences, Rishikesh, India;

Dermatitis artefacta is a specific psychocutaneous illness, in which the patient creates skin lesions to satisfy the unconscious need to presume a sick role. It is more common in women and in patients with a diagnosis of psychiatric illness/personality disorder (usually borderline) or external stressor. The clinical signs are characteristic and usually present with typical psychiatric manifestations. Read More

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Recurrent headache and facial ecchymosis: a case of dermatitis artefacta? Reply from authors.

Br J Dermatol 2020 Apr 26;182(4):1063-1064. Epub 2019 Dec 26.

Department of Dermatology, Hospital Universitario de Valme, Sevilla, Spain.

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http://dx.doi.org/10.1111/bjd.18699DOI Listing

Recurrent headache and facial ecchymosis: a case of dermatitis artefacta?

Authors:
N Kluger

Br J Dermatol 2020 Apr 25;182(4):1063. Epub 2019 Dec 25.

Department of Dermatology, Allergology and Venereology, Helsinki University Hospital, Helsinki, Finland.

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http://dx.doi.org/10.1111/bjd.18691DOI Listing

Cutaneous manifestation of IgG4-related disease mimicking dermatitis artefacta.

Australas J Dermatol 2020 Feb 11;61(1):e97-e99. Epub 2019 Sep 11.

Anatomical Pathology Department, NSW Health Pathology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

Dermatitis artefacta is a self-inflicted cutaneous disease presenting as sharply delineated ulcers, usually in accessible sites such as the head and neck. IgG4-related disease (IgG4-RD) is a recently recognised immune-mediated condition causing a fibroinflammatory process, resulting in the formation of tumefactive lesions in various organs, rarely presenting primarily in the skin. We report a case of cutaneous IgG4-RD clinically presenting as dermatitis artefacta. Read More

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http://dx.doi.org/10.1111/ajd.13162DOI Listing
February 2020
3 Reads

Factitial panniculitis as a manifestation of self-imposed factitious disorder.

Dermatol Online J 2019 May 15;25(5). Epub 2019 May 15.

Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL.

Factitious disorder imposed on self is characterized by self-induction. Dermatitis artefacta, the cutaneous subtype of factitious disorder imposed on self, can have a variety of atypical presentations. A 36-year-old woman with an extensive past medical history presented with painful nodules on her abdomen, thighs, and arms. Read More

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May 2019
16 Reads

Self-induced dermatoses: A great imitator.

Clin Dermatol 2019 May - Jun;37(3):268-277. Epub 2019 Jan 11.

Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

The self-induced dermatoses represent about 2% of dermatology patient visits, and include the recurrent body-focused repetitive behaviors (BFRB) (skin-picking or excoriation disorder, trichotillomania, onychophagia and onychotillomania), dermatitis artefacta, and features of other psychiatric disorders, for example, secondary to excessive grooming in body dysmorphic disorder, skin picking in delusional infestation, or secondary to self-harm in depressive disease. Among the BFRBs, onychophagia and onychotillomania are most likely to be associated with lesions that mimic other dermatologic conditions (eg, nail psoriasis, lichen planus, vasculitis, onychomycosis, melanoma). Dermatitis artefacta (DA) describes lesions that are self-inflicted with the intention of assuming a sick role in the absence of obvious external rewards. Read More

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http://dx.doi.org/10.1016/j.clindermatol.2019.01.006DOI Listing
December 2019
29 Reads

[Pitfall cryothermic dermatitis artefacta].

Hautarzt 2019 Nov;70(11):883-887

Klinik für Dermatologie, Venerologie und Allergologie, Universitätsmedizin Leipzig, Philipp-Rosenthal-Str. 23, 04103, Leipzig, Deutschland.

We present four clinicopathological correlated cases of young patients with cryothermic dermatitis artefacta. They were initially misdiagnosed as primary bullous dermatoses or fixed drug eruptions. Cryothermic dermatitis artefacta can imitate authentic dermatoses such as linear IgA bullous dermatosis, herpes virus infection, bullous pemphigoid or fixed drug eruption. Read More

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http://dx.doi.org/10.1007/s00105-019-4443-3DOI Listing
November 2019
13 Reads

Aerosolised deodorant-induced bullous dermatitis artefacta: A clinicopathological correlation.

Australas J Dermatol 2019 Nov 3;60(4):331-333. Epub 2019 Jun 3.

Department of Dermatology, Waikato Hospital, Hamilton, New Zealand.

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http://dx.doi.org/10.1111/ajd.13083DOI Listing
November 2019
14 Reads

Dermatitis artefacta mimicking cutaneous vasculitis: case report and literature overview.

Reumatologia 2019 29;57(2):106-108. Epub 2019 Apr 29.

Department of Internal Medicine, Faculty of Medicine, Federal University of Pelotas, Pelotas, Brazil.

A 31-year-old Caucasian woman with a history of anxiety disorder presented with chronic ulcerative lesions of the skin in arms and legs, treated initially as cutaneous vasculitis, evolving with relapsing during corticosteroid tapering, was diagnosed, after thorough investigation and no organic disease found, with dermatitis artefacta - a self-inflicted harm due to psychological disorders. Dermatitis artefacta is a rare condition, more frequent in women, in which traumatic skin lesions are caused by the patient him/herself, over accessible parts of the body, due to personality disorders. Clinicians should be aware of this alternative aetiology, especially as a differential diagnosis for refractory cutaneous vasculitis. Read More

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http://dx.doi.org/10.5114/reum.2019.84816DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532111PMC
April 2019
16 Reads

Dermatitis artefacta: self-inflicted genital injury.

Int Med Case Rep J 2019 18;12:71-73. Epub 2019 Mar 18.

Department of Dermatology and Venereology, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991, Moscow, Russia,

Background: The term dermatitis artefacta (factitious dermatitis, pathomimia) is reserved for the most severe variant of factitious physical disorder and is characterized by exaggerated lying (pseudologia fantastica), sociopathy, geographic wandering (peregrinating) from hospital to hospital, and seeking to be in the patient role.

Objective: This report aims to give attention to the importance of accurate and detailed history, and conducting an appropriate physical examination in patients with life-threatening diseases when the underlying cause is not apparent. The diagnosis of dermatitis artefacta must always be upheld. Read More

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http://dx.doi.org/10.2147/IMCRJ.S192522DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429999PMC
March 2019
12 Reads

Dermatitis Artefacta in a Child: An Interesting Morphological Presentation.

Indian Dermatol Online J 2019 Jan-Feb;10(1):72

Department of Psychiatry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

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http://dx.doi.org/10.4103/idoj.IDOJ_132_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362749PMC
February 2019
9 Reads

Ointment Pseudo-Cheilitis: A Disease Distinct From Factitial Cheilitis. A Series of 13 Patients From São Paulo, Brazil.

J Cutan Med Surg 2019 May/Jun;23(3):277-281. Epub 2019 Jan 17.

3 Department of Pathology, Dental School, University of São Paulo, Brazil.

Background: The terms exfoliative cheilitis, factitial cheilitis, and morsicatio labiorum are used to describe self-inflicted lesions of the lip.

Objective: Here we report and analyze clinical, pathological, and therapeutic data on 13 patients with a form of factitial cheilitis that we believe should be considered a separate entity.

Results: Eight patients were male and 5 patients were female. Read More

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http://dx.doi.org/10.1177/1203475418825112DOI Listing
December 2019
33 Reads

Urological Manifestation of Cryptic Severe Psychiatric Illness.

Mil Med 2019 05;184(5-6):e489-e491

Arnot Ogden Medical Center Emergency Medicine Residency Program, 1001 Hoffman St, Elmira, NY.

Penile cellulitis has rarely been reported in the literature and never secondary to self-injury with subsequent sexual activity. It presents a challenging diagnostic situation in that the patient will likely be less than forthcoming about the etiology of his symptoms despite his willingness to seek formal medical attention. We present a case of penile cellulitis secondary to dermatitis artefacta in a severely depressed new submarine sailor. Read More

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http://dx.doi.org/10.1093/milmed/usy320DOI Listing
May 2019
13 Reads

Dermatitis artefacta.

Clin Dermatol 2018 Nov - Dec;36(6):719-722. Epub 2018 Aug 16.

Department of Dermatology, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA.

Dermatitis artefacta, also known as factitial dermatitis, is a condition whereby self-induced skin damage is the means used to satisfy a conscious or unconscious desire to assume the sick role. It is particularly common in women and in those with an underlying psychiatric diagnosis or external stress. The diagnosis is one of exclusion, and it is often difficult to confirm, with patients rarely admitting their role in the creation of their lesions. Read More

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http://dx.doi.org/10.1016/j.clindermatol.2018.08.003DOI Listing
March 2019
22 Reads

[Self-inflicted lesions in the context of hidradenitis suppurativa: Pathomimicry].

Ann Dermatol Venereol 2019 Feb 22;146(2):135-140. Epub 2018 Oct 22.

Département de dermatologie et vénéréologie, hôpital Bel-Air, CHR Metz-Thionville, 57000 Thionville, France.

Background: Factitious disorders constitute a complex pathology for the dermatologist. Although a diagnosis is often indicated, it is difficult to confirm and treatment is complicated. Dermatitis artefacta is the somatic expression of an often serious psychiatric disorder consciously created by patients on their own cutaneous-mucosal surfaces but the motivation is unconscious and no secondary benefits are sought (in contrast to simulation). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01519638183071
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http://dx.doi.org/10.1016/j.annder.2018.07.028DOI Listing
February 2019
59 Reads

Histopathological patterns in dermatitis artefacta.

J Dtsch Dermatol Ges 2018 May 24;16(5):559-564. Epub 2018 Apr 24.

Department of Dermatology, Jena University Hospital, Jena, Germany.

Background: Dermatitis artefacta is a relevant and frequently unrecognized clinical condition associated with self-harming behavior, in which unconscious manipulation causes skin lesions. While atypical lesions and an unusual disease course may give rise to clinical suspicion of a self-induced disorder, questioning and examining these patients usually fails to confirm or clarify this suspicion. In this setting, the dermatopathologist may be faced with the question whether there are any histological signs corroborating the diagnosis of dermatitis artefacta. Read More

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http://doi.wiley.com/10.1111/ddg.13504
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http://dx.doi.org/10.1111/ddg.13504DOI Listing
May 2018
54 Reads

Dermatitis artefacta in childhood and adolescence: a spectrum of disease.

G Ital Dermatol Venereol 2018 Aug 19;153(4):525-534. Epub 2018 Apr 19.

Department of Dermatology, Royal London Hospital, London, UK -

Dermatitis artefacta (DA) or artefactual skin disease (ASD) is a factitious skin disorder rarely reported in the pediatric population. Skin lesions are produced deliberately either consciously or in a dissociative state to satisfy an underlying psychological need. Children may present with acutely formed skin changes or with chronic lesions, quite often having seen other specialists during their journey. Read More

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https://www.minervamedica.it/index2.php?show=R23Y2018N04A052
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http://dx.doi.org/10.23736/S0392-0488.18.06019-4DOI Listing
August 2018
50 Reads

[Image of the month. Dermatitis Artefacta.]

Rev Med Liege 2017 Dec;72(12):521

Service de Psychiatrie, Centre Hospitalier Universitaire Mohammed VI, Faculté de Médecine et de Pharmacie, Université Mohammed premier, Oujda, Maroc.

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December 2017
40 Reads

Review of epidemiology, clinical presentation, diagnosis, and treatment of common primary psychiatric causes of cutaneous disease.

J Dermatolog Treat 2018 Jun 5;29(4):418-427. Epub 2017 Nov 5.

c Psychiatry and Neurology Department , Florida Atlantic University Charles E. Schmidt College of Medicine , Boca Raton , FL , USA.

Approximately half of all patients presenting to dermatologists exhibit signs and symptoms of psychiatric conditions that are either primary or secondary to cutaneous disease. Because patients typically resist psychiatric consult, dermatologists often are on the front line in evaluating and treating these patients. Accordingly, distinguishing the specific underlying or resulting psychiatric condition is essential for effective treatment. Read More

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https://www.tandfonline.com/doi/full/10.1080/09546634.2017.1
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http://dx.doi.org/10.1080/09546634.2017.1395389DOI Listing
June 2018
45 Reads

Factitious Dermatitis Due to Thermal Burn With Histologic Features Simulating Fixed Drug Eruption.

Am J Dermatopathol 2017 Aug;39(8):622-624

*Department of Dermatology, University of Cincinnati, Cincinnati, OH; †Miraca Life Sciences Research Institute, Irving, TX; and ‡Department of Dermatology, University of Florida College of Medicine, Gainesville, FL.

Factitious dermatitis (FD) (dermatitis artefacta) is rare and often difficult to diagnose because of conflicting history and nonspecific clinical and histologic findings. It can present with varied clinical features including geometric ulcers, erosions, and less commonly bullae secondary to external trauma from chemicals, electric burns, heat, and suction. Herein, we describe a case of bullous FD due to thermal burn with histologic features demonstrating overlap with fixed drug eruption. Read More

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http://dx.doi.org/10.1097/DAD.0000000000000840DOI Listing
August 2017
25 Reads

Psychiatric disorders and pruritus.

Clin Dermatol 2017 May - Jun;35(3):273-280. Epub 2017 Jan 22.

Department of Dermatology and Itch Center, Miller School of Medicine, University of Miami Medical Center, Miami, Florida. Electronic address:

The skin and psyche are intimately related with various skin diseases caused by or resulting in psychiatric disturbances. Pruritus is a commonly reported symptom in psychiatric patients, and likewise psychiatric co-morbidities, including anxiety and depression, are frequently seen in chronic pruritus patients. Primary psychodermatologic conditions, such as somatic symptom disorder, dermatitis artefacta, obsessive-compulsive and related disorders (excoriation disorder and prurigo nodularis), delusional infestation, and substance use disorder, can all induce significant pruritus in patients, severely affecting their quality of life. Read More

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http://dx.doi.org/10.1016/j.clindermatol.2017.01.008DOI Listing
November 2017
165 Reads

Dissociation and conversion symptoms in dermatology.

Clin Dermatol 2017 May - Jun;35(3):267-272. Epub 2017 Jan 21.

Department of Medicine, Faculty of Medicine, University of Toronto, Ontario, Canada.

Dissociation and conversion (defined as the somatic component of dissociation) can play an important mediating role in the exacerbation of the stress-reactive dermatoses (eg, psoriasis, idiopathic urticaria, atopic dermatitis), dermatoses that are exacerbated by excessive scratching (eg, lichen simplex chronicus, prurigo nodularis) and koebnerization, and the self-induced dermatoses (dermatitis artefacta, acne excoriée, skin picking disorder, trichotillomania, onychotillomania/onychophagia). Dissociative symptoms often coexist with obsessive-compulsive symptoms in the more severe cases of the self-induced dermatoses. Dissociation can play an important role in cutaneous sensory disorder (eg, scalp dysesthesia syndrome, stomatodynia/glossodynia, vulvodynia/scrotodynia, medically unexplained anesthesia). Read More

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http://dx.doi.org/10.1016/j.clindermatol.2017.01.003DOI Listing
November 2017
45 Reads

Posttraumatic stress disorder (PTSD) and the dermatology patient.

Clin Dermatol 2017 May - Jun;35(3):260-266. Epub 2017 Jan 22.

Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Dermatologic symptoms can be associated with posttraumatic stress disorder (PTSD) in several situations: (1) as features of some core PTSD symptoms, such as intrusion symptoms manifesting as cutaneous sensory flashbacks, as autonomic arousal manifesting as night sweats and idiopathic urticaria, and as dissociation manifesting as numbness and dermatitis artefacta; (2) the cutaneous psychosomatic effects of emotional and physical neglect and sexual abuse (eg, infantile eczema, cutaneous self-injury, and body-focused repetitive behaviors such as trichotillomania and skin picking disorder) and eating disorders, which can have dermatologic effects; (3) the direct effect of physical or sexual abuse or catastrophic life events (eg, earthquakes) on the skin; and (4) as a result of significant alterations in hypothalamic-pituitary-adrenal and sympatho-adrenal medullary axes, which can affect neuroendocrine and immune functions, and can lead to exacerbations of stress-reactive inflammatory dermatoses such as psoriasis, chronic urticaria, and atopic dermatitis. Elevated levels of inflammatory biomarkers and impaired epidermal barrier function have been reported in situations involving sustained psychologic stress and sleep deprivation. Some PTSD patients show hypothalamic-pituitary-adrenal axis hyporesponsiveness and higher circulating T lymphocytes, which can exacerbate immune-mediated dermatologic disorders. Read More

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http://dx.doi.org/10.1016/j.clindermatol.2017.01.005DOI Listing
November 2017
65 Reads

Obsessive-compulsive skin disorders: a novel classification based on degree of insight.

J Dermatolog Treat 2017 Jun 24;28(4):342-346. Epub 2016 Oct 24.

b Department of Dermatology, Psoriasis and Skin Treatment Center , University of California San Francisco , San Francisco , CA , USA.

Individuals with obsessive-compulsive features frequently visit dermatologists for complaints of the skin, hair or nails, and often progress towards a chronic relapsing course due to the challenge associated with accurate diagnosis and management of their psychiatric symptoms. The current DSM-5 formally recognizes body dysmorphic disorder, trichotillomania, neurotic excoriation and body focused repetitive behavior disorder as psychodermatological disorders belonging to the category of Obsessive-Compulsive and Related Disorders. However there is evidence that other relevant skin diseases such as delusions of parasitosis, dermatitis artefacta, contamination dermatitis, AIDS phobia, trichotemnomania and even lichen simplex chronicus possess prominent obsessive-compulsive characteristics that do not necessarily fit the full diagnostic criteria of the DSM-5. Read More

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http://dx.doi.org/10.1080/09546634.2016.1240864DOI Listing
June 2017
46 Reads

Epidermal necrosis with multinucleated keratinocytes: a possible diagnostic clue for dermatitis artefacta in children.

J Eur Acad Dermatol Venereol 2016 Oct 15;30(10):e101-e102. Epub 2015 Sep 15.

Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

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http://dx.doi.org/10.1111/jdv.13344DOI Listing
October 2016
29 Reads

Dermatitis Artefacta Mimicking Borderline Personality Disorder: Sometimes, Skin Could Be Misleading.

Clin Psychopharmacol Neurosci 2016 Aug;14(3):311-3

Consultant Psychiatrist, Kolkata, India.

Dermatitis artefacta lies in a gray zone, between the specialities of psychiatry and dermatology. The condition could mimic a number of other lesions and therefore is a source of much confusion in clinical practice. Here, we describe a case of dermatitis artefacta in an 11-years old girl, which resembled self-harming behavior in Borderline personality disorder. Read More

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http://dx.doi.org/10.9758/cpn.2016.14.3.311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4977810PMC
August 2016
29 Reads

Hypochondriasis Circumscripta: A Neglected Concept with Important Implications in Psychodermatology.

Acta Derm Venereol 2016 Aug;96(217):64-8

Department of Psychiatry and Psychosomatics, I.M.Sechenov First Moscow State Medical University, Moscow, Russia.

The article is devoted to a psychodermatological disorder with self-destructive behavior - hypochondriasis circumscripta. Presented data are based on a clinical analysis of 22 consecutive cases (15 female; mean age - 56.1 ± 12. Read More

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http://dx.doi.org/10.2340/00015555-2371DOI Listing
August 2016
43 Reads

Dermatitis Artefacta Presenting as Recurrent Periorbital Cellulitis.

J Pediatr 2016 Aug 2;175:237-237.e1. Epub 2016 Jun 2.

Department of Ophthalmology, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, United Kingdom.

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http://dx.doi.org/10.1016/j.jpeds.2016.05.003DOI Listing
August 2016
37 Reads

Epidermal multinucleated keratinocytes: a histopathologic clue to dermatitis artefacta.

J Cutan Pathol 2016 Oct 27;43(10):880-3. Epub 2016 Jun 27.

Department of Dermatology, Dermatology and Plastic Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.

Dermatitis artefacta is a psycho-cutaneous disorder characterized by self-inflicted cutaneous injuries, often in association with an underlying psychiatric disorder or as a response to external stressors. Cutaneous lesions suggestive of dermatitis artefacta are dependent on the means of injury and thus may be morphologically variable, but typically have geometric shapes, spare hard-to-reach anatomic areas, and are present in variable stages of evolution at any specific time. Although a dermatologist may be suspicious of dermatitis artefacta in a given patient, making a definitive diagnosis is extremely challenging. Read More

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http://dx.doi.org/10.1111/cup.12744DOI Listing
October 2016
96 Reads

Attention deficit hyperactivity disorder presenting as dermatitis artefacta.

J Pediatr Neurosci 2016 Jan-Mar;11(1):80-2

Department of Dermatology, AIIMS, Bhubaneswar, Odisha, India.

Dermatitis artefacta, a self-inflicted intentional dermatosis is a very rare diagnosis in childhood. In a large proportion, the underlying psychiatric disorders go unidentified due to lack of collaboration between dermatologist and psychiatrist. The underlying psychological reasons for childhood dermatitis artefacta include emotional distress and interpersonal conflicts. Read More

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http://dx.doi.org/10.4103/1817-1745.181263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862299PMC
May 2016
26 Reads

Dermatitis Artefacta Presenting with Localized Alopecia of Right Eyebrow and Scalp.

Int J Trichology 2016 Jan-Mar;8(1):26-8

Department of Dermatology and Venereology, Government Medical College, Thrissur, Kerala, India.

Dermatitis artefacta (DA) and trichotemnomania are self-inflicted dermatoses often preceded by psychosocial stressful events. A 38-year-old female presented with sudden loss of hair in the right frontal area along with discoloration and edema of skin. On examination, there was complete loss of hair involving the right frontal area and the lateral half of right eyebrow with skin over that area appearing scalded, edematous, bruised, and discolored. Read More

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http://dx.doi.org/10.4103/0974-7753.179395DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4830169PMC
April 2016
32 Reads

The Girl Shedding Glass Pieces from Her Body Parts: Unfolding the Mystery Behind Dermatitis Artefacta.

Indian J Dermatol 2016 Mar-Apr;61(2):193-5

Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India.

Patients presenting with unusual symptoms are uncommon. Unusual symptoms often catch the attention of the public including the health professionals. Atypicality in the symptoms is usually seen in patients with factitious disorder. Read More

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http://dx.doi.org/10.4103/0019-5154.177754DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4817446PMC
April 2016
63 Reads

Factitious Ulcer Misdiagnosed as Pyoderma Gangrenosum.

Wounds 2016 Feb;28(2):63-7

Hospital Infanta Leonor, Madrid, Spain.

Dermatitis artefacta may represent a real challenge for the clinician. As the patient does not admit self-inflicting the lesions, misdiagnosis with other diseases, such as pyoderma gangrenosum, is common. Consequently, these patients normally go through unnecessary tests and receive potentially harmful treatments as clinicians determine their diagnosis. Read More

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February 2016
42 Reads

[Dermatitis artefacta].

Ugeskr Laeger 2016 Feb;178(6):V10150786

Dermatitis artefacta is a self-inflicted skin disease with a multifactorial aetiology. The condition can be a symptom of an underlying psychiatric condition or a sign of psycho-social stressors. This paper gives an updated view on dermatitis artefacta. Read More

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February 2016
51 Reads

Dermatitis Artefacta: A Review of Five Cases: A Diagnostic and Therapeutic Challenge.

Indian J Dermatol 2015 Nov-Dec;60(6):613-5

Department of Dermatology, STD and Leprosy, Burdwan Medical College, Burdwan, West Bengal, India.

Dermatitis artefacta (DA) is a self-inflicted dermatological condition where the underlying motive is to assume a sick role. The act of self-harm is to discharge the inner sense of isolation and emotional distress, which is too great to endure. We, hereby, report five interesting cases of DA with varied presentations, using diverse and innovative means for inflicting injury/injuries. Read More

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http://dx.doi.org/10.4103/0019-5154.169139DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681205PMC
December 2015
72 Reads
1 Citation

Dermatitis artefacta of the scalp complicated by skull erosion and intracranial infection.

Acta Neurochir (Wien) 2015 Dec 15;157(12):2227-8. Epub 2015 Oct 15.

Division of Neurosurgery, University of Cambridge, Cambridge, UK.

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http://link.springer.com/content/pdf/10.1007/s00701-015-2608
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http://dx.doi.org/10.1007/s00701-015-2608-0DOI Listing
December 2015
15 Reads

Skin changes in primary psychiatric disorders.

Acta Dermatovenerol Croat 2015 ;23(2):87-95

Professor Aleksandra Basta-Juzbašić, MD, PhD, Department of Dermatology and Venereology, University Hospital Centre Zagreb, University of Zagreb School of Medicine, Šalata 4, 10000 Zagreb, Croatia;

Primary psychiatric disorders where skin changes appear most frequently include: delusions of parasitosis, body dysmorphic disorder, neurotic excoriations, dermatitis artefacta, and trichotillomania. In all these diseases the primary pathologic condition is of psychiatric nature, and the skin changes are secondary and self-induced. In this review we wanted to present the epidemiology, clinical pictures, and treatment options for these disorders. Read More

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January 2017
62 Reads

Polycyclic Annular Lesion Masquerading as Lupus Erythematosus and Emerging as Tinea Faciei Incognito.

Ann Dermatol 2015 Jun 29;27(3):322-5. Epub 2015 May 29.

Department of Dermatology, Korea University College of Medicine, Seoul, Korea.

Tinea incognito is a dermatophytic infection induced by immunosuppressive agents that lacks the classic features of a typical fungal infection. Although the treatment of tinea incognito is simple and relatively easy, its clinical manifestation varies and can masquerade as various skin disorders, causing misdiagnosis and thus preventing prompt and appropriate treatment. Here, we report an interesting case of tinea incognito occurring after topical steroid administration in an immunosuppressed patient with dermatitis artefacta. Read More

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http://dx.doi.org/10.5021/ad.2015.27.3.322DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4466288PMC
June 2015
39 Reads

Dermatitis Artefacta in Childhood: A Retrospective Analysis of 44 Patients, 1976-2006.

Pediatr Dermatol 2015 Sep-Oct;32(5):604-8. Epub 2015 Jun 8.

Department of Dermatology, Hospital Universitario Virgen Macarena, Sevilla, Spain.

Background: Dermatitis artefacta (DA) consists of self-inflicted skin lesions that the patient denies having produced.

Objectives: To conduct a single-center retrospective clinical review of children and adolescents diagnosed with DA.

Methods: From 1976 to 2006, data were collected on children diagnosed with DA who were seen in the Department of Dermatology in our hospital. Read More

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http://dx.doi.org/10.1111/pde.12625DOI Listing
June 2016
39 Reads

Dermatitis artefacta in an adolescent female.

J Cutan Pathol 2015 Sep 26;42(9):660-1. Epub 2015 May 26.

Department of Medicine (Dermatology), Vanderbilt University, Nashville, TN, USA.

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http://dx.doi.org/10.1111/cup.12499DOI Listing
September 2015
62 Reads

Obsessive-compulsive behaviour related cutaneous ulcers: two cases with therapeutic considerations.

Int Wound J 2016 Oct 14;13(5):860-2. Epub 2015 Jan 14.

Department of Pathology, Dental School, University of São Paulo, São Paulo, Brazil.

Obsessive-compulsive-related cutaneous disease most often includes trichotillomania, neurotic excoriations and nail biting. In this report, we present two cases of self-inflicted severe wounds that were diagnosed as secondary to obsessive-compulsive behaviour. Patients were middle-aged females who presented with deep cutaneous ulcers that were acknowledgedly maintained through repetitive manipulation. Read More

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http://dx.doi.org/10.1111/iwj.12393DOI Listing
October 2016
29 Reads

Dermatitis artefacta: growing awareness.

Indian J Psychol Med 2014 Oct;36(4):447-8

Department of Dermatology, Subharti Medical College, Meerut, Uttar Pradesh, India.

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http://dx.doi.org/10.4103/0253-7176.140760DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4201804PMC
October 2014
49 Reads

Photoletter to the editor: Bullous dermatitis artefacta induced with a hot spoon.

J Dermatol Case Rep 2014 Sep 30;8(3):81-3. Epub 2014 Sep 30.

Department of Dermatology and Venereology, Government Medical College and Hospital, Sector 32 B, Chandigarh, India.

A 22-year-old female presented to the dermatology department with a 8-month history of blistering lesions over the left forearm and face. Most of the bullae and erosions were perfectly round and of nearly the same size. In absence of any obvious etiological, precipitating or aggravating factor, a provisional diagnosis of dermatitis artefacta (self-inflicted dermatological lesions) was made. Read More

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http://dx.doi.org/10.3315/jdcr.2014.1181DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195506PMC
September 2014
30 Reads

Dermatitis artefacta as a symptom of schizophrenia?

Postepy Dermatol Alergol 2014 Aug 8;31(4):277-9. Epub 2014 Sep 8.

Psychodermatology Department, Medical University of Lodz, Poland. Head of Department: Prof. Anna Zalewska-Janowska MD, PhD.

Dermatitis artefacta is a disease that occurs as a result of a self-inflicted injury of the skin. The skin lesions are most often located on the areas within easy reach of the patient's dominant hand sparing the middle part of the back. Dermatitis artefacta may coexist with psychiatric disorders and imitate many dermatologic diseases. Read More

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http://dx.doi.org/10.5114/pdia.2014.40921DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4171666PMC
August 2014
46 Reads