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Case report
Published online: 2024-11-22
Intentional or accidental? Case report of dermatological factitious disorder
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DOI: 10.5603/fd.103351
Abstract
The self-induced dermatoses represent even about 2% of dermatology patient visits. Dermatological factitious disorder includes actions which lead to the damage of the body tissues without any suicidal intentions. It occurs rarely; thus, it can be misdiagnosed as a more common disease. It most often coexists with an emotionally unstable and immature personality. Accurate interviews and histopathology are of superior importance in diagnosis. Psychotherapy, antidepressants or antipsychotics are crucial in treatment.
Keywords: factitious disorderself-induced dermatosesemotional instabilityintentional dermatosespsychodermatology
References
- Catalina M, Macias Gómez V, de Cos A. Prevalence of factitious disorder with psychological symptoms in hospitalized patients. Actas Esp Psiquiatr. 2008; 36(6): 345–349.
- Schechter-Perkins EM, Mitchell PM, Murray KA, et al. Prevalence and predictors of nasal and extranasal staphylococcal colonization in patients presenting to the emergency department. Ann Emerg Med. 2011; 57(5): 492–499.
- Kumar N, David MZ, Boyle-Vavra S, et al. High Staphylococcus aureus colonization prevalence among patients with skin and soft tissue infections and controls in an urban emergency department. J Clin Microbiol. 2015; 53(3): 810–815.
- Ellis MW, Schlett CD, Millar EV, et al. Prevalence of nasal colonization and strain concordance in patients with community-associated Staphylococcus aureus skin and soft-tissue infections. Infect Control Hosp Epidemiol. 2014; 35(10): 1251–1256.
- Kim MW, Greenfield BK, Snyder RE, et al. The association between community-associated Staphylococcus aureus colonization and disease: a meta-analysis. BMC Infect Dis. 2018; 18(1): 86.
- Bonamonte D, Foti C, DE Marco A, et al. Self-inflicted pathological cutaneous disorders. Part II. Ital J Dermatol Venerol. 2022; 157(6): 480–488.
- Gupta MA, Gupta AK. Self-induced dermatoses: a great imitator. Clin Dermatol. 2019; 37(3): 268–277.
- Yates GP, Feldman MD. Factitious disorder: a systematic review of 455 cases in the professional literature. Gen Hosp Psychiatry. 2016; 41: 20–28.
