Dermatitis artefacta: revisión

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

“… 6) Linear excoriations, inflicted through fingernails or sharp objects, are the second most common manifestation of DA after ulcers. 7) Interestingly, a large number of these patients visit dermatologists, for whom this condition remain a source of great discomfort and a diagnosis of exclusion. 7) The condition is diagnosed in dermatological practice using Gupta and Gupta’s 8) classificatory system under “disorders associated with self-inflicted dermatoses”, which is self-explanatory in a sense.…”

“… 7) Interestingly, a large number of these patients visit dermatologists, for whom this condition remain a source of great discomfort and a diagnosis of exclusion. 7) The condition is diagnosed in dermatological practice using Gupta and Gupta’s 8) classificatory system under “disorders associated with self-inflicted dermatoses”, which is self-explanatory in a sense. Mean age of presentation has been put at around 20 years, with a female preponderance and a greater prevalence in lower socio-economic strata.…”

“…Mean age of presentation has been put at around 20 years, with a female preponderance and a greater prevalence in lower socio-economic strata. 7) The history in these patients is usually “hollow”; 9) and those with an apparent cause as psychosis or malingering need to be excluded. 7) Diagnosing DA requires a high degree of suspicion, a meticulous appraisal of the dermatological signs and a detailed evaluation of psychological faculties.…”

Dermatitis artefacta presenting with localized alopecia of right eyebrow and scalp

“…An association has been described with impulse control disorder and obsessive-compulsive disorders. [ 1 7 ] Trigeminal neuralgia with depression has been reported as a precipitating factor for DA in one of the 28 cases studied by Mohandas et al . [ 8 ] These patients may be unwilling to acknowledge a psychiatric basis for their physical findings and hence, a trichologist needs to spend time probing into the psychological background as patients often tend to deter a psychiatric referral.…”

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

“…The patient may not be fully aware of this, and the true extent of this disorder, especially in children, is currently unknown. Patients rarely acknowledge responsibility for the lesions .…”