title: [Automutilation of the palate in a psychiatric patient].
abstract: A 46-year-old man with a history of alcohol abuse was referred to an oral and maxillofacial surgeon with a large necrotic wound with raised edges on the palate. After history taking, radiography and clinical assessment, together with a psychiatrist, the lesion was diagnosed as an automutilation resulting from a period of alcohol abstinence. After a period of care in a medical centre, the lesion improved quickly. Following this treatment, the patient was admitted to a psychiatric treatment centre for supplemental treatment of his addiction problems.
authors.affiliation: Afdeling Mondziekten, Kaak- en Aangezichtschirurgie, Leids Universitair Medisch Centrum.
authors.forename: J T
authors.initials: JT
authors.lastname: Wes
authors.forename: J A
authors.initials: JA
authors.lastname: Bouwens
authors.forename: E M
authors.initials: EM
authors.lastname: van Fenema
authors.forename: J P R
authors.initials: JP
authors.lastname: van Merkesteyn
authors.forename: R A T
authors.initials: RA
authors.lastname: Gortzak
mesh_terms: D000437:Alcoholism / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010159:Palate / Q000293:injuries*; D012652:Self Mutilation / Q000175:diagnosis*