Sclerosing Lipogranuloma with Multiple Skin Lesions and Pulmonary Involvement, Secondary to a Factitious Disorder

Tirico, Maria Claudia Carvas Passarelli; Neto, Cyro Festa; Valente, Neusa Yuriko Sakai; Nico, Marcello Menta Simonsen

doi:10.2340/00015555-2229

Cited by 2 publications

(1 citation statement)

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“…Clinical symptoms in patients with factitious dermatological disorder show great diversity and are connected with the way that the patients traumatize their skin. The skin lesions may present as erosions, ulcers, eschars, blisters, or nodules after injections [5]. Lesions are more obvious on the face, legs, and arms, and can also occur in children and adolescents; the main motivation is the assumption of the sick role of the patient with surreptitious actions to misrepresent, simulate, or cause signs or symptoms of illness in the absence of obvious external rewards and due to an unconscious psychological need [6,7].…”

Section: Introductionmentioning

confidence: 99%

Factitious Disorder as a Skin Ulcer: A Case Report

Kontoangelos,

Kousta,

Potouridou

et al. 2024

Cureus

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Dermatitis artefacta (factitious dermatitis) is a dermatological disease of different types; it could appear on various parts of the body. It is associated with severe difficulties, such as psychic distress and negative feelings aroused in healthcare personnel or borderline personality disorder, and the long-term possibility of patient self-harm to create more symptoms, resulting in unnecessary medical procedures. This is a case of a 17-year-old girl who was hospitalized with a skin ulcer on her right ankle that proved to be a factitious disorder. She was experiencing severe symptoms of anxiety, such as feeling nervous, having trouble sleeping and concentrating, and an inability to control worry due to her preparation for university studies. She refused to see a mental health professional since the onset of anxiety symptoms, i.e., the last four months.Patients who present with factitious disorder deliberately create clinical signs of a somatic disease because they need warmth and attention in a medical environment. Symptoms offer no significant benefit, and the pathophysiological mechanisms are mainly psychological. The primary treatment for factitious disorder is psychotherapy while the management of the ulcer requires dermatosurgical treatment.

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Section: Introductionmentioning

confidence: 99%