Saha A, Seth J, Gorai S, Bindal A. Dermatitis artefacta: a review of five cases: a diagnostic and therapeutic challenge. Indian J Dermatol. 2015; 60:613-615 https://doi.org/10.4103/0019-5154.169139
Mohandas P, Bewley A, Taylor R. Dermatitis artefacta and artefactual skin disease: the need for a psychodermatology multidisciplinary team to treat a difficult condition. Br J Dermatol. 2013; 169:600-606 https://doi.org/10.1111/bjd.12416
Chatterjee SS, Mitra S. Dermatitis artefacta mimicking borderline personality disorder: sometimes, skin could be misleading. Clin Psychopharmacol Neurosci. 2016; 14:311-313 https://doi.org/10.9758/cpn.2016.14.3.311
Alcántara Luna S, García Bravo B, Rodríguez Pichardo A, Camacho Martínez FM. Dermatitis Artefacta in childhood: a retrospective analysis of 44 patients, 1976-2006. Pediatr Dermatol. 2015; 32:604-608 https://doi.org/10.1111/pde.12625
Thiele J, Kaatz M, Schmidt S Recurrent erythematous dermatitis artefacta in the face induced by benzyl nicotinate. Exogenous Dermatology. 2002; 1:242-245 https://doi.org/10.1159/000068794
Shivakumar S, Jafferany M, Kumar SV, Sood S. A brief review of dermatitis artefacta and management strategies for physicians. Prim Care Companion CNS Disord. 2021; 23 https://doi.org/10.4088/PCC.20nr02858
Tittelbach J, Peckruhn M, Elsner P. Histopathological patterns in dermatitis artefacta. J Dtsch Dermatol Ges. 2018; 16:559-564 https://doi.org/10.1111/ddg.13504
Maio P, Santos R, Cardoso J. Letter: factitial dermatitis: an unusual presentation in an old woman. Dermatol Online J. 2012; 18
Woolf RT, Bewley AP, Taylor RE A difficult case of dermatitis artefacta requiring surgical intervention. Br J Dermatol. 2013; 168:889-891 https://doi.org/10.1111/bjd.12086
Zarei M, Kamali M, Bidaki R. Bullous dermatitis artefacta in a 17 year-old girl induced by a native herb. Iran Red Crescent Med J. 2013; 15:862-864 https://doi.org/10.5812/ircmj.8886
Bhalla M, Thami GP. Photoletter to the editor: bullous dermatitis artefacta induced with a hot spoon. J Dermatol Case Rep. 2014; 8:81-83 https://doi.org/10.3315/jdcr.2014.1181
Sarin A, Ummar SA, Ambooken B, Gawai SR. Dermatitis artefacta presenting with localized alopecia of right eyebrow and scalp. Int J Trichology. 2016; 8:26-28 https://doi.org/10.4103/0974-7753.179395
Dermatitis artefacta in the orofacial region: a case report with literature review Nutan Patel Shadaab Mumtaz Florence Deroide Ali Amini Dental Update 2024 50:4, 707-709.
Authors
NutanPatel
BDS
Dental Core Trainee Year 2, Department of Oral and Maxillofacial Surgery, Alder Hey Children's Hospital, Liverpool
In spite of wide prevalence, deliberate self-injury in the oro-facial region is rarely reported in literature. It is also associated with misinterpretation related to ‘attention seeking’ or ‘mental health crises’ leading to deficient understanding of this phenomenon. A literature review was performed using online search databases looking at dermatitis artefacta in the head and neck region. A case of a patient who was seen in our unit is also presented to give important insights into this condition. In total, 54 cases from 15 publications were included in this observational study. Female gender predilection was notable (4:1) with an average presenting age of 30 years. The face itself was more frequently injured, along with the neck and scalp. Only one-third (34%) of the patients were known to have psychiatric conditions, such as depressive and personality disorders. Dermatitis artefacta is a well-known skin condition caused by deliberate self-injury. It is a complex entity that is frequently unrecognized and underdiagnosed.
CPD/Clinical Relevance: Understanding dermatitis artefacta will facilitate correct diagnosis and improve patient care.
Article
Skin abnormalities in the head and neck region occur frequently and can range from benign inflammatory conditions to malignant neoplasms. Psychiatric disorders manifesting as cutaneous and/or oral abnormalities are often unrecognized. In the head and neck region, the face is frequently affected due to ease of access. Dermatitis artefacta (DA) is a factitious disorder seen more frequently in females. However, there is evidence to suggest that the face is a site that is affected relatively frequently in males.1 Other areas that are commonly affected are the scalp, neck, abdomen and forearms.
DA has a close association with psychiatric illnesses including borderline personality disorder and Münchausen syndrome in cases whereby deliberate injuries are made to mimic forms of skin disease. In these cases, the skin changes may be mistaken for primary dermatological conditions.2 The condition may present intermittently and is triggered by stressful episodes which appears to be a factor in the majority of cases.3
Register now to continue reading
Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:
