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Dermatitis Artefacta: A Multidisciplinary Approach.

Xiaowen Wen¹, Xueting Zeng², Chao Ji²

¹Department of Dermatology, Shenzhen Hospital (Fu Tian) of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.

The American Journal of Case Reports

|July 4, 2026

Summary

This summary is machine-generated.

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Dermatitis artefacta, a self-induced skin injury, often mimics other ulcers. Early recognition and interrupting the itch-injury cycle with a multidisciplinary approach led to rapid healing in a refractory case.

Area of Science:

Dermatology
Psychodermatology

Background:

Dermatitis artefacta is a challenging psychodermatosis of self-induced skin injury.
Its presentation mimics chronic ulcers, causing misdiagnosis and delayed treatment.
The itch-injury cycle impedes healing.

Purpose of the Study:

To highlight the importance of early recognition in dermatitis artefacta.
To demonstrate the efficacy of a multidisciplinary approach in refractory cases.

Main Methods:

Case report of a 59-year-old man with a 3-year history of refractory scalp ulcer.
Histopathological analysis excluded mimics.
Multidisciplinary management included gabapentin, topical tacrolimus, protective dressings, and behavioral counseling.

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Main Results:

Complete ulcer healing achieved within 8 weeks.
No relapse during follow-up.
Successful interruption of the itch-injury cycle.

Conclusions:

Early recognition and targeted intervention are crucial for dermatitis artefacta.
A multidisciplinary outpatient approach can rapidly resolve long-standing, refractory cases.
This strategy promotes diagnostic stewardship and reduces unnecessary investigations.