Dermatitis artefacta in a patient with paranoid syndrome.
(17/41)
It is well recognized that psychosomatic factors play an important role in many skin diseases. Dermatitis artefacta coexists with quite an extensive number of psychopathologic conditions. In women, it is regarded as a ''cry for help'', especially when the patient is faced with psychosocial stressors. We present the case of a 40-year-old woman with long lasting self-inflicted excoriations and ulcerations of the skin located within easy reach of her hands. We discuss the reasons for such behavior and the possibilities of dermatological and general interventions. (+info)
The A, B, C's of factitious disorder: a response to Turner.
(18/41)
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is being prepared, but little attention has been accorded the category of factitious disorder, despite its presence in the manual for almost 30 years. Among relevant articles that have appeared, Turner's publication advocates retention of the category, but with new criteria. In the current paper, we reject Turner's reformulation but use the identified diagnostic dilemmas to illuminate the phenomenology of factitious disorder. We also offer a reconceptualization of the diagnosis that should better inform the preparations for DSM-V. (+info)
Self-inflicted non-healing genital ulcer: a rare form of factitious disorder.
(19/41)
Dermatitis artefacta is a factitious dermatological disorder with many forms of presentation that may occur on any part of the body. A diagnosis of dermatitis artefacta is often reached after rigorous and repeated investigations. Here we present the case of a 49-year-old single man complaining of a 4- month history of ulceration on the dorsal surface of the glans penis. In view of the unusual appearance of the lesion and the negative findings from clinical investigations, a diagnosis of dermatitis artefacta was made and the patient was referred for psychiatric evaluation. He was started on 20 mg/day of citalopram and titrated up to 40 mg/day by the 4th week, leading to complete remission in the following weeks. Thus, although rare, artefactual dermatitis should be considered in the differential diagnosis of unusual penile lesions. (+info)
Dermatitis artefacta: keloids and foreign body granuloma due to overvalued ideation of acupuncture.
(20/41)
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Illness deception and work: incidence, manifestations and detection.
(21/41)
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Prime-time hypoglycemia: factitious hypoglycemia during insulin-pump therapy.
(22/41)
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Physiology of psychogenic movement disorders.
(23/41)
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Physician-based estimates of medically unexplained symptoms: a comparison of four case definitions.
(24/41)
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