title: The diagnosis of factitious ulcer of the hand: a case report.
abstract: Factitious of the hand frequently is difficult to diagnose due to the cunning nature of patients with self-inflicted disease. A typical case of factitious ulcer is described in which the diagnosis was made with tetracycline fluorescence to demonstrate wound manipulation. Protective immobilization allowed healing of the ulcer and institution of appropriate psychiatric care and avoided more costly diagnostic studies and hospitalization.
mesh_terms: D000328:Adult; D003951:Diagnostic Errors; D005260:Female; D006229:Hand Dermatoses / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007103:Immobilization; D012883:Skin Ulcer / Q000175:diagnosis* / Q000601:surgery; D014945:Wound Healing