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Self-inflicted pathological cutaneous disorders. Part I.

Domenico Bonamonte1, Caterina Foti2, Aurora DE Marco2

  • 1Section of Dermatology, Department of Biomedical Science and Human Oncology, Aldo Moro University, Bari, Italy - domenico.bonamonte@uniba.it.

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This summary is machine-generated.

Self-inflicted skin disorders, comprising factitious and compulsive types, represent 2% of dermatology visits. These conditions stem from psychological distress or external factors, manifesting as skin issues.

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Area of Science:

  • Dermatology
  • Psychiatry
  • Psychosomatic Medicine

Background:

  • Self-inflicted skin disorders constitute approximately 2% of dermatology patient visits.
  • These disorders encompass conditions with denied (factitious) or non-denied (compulsive) pathological behaviors.
  • Factitious disorders are further categorized into those without and with external incentives.

Purpose of the Study:

  • To examine the clinical forms of self-inflicted skin disorders.
  • To differentiate between factitious disorders without external incentives and those with external incentives, as well as compulsive disorders.
  • To provide a comprehensive overview of artefact diseases affecting the skin.

Main Methods:

  • Review of diagnostic criteria for self-inflicted skin disorders.
  • Examination of clinical presentations of factitious disorders without external incentives, including dermatitis artefacta, Munchausen Syndrome, Munchausen Syndrome by proxy, and Morgellons Syndrome.
  • Discussion of factitious disorders with external incentives and compulsive disorders.

Main Results:

  • Factitious disorders without external incentives are linked to psychological issues, attention-seeking, or somatization due to adverse environmental conditions.
  • The study delineates specific clinical manifestations within this subgroup.
  • The subsequent part of the work will address factitious disorders with external incentives and compulsive disorders.

Conclusions:

  • Self-inflicted skin disorders are complex conditions requiring a nuanced understanding of psychological and environmental factors.
  • Accurate diagnosis and classification are crucial for effective management.
  • Further exploration of external incentive and compulsive subtypes is warranted.