Dermatitis artefacta: A review of 14 cases

Area of Science:

• Dermatology
• Psychiatry

Background:

• Dermatitis artefacta (DA) is a self-inflicted dermatologic condition.
• Diagnosis can be challenging as laboratory investigations are typically non-diagnostic.

Purpose of the Study:

• To describe the clinical presentation and characteristics of Dermatitis artefacta (DA) in Saudi Arabia.
• To emphasize the need for increased awareness and earlier diagnosis of DA.

Main Methods:

• A five-year retrospective study of 14 patients diagnosed with DA at King Fahad Hospital.
• Diagnoses were based on clinical presentation, patient history, and exclusion of other diseases.
• Psychiatric assessment was utilized in some cases to identify underlying psychopathological factors.

Main Results:

• The study included 14 patients (12 females, 2 males) aged 12-71 years, predominantly Saudi.
• The majority of female patients (64%) exhibited identifiable emotional or psychiatric problems.
• Male cases were likely associated with secondary gains.

Conclusions:

• The presentation of DA in Saudi Arabia aligns with international reports.
• Increased recognition and awareness are crucial for prompt diagnosis and effective management of DA.