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Published on: December 15, 2011
Dermatitis artefacta in a patient affected by impulse control disorder: case report
Concetta Potenza1, Nicoletta Bernardini, Alessandra Mambrin
1UOC of Dermatology "Daniele Innocenzi", Sapienza University of Rome, Polo Pontino, Italy.
Acta Dermatovenerologica Croatica : ADC
|April 15, 2011
Summary
Dermatitis artefacta involves self-inflicted skin lesions, often linked to psychological distress. A case study highlights successful interdisciplinary treatment for an elderly patient, achieving remission.
Area of Science:
- Dermatology
- Psychiatry
Background:
- Dermatitis artefacta is a rare condition of self-inflicted skin lesions.
- It is often associated with underlying psychological disorders and presents diagnostic challenges due to lesion polymorphism and patient non-cooperation.
Observation:
- A case of an elderly woman with deep excoriating lesions on her upper body and evident depression is presented.
- The patient exhibited a peculiar pattern of self-inflicted injuries.
Findings:
- Diagnosis and treatment were challenging due to the patient's condition and rarity of the disease.
- A multidisciplinary approach involving dermatologists, psychiatrists, and psychologists was crucial.
Implications:
- Teamwork in diagnosis and therapy is vital for managing complex cases of dermatitis artefacta.
- Integrated care can lead to steady impulse control and full remission of cutaneous symptoms.
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