title: Facticious disorders in dermatology.
abstract: Facticious Disorders are self inflicted skin lesions and includes the creation of physical or psychiatric symptoms in oneself or other reference persons. In dermatology frequently, there are mechanical injuries by pressures, friction, occlusion, biting, cutting, stabbing, thermal burns or self-inflicted infections with wound-healing impairment, abscesses, mutilations or damages by acids and other toxic to the skin. The current classification differentiates between four groups: 1. Dermatitis artefacta syndrome in the narrower sense as unconscious/dissociated self-injury, 2. Dermatitis paraartefacta syndrome: Disorders of impulse control, often as manipulation of an existing specific dermatosis (often semi-conscious, admitted - self-injury), 3. Malingering: consciously simulated injuries and diseases to obtain material gain, 4. special forms, such as the Gardner Diamond Syndrome, Münchhausen Syndrome and Münchhausen-by-Proxy Syndrome. This categorization is helpful in understanding the different pathogenic mechanisms and the psychodynamics involved, as well as in developing various therapeutic avenues and determining the prognosis.
authors.affiliation: Deparmtent of Dermatology and Allergolog, Vivantes Clinic Berlin Spandau, Germany. wolfgang.harth@vivantes.de
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Harth
authors.forename: Klaus-Michael
authors.initials: KM
authors.lastname: Taube
authors.forename: Uwe
authors.initials: U
authors.lastname: Gieler
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003937:Diagnosis, Differential; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000175:diagnosis / Q000523:psychology; D005162:Factitious Disorders / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008306:Malingering / Q000175:diagnosis / Q000523:psychology; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology; D009110:Munchausen Syndrome / Q000175:diagnosis / Q000523:psychology; D016735:Munchausen Syndrome by Proxy / Q000175:diagnosis / Q000523:psychology; D010554:Personality Disorders / Q000175:diagnosis / Q000523:psychology; D016728:Self-Injurious Behavior / Q000175:diagnosis* / Q000523:psychology; D012867:Skin / Q000293:injuries*; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000523:psychology; D014256:Trichotillomania / Q000175:diagnosis / Q000523:psychology