title: [Factitious wounds in plastic surgery].
abstract: Self-inflicted disorders of wound healing were diagnosed in two women (aged 24 and 25 years) after long years of history. A detailed medical history and the characteristic course helped to confirm the diagnosis. The artificial wounds were an expression of a severe psychic disturbance in both young women. Operative therapy was able to restore the local findings, the basic psychological disorder required a long-term psychotherapeutic treatment to prevent irreversible, partially iatrogenic co-induced somatic mutilations, due to an exceptionally high recurrence rate.
authors.affiliation: Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover.
authors.forename: M
authors.initials: M
authors.lastname: Funke
authors.forename: H G
authors.initials: HG
authors.lastname: Machens
authors.forename: A
authors.initials: A
authors.lastname: Fieguth
authors.forename: A
authors.initials: A
authors.lastname: Berger
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005162:Factitious Disorders / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D012086:Reoperation; D016728:Self-Injurious Behavior / Q000473:pathology / Q000601:surgery*; D012867:Skin / Q000293:injuries* / Q000473:pathology; D013518:Surgery, Plastic; D014946:Wound Infection / Q000473:pathology / Q000601:surgery*