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Related Experiment Videos

Dissociative identity disorder presenting as dermatitis artefacta.

Mine Ozmen1, Ayten Erdogan, Ertugrul H Aydemir

  • 1Department of Psychiatry, Consultation-Liaison Division, Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey. drozmen@superonline.com

International Journal of Dermatology
|June 27, 2006
PubMed
Summary

Dermatitis artefacta, a skin condition involving self-inflicted lesions, can be linked to dissociative identity disorder. This case highlights the potential for undiagnosed dissociative experiences in patients with self-harm behaviors.

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Area of Science:

  • Psychiatry
  • Dermatology
  • Psychosomatic Medicine

Background:

  • Dermatitis artefacta is a rare psychiatric disorder characterized by self-inflicted skin lesions.
  • Emotional disturbances and trauma can lead to dissociation as a coping mechanism.
  • Dissociation is often comorbid with self-injurious behaviors.

Observation:

  • A case report of a 14-year-old female patient with dermatitis artefacta.
  • The patient presented with multiple large, deep, self-inflicted ulcerations on her left forearm.
  • Psychiatric evaluation revealed the presence of dissociative identity disorder.

Findings:

  • The patient inflicted lesions on herself when a different identity was assumed.
  • Dermatitis artefacta was associated with dissociative identity disorder in this case.

Related Experiment Videos

  • Self-inflicted skin lesions in dermatitis artefacta may be linked to dissociative experiences.

    • Implications:

    • Suggests a potential comorbidity between dermatitis artefacta and dissociative disorders.
    • Highlights the importance of psychiatric evaluation for self-harm behaviors.
    • Undiagnosed dissociative experiences may be present in patients with dermatitis artefacta.