Dermatitis artefacta

Abstract

Dermatitis artefacta (DA) is a psychocutaneous disorder where the skin lesions are self self-induced to satisfy an unconscious psychological or emotional need. We report a case of DA where we video recorded the patient self-inducing the lesions.

Dermatitis artefacta in a child: An interesting morphological presentation

“…Several causes such as delayed developmental milestones, loss of close relatives in the recent past, separation from parents/close relatives, disturbed parent–child relationship, domestic violence, gender bias, pressure to do well in exam, bullying in school, conflict with siblings have been implicated as the precipitating factors for dermatitis artefacta. [ 3 4 5 ] In our case, separation from the father and getting less attention from the mother was the cause of dermatitis artefacta in the child; he was injuring himself with square-shaped wooden stamp and some irritant to gain the attention of parents. The child was given cognitive behavior therapy along with identification of cognitive errors and correction of maladaptive cognition.…”

SkIndia Quiz 15: Hyperpigmented and purpuric plaques on trunk

“…[5] Our patient had all these features along with subcorneal clefts and evidence of some foreign bodies in the dermis. Management of these patients includes a gentle and non-confrontational approach by building a mutual trust with them.…”

Attention deficit hyperactivity disorder presenting as dermatitis artefacta

“…[ 8 ] Interpersonal conflicts with siblings and parent are often the underlying stressors as was in our patient. [ 4 5 ]…”

“…[ 2 ] Emotional disturbances, sibling rivalry and interpersonal conflicts have been reported to be underlying reasons in children. [ 3 4 5 ] Here, we describe a 12-year-old female child with dermatitis artefacta who was diagnosed with attention deficit hyperactivity disorder (ADHD) and managed with atomoxetine.…”