Factitial Dermatitis (Dermatitis Artefacta)

Factitial dermatitis (dermatitis artefacta) is self-inflicted skin lesions (excoriations/cuts/burns/chemicals) in bizarre shapes, on accessible areas, with psychological conflict/munchausen syndrome. Treatment: nonjudgmental approach; avoid confrontation; wound care; treat infection; psychiatric evaluation/psychotherapy; antidepressants/antipsychotics as indicated; multidisciplinary (dermatology/psychiatry); monitor suicide risk; follow-up dermatology/psychiatry; family/caregiver support.

Common Symptoms

Self-inflicted lesions; bizarre shapes; accessible areas; psychological conflict

Causes and Pathogenesis

Unconscious psychological need to assume sick role causes self-inflicted lesions.

Treatment

Nonjudgmental; wound care; psychiatric therapy; multidisciplinary; monitor suicide

Preventive Measures

Psychological support; treat underlying psychiatric disease.

Department to Visit

It is recommended to visit the Dermatology/Psychiatry department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.