Factitial pemphigus-like lesions.
The maxillofacial region is rarely subjected to self-inflicted conditions such as factitious disease. Nasal ulceration, facial emphysema, periorbital ecchymosis, mandibular subluxation, gingival and mucosal ulceration, dental and salivary gland pain and glossopharyngeal neuralgia have been reported as possible manifestations of factitious disease. We report a case of a young woman who presented with unilateral bullous and ulcerative oral and erythematous facial lesions that were initially diagnosed as pemphigus vulgaris but was later determined to be secondary to self-inflicted injuries. To the best of the authors knowledge, this clinical scenario has not been previously reported in the context of a factitious disease and, therefore, may be considered in the differential diagnosis of oral vesiculobullous disorders.
Zonuz
Ali Taghavi
AT
Department of Oral Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
Treister
Nathaniel
N
Mehdipour
Fahimeh
F
Farahani
Ramin Mostofizadeh
RM
Tubbs
Richard Shane
RS
Shoja
Mohammadali Mohajel
MM
D000293:Adolescent; D004890:Erythema / Q000523:psychology*; D005148:Facial Dermatoses / Q000523:psychology*; D005162:Factitious Disorders / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006801:Humans; D019226:Oral Ulcer / Q000523:psychology*; D010392:Pemphigus / Q000523:psychology*; D016728:Self-Injurious Behavior / Q000175:diagnosis* / Q000523:psychology