Munchausen Syndrome as Dermatitis Simulata

Ambika, Hariharasubramony; Chankramath, Sujatha; Srinivasa, Seema

doi:10.4103/0253-7176.96171

Cited by 10 publications

(18 citation statements)

References 5 publications

(12 reference statements)

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“…Psychotherapy such as CBT is also recommended and is most successful in combination with a SSRI. Other medication classes such as antipsychotics, anxiolytics, and other antidepressants may be used to treat comorbid conditions 24–102 …”

Section: Resultsmentioning

confidence: 99%

“…A variety of skin lesions can be observed such as blisters, ulcers, erythema, oedema, purpura, or sinuses, and the morphology of the skin lesions is often bizarre, linear, or geometric with healthy, unaffected skin bordering the lesions. Lesions will be found in areas accessible to the patient such as extremities, face, and anterior trunk 38–40 . Dermatitis artefacta is classified as a factitious disorder under somatic system and related disorders in the DSM‐5 32…”

Section: Resultsmentioning

confidence: 99%

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A review of psychocutaneous disorders from a psychotherapeutic perspective—Toolkit for the dermatologist

Zagami¹,

Klepper²,

Wienecke³

et al. 2023

Skin Health and Disease

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Introduction The study of psychocutaneous disorders requires a multidisciplinary approach. It is of paramount importance that dermatologists understand the psychiatric premise for these disorders. Mental health professionals can also benefit from a better understanding of the dermatologic manifestations of psychiatric disorders they may encounter in their practice. Aim The aim of this study is to elevate the level of understanding regarding psychotherapeutic treatment of psychocutaneous disorders. Methods We performed a literature review using the major databases. Four researchers reviewed English, full text, peer‐reviewed articles that were published after 2000 using our specific search terms and inclusion/exclusion criteria. Results The majority of psychocutaneous disorders seem to be clustered among three DSM‐5 disorders: depressive disorders, anxiety disorders, and obsessive‐compulsive related disorders. Conclusions Better recognition of the underlying psychiatric comorbidities may lead to improved patient outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A review of psychocutaneous disorders from a psychotherapeutic perspective—Toolkit for the dermatologist

Zagami¹,

Klepper²,

Wienecke³

et al. 2023

Skin Health and Disease

View full text Add to dashboard Cite

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“…Aside from the untoward effects of FD on sufferers, caring medical professionals are also vulnerable to the psychological impact. They may be resentful for being "tricked" and "exploited" of their valuable time and support (50) while others may feel guilty for agreeing to be coaxed into the emotional conflicts that often accompany the disorder (51). In patient care, telemedicine is unique to modern-day medical consultation because it provides many benefits, such as making care more accessible and convenient.…”

Section: Discussionmentioning

confidence: 99%

Insights into the clinical profile and comorbidities of Factitious Disorder in a multispecialty setting in southwest Nigeria: A cases series and review

Fasesan

AWOKOYA

2022

Babcock Univ. Med. J.

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Background: Factitious disorder (FD) is an under-recognized and under-diagnosed mental condition. Healthcare professionals often have challenges to diagnose and treating the disorder. As a result, needless and endless medical resources are recommended to assess and evaluate those affected. FD may present as a physical condition, a psychological disorder, or maybe both depending on the prominent symptoms. However, there is a strong correlation between having FD and psychiatric symptoms. Main Text: FD occurs in early adulthood, with a mean age of onset of 25 years in both genders, although with differing demographic features. The lifetime prevalence of FD imposed on oneself in clinical settings is 1.0%, 0.1% in the overall population (ranging between 0.007% and 8.0%) and occurs more in female health care professionals. FD may make up 0.6%–3.0% of psychiatric referrals, and it accounts for 3-5% of doctor-patient contacts. In actuality, 1-2% of hospital admissions and an average of 6-8% of all psychiatric admissions have been underreported. The study aimed to highlight the signs and symptoms of FD identified in a psychiatry department of a multispecialty center and to increase the awareness of health practitioners. A critical review of the literature was done with an emphasis on psychological symptoms. PubMed, Mendeley, and Google Scholar were thoroughly searched and full-text publications of journals from 2010-2021 were included. Conclusion: FD is a diagnostic puzzle that necessitates adequate, prompt medical attention as well as social support because of the potentially fatal consequence. A stronger patient-therapist relationship can strengthen the patient's conscious self-control to minimize the symptoms; therefore the healthcare provider has to be open-minded. For the diagnostic enigma to be removed and for ease of treatment, additional research, increasing awareness among medical professionals and the general public, accurate evaluation, diagnosis, and psychotherapy should be encouraged. These case studies will contribute to the knowledge base of FD and improve the quality of care.

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“…Dermatitis simulata is a related entity, where apparent skin disease is produced using an external disguise and there is no significant damage to the skin. [ 3 ] Some of the external agents used by patients of dermatitis simulata include cosmetics, to induce skin discoloration which can be easily removed by spirit swabs, crystallized sugar to simulate keratin crusts that can be dissolved in water. [ 4 ] In these patients, a detailed psychiatric evaluation is necessary to exclude malingering as a cause in which the patient may have a secondary material gain.…”

mentioning

confidence: 99%