title: Factitious gingival ulceration: as presenting sign of Munchausen's syndrome?
abstract: This report describes the case of a 21-year-old female who presented with localized gingival ulceration that over a period of 4 weeks became generalized, affecting all the buccal gingiva as well as the lower lip. A detailed medical history suggested that the patient was generating the lesions herself. She was monitored for 6 months, during which time additional lesions developed on the scalp and face. Conventional therapy failed to resolve the lesions and the patient was ultimately referred for a psychiatric consultation in view of the similarity of this case with previously reported cases of factitious disease.
authors.affiliation: Department of Restorative Dentistry, Dental School, Newcastle upon Tyne, U.K.
authors.forename: P A
authors.initials: PA
authors.lastname: Heasman
authors.forename: I
authors.initials: I
authors.lastname: MacLeod
authors.forename: D G
authors.initials: DG
authors.lastname: Smith
mesh_terms: D000328:Adult; D003872:Dermatitis / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009110:Munchausen Syndrome / Q000150:complications* / Q000175:diagnosis; D016728:Self-Injurious Behavior / Q000150:complications; D013280:Stomatitis / Q000209:etiology*; D014456:Ulcer