title: Dermatitis artefacta--a long way from the first clinical symptoms to diagnosis.
abstract: Dermatitis artefacta is a disease that occurs as a result of a self-inflicted injury to the skin. The problem quite often is undiagnosed for a long time until the clinical look of bizarre skin lesions combined with non-specific histology and normal blood tests lead to the final identification. This report presents the case of a 62-year-old man who was diagnosed after 10 years of duration of disease. We discuss the reasons for such behavior and the possibilities of dermatological and general interventions.
authors: Department of Dermatology, Venereology and Allergology, Medical University of Gdansk, Debinki 7 street, 80-211 Gdansk, Poland. wiolabar@gumed.edu.pl
authors: Wioletta
authors: W
authors: Barańska-Rybak
authors: Wiesław Jerzy
authors: WJ
authors: Cubała
authors: Dorota
authors: D
authors: Kozicka
authors: Małgorzata
authors: M
authors: Sokołowska-Wojdyło
authors: Roman
authors: R
authors: Nowicki
authors: Jadwiga
authors: J
authors: Roszkiewicz
mesh_terms: D018687:Antidepressive Agents, Second-Generation / Q000627:therapeutic use; D002921:Cicatrix / Q000175:diagnosis / Q000523:psychology; D003131:Combined Modality Therapy; D003511:Cyclohexanols / Q000627:therapeutic use; D003879:Dermatologic Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005148:Facial Dermatoses / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D005162:Factitious Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D012017:Referral and Consultation; D016728:Self-Injurious Behavior / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D012835:Silver Nitrate / Q000627:therapeutic use; D012867:Skin / Q000293:injuries* / Q000473:pathology; D012883:Skin Ulcer / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D000069470:Venlafaxine Hydrochloride
chemical_list: D018687:Antidepressive Agents, Second-Generation; D003511:Cyclohexanols; D003879:Dermatologic Agents; D000069470:Venlafaxine Hydrochloride; D012835:Silver Nitrate