Factitious Dermatitis Apropos of a Case

Main Article Content

Jessica Magali Herrera Abarca
Verónica Maritza Carrillo Sañay
Jhoanna Cristina Almeida Alvarado
Darío Javier Guerrero Vaca

Keywords

Factitious dermatitis, Dermatologist, Psychiatric, polymorphism

Abstract

Factitious Dermatitis is a dermatosis with a psychiatric link, with a greater predisposition in the female sex, it constitutes a challenge for the Dermatologist due to the Polymorphism of the lesions where the patient denies the responsibility he has in self-inflicting the lesions, the diagnosis is practically by exclusion and due to the association with the history of presenting a psychiatric or psychological
affectation, to improve the patient's condition it is necessary to intervene in the treatment both for the skin lesions and for the underlying pathology of this dermatosis, which is the psychiatric disorder trying to restore the personality of the patient. Many times the referral to a psychiatrist is rejected by the patient and the doctor ends up changing, which will make it difficult to improve the skin condition. In this case presented, the patient understands her situation and entails a joint treatment having positive results in her health problem.

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References

1. Rodríguez-Pichardo, B. García-Bravo, E. Rodríguez-Rey, F. Camacho. Dermatitis artefacta. Clinical study of 201 patients (1976-
2006).
2. J. Koo, J. Do, C. Lee. Psychodermatology. J Am Acad Dermatol, 43 (2000), pp. 848-853 http://dx.doi.org/10.1067/mjd.2000.109274 |
Medline
3. C.S. Koblenzer. Psychotropic drugs in dermatology. Curr Opin Dermatol, 3 (1996), pp. 214-219
4. M.A. Gupta, A.K. Gupta. Psychodermatology: an update. J Am Acad Dermatol, 34 (1996), pp. 1030-1046 Medline
5. M. Jafferany. Psychodermatology: A guide to understanding common psychocutaneous disorders. Prim Care Companion J Clin Psychiatry, 9 (2007), pp. 203-213 Medline
6. W. Harth, K.M. Taube, U. Gieler. Factitious disorders in dermatology. J Dtsch Dermatol Ges, 8 (2010), pp. 361-372, http://dx.doi.org/10.1111/j.1610-0387.2010.07327.x | Medline
7. M. Musalek, B. Hobl, U. Mossbacher. Diagnosis and classification in psychodermatology.Dermatology and Psychiatry. Annotated medical
records, pp. 133-142
8. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 4th ed., American Psychiatric Press, (1994),
9. C.S. Koblenzer. Dermatitis artefacta. Clinical features and approaches to treatment. Am J Clin Dermatol, 1 (2000), pp. 47-55 Medline
10. Lyell. Dermatitis artefacta in relation to the syndrome of contrived disease. Clin Exp Dermatol, 11 (1976), pp. 109-126
11. Rodríguez Pichardo. Artifact dermatitis. Piel, 5 (1990), pp. 1-2
12. Lyell. Cutaneous artificial disease (a review, amplified by personal experience). J Am Acad Dermatol, 1 (1979), pp. 391-407
13. S.G. Consoli. Dermatitis artefacta: A general review. Eur J Dermatol, 5 (1995), pp. 5-11
14. E. Attolini, C. Conti, F. Moreau, J.P. Etesse, B. Fleury, G. Duclaux. Pathomimy: A borderline pathology. Rev Med Psychosom, 27 (1986), pp.
45-59
15. A.H. Ehsani, S. Toosi, M. Mirshams Shahshahani, M. Arbabi, P. Noormohammadpour. Psycho-cutaneous disorders: an epidemiological study. J Eur Acad Dermatol Venereol, 23 (2009), pp. 945-947 http://dx.doi.org/10.1111/j.1468-3083.2009.03236.x | Medline
16. N.P. Sheppard, S. O’Loughin, J.P. Malone. Psychogenic skin diseases: A review of 35 cases. Br J Psychiatry, 149 (1986), pp. 636-643
17. F. Heras-Mendaza. Dermatitis artefactas a hundred years ago, by Juan de Azúa. Actas Dermosifiliogr, 100 (2009), pp. 657-660
18. M.H. Hollender, H.S. Abram. Dermatitis facticia. South Med J, 66 (1973), pp. 1279-1285
19. K. Nielsen, M. Jeppesen, L. Simmelsgaard, K. Rasmussen Thestrup-Pedersen. Self-inflected skin diseases. A retrospective analysis of 57
patients with dermatitis artefacta seen in a dermatology department. Acta Derm Venereol, 85 (2005), pp. 512-515 http://dx.doi.org/10.1080/00015550510038250 | Medline
20. S. Verraes-Derancourt, C. Derancoutt, F. Poot, M. Heenen, P. Bernard. Dermatitis artefacta: retrospective study in 31 patients. Ann Dermatol Venereol, 133 (2006), pp. 235-238 Medline