Related Experiment Videos
Factitious dermatosis masquerading as recurrent herpes zoster
1Evans Memorial Department of Clinical Research, University Hospital, Boston, Massachusetts 02118.
The American Journal of Medicine
|April 1, 1988
Summary
This case study details a nurse's aide who intentionally created skin lesions to mimic herpes zoster during her menstrual cycle. The unique presentation highlighted key diagnostic features for self-inflicted dermatoses.
Area of Science:
- Dermatology
- Psychiatry
Background:
- Self-induced dermatoses are rare conditions where patients intentionally cause skin lesions.
- Distinguishing factitious disorders from genuine dermatological conditions requires careful clinical evaluation.
Observation:
- A 35-year-old female presented with recurrent, monthly cutaneous lesions coinciding with menstruation.
- The lesions were intentionally inflicted to resemble herpes zoster, a viral skin infection.
- Specific clinical features prompted the correct diagnosis of a factitious disorder.
Findings:
- The patient's self-induced lesions mimicked the clinical presentation of herpes zoster.
- The cyclical nature of the lesions, linked to her menstrual cycle, was a significant clue.
- A thorough examination of the lesion morphology and patient history led to the diagnosis.
Implications:
- This case underscores the importance of considering factitious disorders in dermatology.
- Recognizing simulated conditions is crucial for accurate diagnosis and appropriate patient management.
- Understanding the psychological underpinnings of self-induced skin conditions can guide treatment strategies.