title: [Self-inflicted necroses (mastitis factitia) as an unusual course of non-puerperal mastitis].
abstract: The present paper reports of a long lasting necrotising mastitis which, regarding the psychiatric aspect of the patient as well, has to be interpreted as artefactual mastitis. The uncommon localisation, the unusual history and histology as well as the hardly accessible personality may be indicative of a self inflicted injury with subsequent inflammation. Additional to the local therapy, these patients need a psychological guidance, avoiding direct confrontation with the suspected pathogenesis.
authors.affiliation: Universitäts-Frauenklinik, Freiburg.
authors.forename: F
authors.initials: F
authors.lastname: Peters
authors.forename: J
authors.initials: J
authors.lastname: Neulen
authors.forename: W
authors.initials: W
authors.lastname: Schuth
authors.forename: A
authors.initials: A
authors.lastname: Pfleiderer
mesh_terms: D000038:Abscess / Q000473:pathology; D000328:Adult; D001940:Breast / Q000473:pathology; D003937:Diagnosis, Differential; D005162:Factitious Disorders / Q000473:pathology*; D005260:Female; D006801:Humans; D008413:Mastitis / Q000473:pathology*; D012652:Self Mutilation / Q000473:pathology*
vernacular_title: Selbst beigebrachte Nekrosen (Mastitis factitia) als ungewöhnlicher Verlauf einer non-puerperalen Mastitis.