title: Factitial pemphigus-like lesions.
abstract: 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.
authors.affiliation: Department of Oral Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Ali Taghavi
authors.initials: AT
authors.lastname: Zonuz
authors.forename: Nathaniel
authors.initials: N
authors.lastname: Treister
authors.forename: Fahimeh
authors.initials: F
authors.lastname: Mehdipour
authors.forename: Ramin Mostofizadeh
authors.initials: RM
authors.lastname: Farahani
authors.forename: Richard Shane
authors.initials: RS
authors.lastname: Tubbs
authors.forename: Mohammadali Mohajel
authors.initials: MM
authors.lastname: Shoja
mesh_terms: 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