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Dermatitis Artefacta: A Retrospective Descriptive Study on 46 Patients.
Di Brizzi, Eugenia Veronica; Ficca, Gianluca; Piccolo, Vincenzo; Scharf, Camila; Briatico, Giulia; Pellerone, Sebastiano; Argenziano, Giuseppe.
Afiliación
  • Di Brizzi EV; Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
  • Ficca G; Department of Psychology, University of Campania Luigi Vanvitelli, Naples, Italy.
  • Piccolo V; Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
  • Scharf C; Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
  • Briatico G; Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
  • Pellerone S; Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
  • Argenziano G; Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Dermatol Pract Concept ; 14(2)2024 Apr 01.
Article en En | MEDLINE | ID: mdl-38810059
ABSTRACT

INTRODUCTION:

Self-induced dermatoses are self-inflicted skin lesions, whose occurrence patient denies responsibility for.

OBJECTIVES:

The aim of this study was to retrospectively investigate all the clinical records of dermatitis artefacta (DA) in order to put special focus on a) epidemiological aspects; b) location, shape and additional features of the lesions; c) availability of psychiatric details in the records.

METHODS:

A retrospective observational descriptive study on 46 patients affected by dermatitis artefacta was conducted from January 2015 to March 2021. The only inclusion criterion was clinical or histological diagnosis of DA in patients for which we had clinical images.

RESULTS:

The most frequent type of lesions were erosions/excoriations and ulcers (14/46, 30.4% and 13/46, 28.3% respectively) followed by ecchymoses (9/46, 19.5%), vasculitis-like lesions (5/46, 10.9%), crusted plaques (3/46, 6.5%), scales (1/46, 2.2%) and erythema (1/46, 2.2%). Thirty-three percent of the medical records generically referred to the presence of psychiatric disorder, but none of them included a specific psychiatric diagnosis.

CONCLUSIONS:

In our study the main dermatologic lesions observed in DA were represented by excoriations and ulcers and that the shape and location of the lesions are essential for a correct diagnosis.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Dermatol Pract Concept Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Austria

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Dermatol Pract Concept Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Austria