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Dermatitis artefacta: A diagnostic dilemma.

Surender Singh¹, Siddhi Chikhalkar¹, Yallappa R Kabbannavar¹

¹Department of Dermatology, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India.

Indian Journal of Psychiatry

|July 24, 2023

Summary

This summary is machine-generated.

Dermatitis artefacta is a rare condition where individuals inflict skin lesions for emotional needs. Early diagnosis is crucial to prevent permanent scarring, as seen in this case of scarring alopecia.

Keywords:

Dermatitis artefacta diagnosis scarring alopecia

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Area of Science:

Psychodermatology
Psychological Medicine

Background:

Dermatitis artefacta (DA) is a rare factitious disorder characterized by self-inflicted skin lesions.
Patients engage in self-harm to fulfill psychological needs, often presenting with diverse dermatological manifestations.

Observation:

A case of dermatitis artefacta was initially misdiagnosed as pemphigus, highlighting diagnostic challenges.
The patient presented with self-inflicted cutaneous lesions requiring careful evaluation.

Findings:

Delayed recognition of dermatitis artefacta led to disease progression.
The case study illustrates the potential for severe outcomes, including scarring alopecia, if DA is not promptly identified and managed.

Implications:

Emphasizes the critical need for timely and accurate diagnosis of dermatitis artefacta in clinical practice.
Highlights the importance of a multidisciplinary approach for managing psychodermatological conditions to prevent long-term sequelae.