Self-induced skin conditions: differential diagnosis and management

Goulding, J. M. R.; Mughal, Faraz

doi:10.3399/bjgp19x705449

Cited by 5 publications

(1 citation statement)

References 5 publications

(4 reference statements)

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“…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]. Typically, there is a predominance related to a mental illness or psychological disorder caused by stress at work, family problems, or bereavement, and it can symbolize a distressed expression of the need for support and help [8]. This is a case report of a 17-year-old girl who was hospitalized due to a skin ulcer on the right ankle.…”

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%

Factitious Disorder as a Skin Ulcer: A Case Report

Kontoangelos,

Kousta,

Potouridou

et al. 2024

Cureus

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“Pick” wisely: An approach to diagnosis and management of pathologic skin picking

Parsa¹,

Pixley²,

Fried³

2023

Clinics in Dermatology

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State-of-the-Art Review: Evaluation and Management of Delusional Infestation

Mendelsohn,

Sato,

Subedi

et al. 2024

Clinical Infectious Diseases

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Delusional infestation is a condition encountered frequently by healthcare professionals across a variety of specialties in which patients have a fixed, false belief that they are infested with living creatures, such as bugs, parasites, worms, or mites, or nonliving objects, such as fibers. Delusional infestation can be debilitating for patients, who not only present with intense psychological distress and physical discomfort but are also at risk of developing numerous dermatological and psychiatric complications. This condition poses unique diagnostic challenges, as these symptoms can occur secondary to many metabolic or infectious causes, as well as unique treatment challenges, with patients frequently refusing psychiatric care and consequently seeking evaluation by other healthcare professionals. In this review, we aim to use existing literature to provide clinicians in infectious diseases or other specialties with sufficient clinical context and treatment guidance for the appropriate management of delusional infestation.

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Self-induced skin conditions: differential diagnosis and management

Cited by 5 publications

References 5 publications

Factitious Disorder as a Skin Ulcer: A Case Report

Factitious Disorder as a Skin Ulcer: A Case Report

“Pick” wisely: An approach to diagnosis and management of pathologic skin picking

State-of-the-Art Review: Evaluation and Management of Delusional Infestation

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