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[Self-induced dermatosis on the shoulder].

Mohamed El Amraoui1, Badredine Hassam1

  • 1Service de Dermatologie, Hôpital Avicenne, CHU Ibn Sina, Rabat, Maroc.

The Pan African Medical Journal
|October 31, 2018
PubMed
Summary

Self-induced dermatoses are increasingly seen in adolescents with substance abuse and psychological issues. This case highlights self-inflicted bullous lesions caused by cigarette burns in a depressed adolescent with suicidal ideations.

Area of Science:

  • Psychiatry
  • Dermatology
  • Toxicology

Background:

  • Self-induced dermatoses are rising among adolescents with substance abuse and adjustment difficulties.
  • Adolescent substance abuse is often linked to underlying psychological distress and behavioral issues.

Observation:

  • A 22-year-old male presented with bullous lesions on his left shoulder.
  • The lesions, characterized by blisters, erosions, and scabs, were self-inflicted via cigarette burns.
  • The patient had a history of substance abuse (cannabis, alcohol), major depression, suicidal ideations, and conflict with his parents.

Findings:

  • The presentation suggested factitious disorder or self-induced dermatosis due to lesion accessibility and psychiatric history.
  • Psychological evaluation confirmed suicidal ideations and aggressive behaviors.
Keywords:
Bubblesburnsdepressionshoulder

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  • Cigarette burns were identified as the cause of the bullous eruption.

    • Implications:

    • This case underscores the importance of considering self-induced dermatoses in adolescents presenting with unusual skin lesions and psychiatric comorbidities.
    • Early psychiatric intervention is crucial for managing self-harm behaviors and improving patient outcomes.
    • Integrated care addressing both dermatological and psychological needs is essential for this patient population.