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Published on: December 15, 2011
Dermatitis artefacta
M Kumaresan1, Reena Rai, Anju Raj
1Department of Dermatology, PSG Hospitals, Coimbatore, Tamil Nadu, India.
Indian Dermatology Online Journal
|November 7, 2012
Summary
Dermatitis artefacta is a psychocutaneous disorder involving self-inflicted skin lesions. This case highlights video recording the patient creating these lesions to satisfy psychological needs.
Area of Science:
- Psychodermatology
- Psychocutaneous Medicine
- Behavioral Dermatology
Background:
- Dermatitis artefacta (DA) is characterized by self-inflicted skin lesions.
- These lesions arise from unconscious psychological or emotional needs.
- Diagnosis can be challenging due to the deceptive nature of the lesions.
Observation:
- A specific case of Dermatitis artefacta is presented.
- The patient was video recorded in the act of self-inducing skin lesions.
- This direct observation provides objective evidence of the self-harm behavior.
Findings:
- Video documentation confirmed the patient's active role in creating Dermatitis artefacta lesions.
- The findings support the psychocutaneous etiology of the disorder.
- Understanding the mechanism of lesion formation is crucial for management.
Implications:
- Video recording can be a valuable diagnostic tool in suspected cases of Dermatitis artefacta.
- This method offers objective evidence, aiding in patient management and therapy.
- Further research into the psychological drivers of self-inflicted dermatoses is warranted.
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