Dermatitis artefacta
(Redirected from Foreign body granuloma)
A psychiatric condition characterized by self-inflicted skin lesions
Dermatitis artefacta is a psychodermatology condition where individuals deliberately create skin lesions on themselves. This behavior is often driven by underlying psychological issues, and the lesions are not caused by any organic skin disease. The condition is considered a form of factitious disorder, where the primary aim is to assume the sick role.
Clinical Presentation[edit | edit source]
Patients with dermatitis artefacta typically present with unusual skin lesions that do not conform to any known dermatological condition. These lesions can vary widely in appearance, depending on the method used to create them. Common methods include scratching, cutting, or applying caustic substances to the skin.
The lesions are often located in areas that are easily accessible to the patient, such as the face, arms, and legs. They may have sharp, geometric borders, which are atypical for naturally occurring skin conditions. The patient may provide a vague or inconsistent history regarding the onset and progression of the lesions.
Diagnosis[edit | edit source]
Diagnosing dermatitis artefacta can be challenging, as patients may be reluctant to admit to self-inflicting the lesions. A thorough clinical evaluation is necessary, often involving a multidisciplinary team including dermatologists and mental health professionals. Key diagnostic clues include:
- Lesions with bizarre shapes or patterns
- Inconsistent or implausible patient history
- Lesions that do not respond to standard dermatological treatments
Management[edit | edit source]
The management of dermatitis artefacta involves addressing both the skin lesions and the underlying psychological issues. Treatment strategies may include:
- Psychotherapy: Cognitive-behavioral therapy (CBT) can be effective in addressing the psychological factors contributing to the behavior.
- Dermatological care: Appropriate wound care and treatment of any secondary infections are essential.
- Multidisciplinary approach: Collaboration between dermatologists, psychiatrists, and psychologists is often necessary to provide comprehensive care.
Prognosis[edit | edit source]
The prognosis for dermatitis artefacta varies depending on the individual's psychological state and willingness to engage in treatment. With appropriate intervention, many patients can achieve significant improvement. However, the condition can be chronic and relapsing, particularly if underlying psychological issues are not adequately addressed.
Related Pages[edit | edit source]
Search WikiMD
Ad.Tired of being Overweight? Try W8MD's physician weight loss program.
Semaglutide (Ozempic / Wegovy and Tirzepatide (Mounjaro / Zepbound) available.
Advertise on WikiMD
WikiMD's Wellness Encyclopedia |
Let Food Be Thy Medicine Medicine Thy Food - Hippocrates |
Translate this page: - East Asian
中文,
日本,
한국어,
South Asian
हिन्दी,
தமிழ்,
తెలుగు,
Urdu,
ಕನ್ನಡ,
Southeast Asian
Indonesian,
Vietnamese,
Thai,
မြန်မာဘာသာ,
বাংলা
European
español,
Deutsch,
français,
Greek,
português do Brasil,
polski,
română,
русский,
Nederlands,
norsk,
svenska,
suomi,
Italian
Middle Eastern & African
عربى,
Turkish,
Persian,
Hebrew,
Afrikaans,
isiZulu,
Kiswahili,
Other
Bulgarian,
Hungarian,
Czech,
Swedish,
മലയാളം,
मराठी,
ਪੰਜਾਬੀ,
ગુજરાતી,
Portuguese,
Ukrainian
Medical Disclaimer: WikiMD is not a substitute for professional medical advice. The information on WikiMD is provided as an information resource only, may be incorrect, outdated or misleading, and is not to be used or relied on for any diagnostic or treatment purposes. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. WikiMD expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site. By visiting this site you agree to the foregoing terms and conditions, which may from time to time be changed or supplemented by WikiMD. If you do not agree to the foregoing terms and conditions, you should not enter or use this site. See full disclaimer.
Credits:Most images are courtesy of Wikimedia commons, and templates, categories Wikipedia, licensed under CC BY SA or similar.
Contributors: Prab R. Tumpati, MD