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Factitial dermatitis - External and Internal Eye
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Factitial dermatitis - External and Internal Eye

See also in: Skin
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Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
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Synopsis

Factitial dermatitis is due to self-abuse or in proxy by another, usually with the intent to elicit pity, sympathy, attention, escape responsibilities, or even to collect disability or to gain money for narcotics.

Dermatitis-like lesions, panniculitis, ulcerative disease, and vasculitis-like lesions are all possible. These diagnoses of self-abuse tend to occur more frequently in women and in those working in health care. The psychological profile of the patient with self-induced skin disease is the patient with a dependent and manipulative personality disorder.

The patients' typical lack of concern for how disfiguring their lesions appear is out of proportion to the reality of their presentation. The patient history never seems to add up to explain the unusual cutaneous findings. The lesions may be produced by scratching, picking, biting, cutting, burning, injecting, and puncturing. Lesions are usually more elaborate than simple excoriations.

Codes

ICD10CM:
L98.1 – Factitial dermatitis

SNOMEDCT:
27720003 – Factitious dermatitis

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Last Updated: 07/26/2017
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Factitial dermatitis - External and Internal Eye
See also in: Skin
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Factitial dermatitis : Erythema, Face, Lichenified plaque, Skin erosion, Thick scaly plaque, Arms
Clinical image of Factitial dermatitis
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