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[Schizophrenia and factitious cheilitis: a case report]
1Department of Psychiatry, Kaohsiung Medical College, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi = the Kaohsiung Journal of Medical Sciences
|August 1, 1992
Summary
Factitious cheilitis, a rare lip disorder, was observed in a schizophrenia patient experiencing hallucinations and emotional instability. This case highlights the link between psychiatric conditions and factitious cheilitis, even in schizophrenia.
Area of Science:
- Dermatology
- Psychiatry
- Psychocutaneous Medicine
Background:
- Factitious cheilitis is a rare lip disorder often associated with emotional disturbances and personality disorders.
- Previous literature has not reported cases of factitious cheilitis in patients with schizophrenia.
Observation:
- A 59-year-old female schizophrenic patient with delusions and auditory hallucinations developed factitious cheilitis.
- The patient exhibited frequent lip licking, potentially linked to hallucinations and emotional distress, not drug-induced dyskinesia.
Findings:
- Biopsy confirmed factitious cheilitis with histological findings of acanthosis, hyperkeratosis, and parakeratosis.
- The patient's cheilitis improved with combined psychiatric and dermatological treatment.
Implications:
- This case demonstrates that factitious cheilitis can occur in schizophrenic patients.
- Hallucinations, emotional instability, and chronic lip licking can precipitate factitious cheilitis in susceptible individuals.
- The study underscores the intricate relationship between psychiatric illness and dermatological conditions.