Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Hysterical Dermatitis Factitia

Hysterical Dermatitis Factitia Abstract An 11-year-old girl had light brown lesions or erythematous macules, many with atrophic and scaling surfaces for two years. Long, linear abrasions were present on the lower extremities. Lesions were within reach of the patient's hands, and several showed geometric patterning. Scalp, neck, ears, shoulders, posterior trunk and thighs, genitalia and palms and soles were unaffected. Corneal and pharyngeal reflexes were absent. She appeared unconcerned with her condition but finally admitted self-infliction. Morphology and distribution of the lesions, the patient's attitude and lack of response to corneal and pharyngeal stimulation justify the diagnosis of hysterical factitial dermatitis. Self-inflicted dermatosis can be recognized on clinical grounds. Diagnostic maneuvers to confirm the diagnosis and efforts to elicit admission of guilt are unnecessary. Referral for psychiatric evaluation is recommended. References 1. Gandy DT: Concept and clinical aspects of factitial dermatitis . South Med J 46:551-555, 1953.Crossref 2. Ormsby OS: Factitious dermatoses . JAMA 65:1622-1628, 1915.Crossref 3. Stokes JH, Garner VC: The diagnosis of self-inflicted lesions of the skin . JAMA 93:438-443, 1929.Crossref 4. Leider M: Practical Pediatric Dermatology . St. Louis, CV Mosby Co, 1961. 5. Allen AC: The skin: A Clinicopathological Treatise . New York: Grune & Stratton Inc, 1967. 6. Waisman M: Pickers, pluckers and imposters: A panorama of cutaneous self-mutilation . Postgrad Med 38:620-630, 1965. 7. Battle RJV, Pollitt JD: Self-inflicted injuries Br J Plast Surg 17:400-412, 1964.Crossref 8. Pillsbury DM, Shelley WB, Kligman AM: Dermatology . Philadelphia, WB Saunders Co, 1956. 9. Stelwagon HW: A case of feigned eruption . Arch Derm 8:236-240, 1882. 10. Simpson JS, Hawke WA: Self-mutilation: Case of a 13-year-old girl . Pediatrics 45:1008-1011, 1970. 11. Green AH: Self-mutilation in schizophrenic children . Arch Gen Psychiatry 17:234-244, 1967.Crossref 12. Stinnett JL, Hollender MH: Compulsive self-mutilation . J Nerv Ment Dis 150:371-375, 1970.Crossref 13. Lovejoy FH Jr, Marcuse EK, Landrigan PJ: Two examples of purpura factitia . Clin Pediatr (Phila) 10:183-184, 1971.Crossref 14. Lesch M, Nyhan WL: A familial disorder of uric acid metabolism and central nervous system function . Am J Med 36:561-570, 1964.Crossref 15. Zaidens SH: Self-inflicted dermatoses and their psychodynamics . J Nerv Ment Dis 113:395-404, 1951. 16. Klauder JV: Psychogenic aspects of skin diseases . J Nerv Ment Dis 85:249-273, 1936.Crossref 17. Malmquist CP: Hysteria in childhood . Postgrad Med 50:112-117, 1971. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Hysterical Dermatitis Factitia

Loading next page...
 
/lp/american-medical-association/hysterical-dermatitis-factitia-DVIX0aOWqJ
Publisher
American Medical Association
Copyright
Copyright © 1973 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1973.04160040066014
Publisher site
See Article on Publisher Site

Abstract

Abstract An 11-year-old girl had light brown lesions or erythematous macules, many with atrophic and scaling surfaces for two years. Long, linear abrasions were present on the lower extremities. Lesions were within reach of the patient's hands, and several showed geometric patterning. Scalp, neck, ears, shoulders, posterior trunk and thighs, genitalia and palms and soles were unaffected. Corneal and pharyngeal reflexes were absent. She appeared unconcerned with her condition but finally admitted self-infliction. Morphology and distribution of the lesions, the patient's attitude and lack of response to corneal and pharyngeal stimulation justify the diagnosis of hysterical factitial dermatitis. Self-inflicted dermatosis can be recognized on clinical grounds. Diagnostic maneuvers to confirm the diagnosis and efforts to elicit admission of guilt are unnecessary. Referral for psychiatric evaluation is recommended. References 1. Gandy DT: Concept and clinical aspects of factitial dermatitis . South Med J 46:551-555, 1953.Crossref 2. Ormsby OS: Factitious dermatoses . JAMA 65:1622-1628, 1915.Crossref 3. Stokes JH, Garner VC: The diagnosis of self-inflicted lesions of the skin . JAMA 93:438-443, 1929.Crossref 4. Leider M: Practical Pediatric Dermatology . St. Louis, CV Mosby Co, 1961. 5. Allen AC: The skin: A Clinicopathological Treatise . New York: Grune & Stratton Inc, 1967. 6. Waisman M: Pickers, pluckers and imposters: A panorama of cutaneous self-mutilation . Postgrad Med 38:620-630, 1965. 7. Battle RJV, Pollitt JD: Self-inflicted injuries Br J Plast Surg 17:400-412, 1964.Crossref 8. Pillsbury DM, Shelley WB, Kligman AM: Dermatology . Philadelphia, WB Saunders Co, 1956. 9. Stelwagon HW: A case of feigned eruption . Arch Derm 8:236-240, 1882. 10. Simpson JS, Hawke WA: Self-mutilation: Case of a 13-year-old girl . Pediatrics 45:1008-1011, 1970. 11. Green AH: Self-mutilation in schizophrenic children . Arch Gen Psychiatry 17:234-244, 1967.Crossref 12. Stinnett JL, Hollender MH: Compulsive self-mutilation . J Nerv Ment Dis 150:371-375, 1970.Crossref 13. Lovejoy FH Jr, Marcuse EK, Landrigan PJ: Two examples of purpura factitia . Clin Pediatr (Phila) 10:183-184, 1971.Crossref 14. Lesch M, Nyhan WL: A familial disorder of uric acid metabolism and central nervous system function . Am J Med 36:561-570, 1964.Crossref 15. Zaidens SH: Self-inflicted dermatoses and their psychodynamics . J Nerv Ment Dis 113:395-404, 1951. 16. Klauder JV: Psychogenic aspects of skin diseases . J Nerv Ment Dis 85:249-273, 1936.Crossref 17. Malmquist CP: Hysteria in childhood . Postgrad Med 50:112-117, 1971.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Apr 1, 1973

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month