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Related Concept Videos

Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...

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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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[Dermatitis artifacta--psychiatric causes].

Maja Vurnek Zivković1, Mirna Situm

  • 1University Department of Dermatovenereology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia. maja_vurnek@yahoo.com

Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti
|December 1, 2012
PubMed
Summary

Dermatitis artifacta is a self-inflicted skin condition where patients create lesions that mimic other diseases. Diagnosis is challenging due to denial, requiring a supportive environment for effective psychodermatological treatment.

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Area of Science:

  • Psychodermatology
  • Dermatology
  • Psychiatry

Context:

  • Dermatitis artifacta involves self-inflicted skin lesions, often presenting with bizarre shapes and mimicking various dermatological conditions.
  • Patients frequently deny responsibility, complicating diagnosis and treatment, and may have underlying psychiatric disorders like borderline personality disorder or eating disorders.
  • The condition affects an estimated 0.2%-0.5% of dermatology patients, predominantly females in their teens or early adulthood.

Purpose:

  • To highlight the diagnostic challenges and therapeutic complexities of dermatitis artifacta.
  • To emphasize the psychodermatological nature of the condition and its association with psychiatric comorbidities.
  • To underscore the need for a non-judgmental, empathic approach in managing patients with self-inflicted skin lesions.

Summary:

  • Dermatitis artifacta is characterized by self-inflicted skin lesions that are difficult to recognize and can mimic other dermatological diseases.
  • Effective management requires a supportive therapeutic relationship to address the potential psychological basis, as patients often deny self-infliction.
  • Treatment is challenging, often requiring combined dermatological and psychiatric expertise, though psychiatric intervention is frequently refused.

Impact:

  • Improved recognition and diagnosis of dermatitis artifacta in clinical practice.
  • Enhanced understanding of the psychodermatological link and the importance of addressing psychological factors in skin conditions.
  • Development of more effective, integrated treatment strategies for patients with self-inflicted skin lesions.