Dermatitis artefacta: keloids and foreign body granuloma due to overvalued ideation of acupuncture.
Skin is well recognized as an important somatic mirror of one's emotion and a site for the discharge of one's anxieties. We present a case of a 42-year-old female patient presenting with a vague history of generalized body pain and skin lesions in the form of cotton threads buried under the skin, crusted plaque, multiple keloids and rusted pin buried through the skin mostly in the easily accessible areas of the body. Histopathology from the crusted plaque revealed foreign body granuloma. To satisfy her psychological or emotional need, it is the deliberate and conscious production of self-inflicted skin lesions through overvalued ideation of acupuncture on her part.
Choudhary
Sanjiv V
SV
Department of Dermatology, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, India. Sanjiv_choudhary26@yahoo.com
Khairkar
Praveen
P
Singh
Adarshlata
A
Gupta
Sumit
S
D015670:Acupuncture Therapy / Q000523:psychology; D000328:Adult; D032561:Cotton Fiber; D003872:Dermatitis / Q000209:etiology* / Q000523:psychology; D005162:Factitious Disorders / Q000150:complications* / Q000523:psychology; D005260:Female; D015745:Granuloma, Foreign-Body / Q000209:etiology* / Q000523:psychology; D006801:Humans; D007627:Keloid / Q000209:etiology* / Q000523:psychology; D016728:Self-Injurious Behavior / Q000150:complications* / Q000523:psychology