Self-inflicted non-healing genital ulcer: a rare form of factitious disorder.
Dermatitis artefacta is a factitious dermatological disorder with many forms of presentation that may occur on any part of the body. A diagnosis of dermatitis artefacta is often reached after rigorous and repeated investigations. Here we present the case of a 49-year-old single man complaining of a 4- month history of ulceration on the dorsal surface of the glans penis. In view of the unusual appearance of the lesion and the negative findings from clinical investigations, a diagnosis of dermatitis artefacta was made and the patient was referred for psychiatric evaluation. He was started on 20 mg/day of citalopram and titrated up to 40 mg/day by the 4th week, leading to complete remission in the following weeks. Thus, although rare, artefactual dermatitis should be considered in the differential diagnosis of unusual penile lesions.
Feily
A
A
Department of Dermatology, Jondishapur, University of Medical Sciences, Ahvaz, Iran. Dr.feily@yahoo.com
Namazi
M R
MR
Saboktakin
M
M
Mehri
M
M
Lotfi
J
J
Ayoobi
A
A
Ghadakzadeh
S
S
Karimian
N
N
D015283:Citalopram / Q000008:administration & dosage; D003872:Dermatitis / Q000523:psychology*; D005162:Factitious Disorders / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009259:Nail Biting / Q000523:psychology; D010409:Penile Diseases / Q000523:psychology*; D016728:Self-Injurious Behavior / Q000523:psychology*; D017367:Selective Serotonin Reuptake Inhibitors / Q000008:administration & dosage; D012883:Skin Ulcer / Q000523:psychology*
D015283:Citalopram; D017367:Selective Serotonin Reuptake Inhibitors