title: A case of factitious subcutaneous emphysema.
abstract: A 13-year-old girl presented with a 2-month history of recurrent soft tissue swelling of her right upper extremity. Dermatological examination revealed soft tissue crepitation and a small ulcer on the dorsum of her right hand. After several investigations including radiographic and systemic blood tests the diagnosis of factitious subcutaneous emphysema was made and the patient was referred to psychiatry for proper management.
authors.affiliation: Department of Dermatology, Tehran University of Medical Sciences, Razi Hospital, Tehran, Iran.
authors.forename: Mostafa Mirshams
authors.initials: MM
authors.lastname: Shahshahani
authors.forename: Maryam
authors.initials: M
authors.lastname: Yousefi
authors.forename: Behrooz
authors.initials: B
authors.lastname: Barikbin
mesh_terms: D000293:Adolescent; D000388:Air; D001132:Arm; D003863:Depression / Q000150:complications; D003937:Diagnosis, Differential; D005162:Factitious Disorders / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D007839:Functional Laterality; D006229:Hand Dermatoses / Q000209:etiology; D006801:Humans; D007279:Injections, Subcutaneous / Q000009:adverse effects*; D011859:Radiography; D012883:Skin Ulcer / Q000209:etiology; D013352:Subcutaneous Emphysema / Q000175:diagnosis* / Q000000981:diagnostic imaging