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Published on: January 16, 2015
A case of factitious subcutaneous emphysema
Mostafa Mirshams Shahshahani1, Maryam Yousefi, Behrooz Barikbin
1Department of Dermatology, Tehran University of Medical Sciences, Razi Hospital, Tehran, Iran.
Dermatology Online Journal
|November 7, 2006
Summary
A young girl experienced recurring arm swelling and skin issues. Investigations revealed factitious subcutaneous emphysema, a condition requiring psychiatric intervention for management.
Area of Science:
- Dermatology
- Radiology
- Psychiatry
Background:
- Recurrent soft tissue swelling in extremities can indicate various underlying conditions.
- Differentiating between organic and self-induced pathologies is crucial for effective treatment.
Observation:
- A 13-year-old female presented with a two-month history of right upper extremity swelling.
- Physical examination noted soft tissue crepitation and a dorsal hand ulcer.
Findings:
- Diagnostic workup, including radiography and systemic blood tests, was performed.
- The patient was diagnosed with factitious subcutaneous emphysema.
Implications:
- Factitious subcutaneous emphysema requires a multidisciplinary approach involving dermatology and psychiatry.
- Prompt psychiatric referral is essential for addressing the behavioral aspects of this condition.
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