Vol 8, No 3 (2022)
Case report
Published online: 2022-06-02
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Factitious disorder — a case report

Gabriela Żuk1, Karolina Pięta2, Izabela Rudy2, Adam Reich1
Forum Dermatologicum 2022;8(3):139-142.


Factitious disorder is a disease with a varied clinical picture, which is why it is often a challenge in diagnosis and treatment. The condition is classified as a primary psychiatric disorder, but patients are often unaware of their condition, deny its existence and refuse treatment. It is a chronic disease that requires frequent visits to a dermatologist and a psychiatrist, because it has a high recurrence rate, can lead to self-injury and disfiguring scars. The paper describes a case of induced dermatosis manifested as ulceration in the area of the back. In agreement with a psychiatrist, the treatment was initiated with clinical improvement. In conclusion, the area of mutual interpenetration of dermatology and psychiatry is extensive and not fully understood. Although dermatological diseases usually do not directly threaten the life of patients, they result in a reduction in the quality of life, dysfunction in fulfilling social roles, and may even lead to suicide attempts.

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  1. Chandran V, Kurien G. Dermatitis artefacta. [w:] StatPearls Publishing Treasure Island (FL), 2022. https://www.ncbi.nlm.nih.gov/books/NBK430936/ (2.05.2022).
  2. Gupta MA, Gupta AK. Self-induced dermatoses: A great imitator. Clin Dermatol. 2019; 37(3): 268–277.
  3. Shivakumar S, Jafferany M, Kumar SV, et al. A Brief Review of Dermatitis Artefacta and Management Strategies for Physicians. Prim Care Companion CNS Disord. 2021; 23(4).
  4. Makowska I, Gmitrowicz A. Psychodermatologia – pogranicze dermatologii, psychiatrii i psychologii. Psychiatr Psychol Klin. 2014; 14(2): 100–105.
  5. Korabel H, Dudek D, Jaworek A, et al. Psychodermatologia: psychologiczne i psychiatryczne aspekty w dermatologii. Przegl Lek. 2008; 65: 244–248.
  6. Dimitrov D, Reszke R, Szepietowski J. Self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach. Dermatology Review. 2016; 6: 475–478.
  7. Rosińska A, Walkowiak H, Żaba R. Dermatitis artefacta – opis przypadku. Post Dermatol Alergol. 2007; XXIV(6): 290–296.
  8. Klasyfikacja zaburzeń psychicznych i zaburzeń zachowania w ICD-10 : opisy kliniczne i wskazówki diagnostyczne / [red. przekł. Stanisław Pużyński, Jacek Wciórka ; zespół tł. Celina Brykczyńska et al.]. Vesalius, Kraków 2000.
  9. Nitsch K, Jabłoński M, Samochowiec J, et al. Zaburzenia pod postacią somatyczną: problematyczne zjawisko — problematyczna diagnoza. Psychiatria. 2015; 12: 77–84.