Factitious Disease in the Field of Dermatology

Gieler, Uwe

doi:10.1159/000288903

Cited by 39 publications

(22 citation statements)

References 13 publications

(15 reference statements)

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“…Autodestructive syndromes are at times striking for the direct, indirect or combined methods of patient self-manipulation they involve [1,2,3,4,5] and examples have been reported from numerous fields of medicine [6,7,8,9]. …”

Section: Methodsmentioning

confidence: 99%

Autodestructive Syndromes

Kocalevent

Fliege

Rose

et al. 2005

Psychother Psychosom

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Background: The phenomenon ‘autodestructive behaviour’ is becoming an increasingly serious disease and cost factor in a wide range of medical fields. The present paper presents a survey of the literature on autodestructive behaviour, excluding psychotic, substance-induced or organic brain disorders. Starting out with a conceptual overview, the paper goes on to look into the epidemiology of autodestructive behaviour and the forms in which it manifests itself. Method: A literature search was conducted in Medline, Psycinfo and Psyndex using the search terms ‘artifact’, ‘artificially induced’, ‘autodestructive’, ‘self-mutilation’, ‘factitious’, ‘self-harm’, ‘self-induced’, ‘self-inflicted’, ‘self-injuring’ and ‘self-mutilation’ for the period from 1977 to 2003. Results: Five of a total of 18 empirical studies describe the simultaneous occurrence of direct and indirect forms of autodestructive behaviour. Reported prevalence rates range from 0.032% to 9.36%. The ratio of females to males was found to be 2:1 (average age: 31.5 years; SD: 9.3 years); in contrast, the gender ratio was reversed for Munchausen’s syndrome. The case history data presented are patchy and differ in terms of their priorities. We found a large number of codiagnoses, which seems to indicate that personality and dependence disorders, or substance misuse, are characteristic of both direct and indirect forms of autodestructive behaviour. Conclusions: The task at hand is to use a yet-to-be-developed nomenclature and adequately operational diagnostic criteria to work out standardised survey instruments that do justice to the heterogeneity of this disorder complex.

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Section: Methodsmentioning

confidence: 99%

Autodestructive Syndromes

Kocalevent

Fliege

Rose

et al. 2005

Psychother Psychosom

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“…The onset of DA is usually related to definable precipitating events, which vary according to age and life situations. This condition is often associated with loss of parent or sibling in early childhood, recent or threatened loss of a loved one, marital or family conflicts, and psychiatric conditions such as anxiety or depression [2,5]. DA is often associated with other psychiatric conditions such as anxiety or depressive disorders.…”

Section: Discussionmentioning

confidence: 99%

Periocular and Perioral Artefactual Dermatitis: Dermatological and Psychiatric Management in a Hospital Setting

Pascual¹,

Miguélez²,

Vanaclocha³

et al. 2001

Dermatol Psychosom

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Dermatitis artefacta is defined as a self-inflicted condition in which the responsibility for the lesions is uniformly denied by the patient. We report the case of a 43-year-old woman with a 13-year rheumatological history, presenting at our hospital with atypical crops of blisters and pustules with an extremely symmetric distribution, located in periocular and perioral regions, of one year evolution. Psychiatric assessment confirmed a diagnosis of factitious disease. The combined dermatological and psychiatric in-hospital management of the patient is here described. Psychiatric relationship was established employing a supportive and empathic approach and avoiding direct confrontation. Therefore, cooperation between dermatologists and psychiatrists is strongly advocated.

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“…Artefakt dermatitlerinde lezyonlar›n kapat›larak izlenmesi en iyi tan›sal yöntemlerden biridir 55,57,58 . Kamera ya da ayna kullan›larak tespitler de mümkün olabilir 59 . Lezyonlar genelde görü-nür yerlerde olmaktad›r ancak fasyal maksiller ve oral ya da fasyal periorbital lokalizasyonlar nadir de olsa bildirilmifltir [60][61][62] .…”

Section: Artefakt Dermatitiunclassified

Primer Psikiyatrik Hastalıklar

Mercan¹

2012

Turkderm

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Factitious Disease in the Field of Dermatology

Cited by 39 publications

References 13 publications

Autodestructive Syndromes

Autodestructive Syndromes

Periocular and Perioral Artefactual Dermatitis: Dermatological and Psychiatric Management in a Hospital Setting

Primer Psikiyatrik Hastalıklar

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