eMedicine Specialties > Dermatology > Psychocutaneous Diseases
Dermatitis Artefacta: Differential Diagnoses & Workup
Updated: Jul 8, 2009
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
Differential Diagnoses
Other Problems to Be Considered
Body dysmorphic disorder
Factitious disorder
Delusional disorder
Malingering
Münchhausen syndrome (by proxy)
Personality disorder - Borderline, dependent, obsessive-compulsive
Somatoform disorder
Workup
Laboratory Studies
- No specific laboratory blood tests are required for dermatitis artefacta.
Imaging Studies
- No imaging studies are required for dermatitis artefacta.
Other Tests
- No other general tests are required for dermatitis artefacta.
Procedures
- Skin biopsy is necessary for dermatitis artefacta.
Histologic Findings
A skin biopsy of a representative dermatitis artefacta lesion may be performed to rule out any underlying pathology and, in some cases, to establish a definite diagnosis. The histologic findings in dermatitis artefacta are usually nonspecific and are often dependent on the mechanism of injury (eg, foreign body reaction with giant cells and noninfectious material for self-injection).
More on Dermatitis Artefacta |
| Overview: Dermatitis Artefacta |
Differential Diagnoses & Workup: Dermatitis Artefacta |
| Treatment & Medication: Dermatitis Artefacta |
| Follow-up: Dermatitis Artefacta |
| References |
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References
Shah KN, Fried RG. Factitial dermatoses in children. Curr Opin Pediatr. Aug 2006;18(4):403-9. [Medline].
Gupta MA, Gupta AK, Ellis CN, Koblenzer CS. Psychiatric evaluation of the dermatology patient. Dermatol Clin. Oct 2005;23(4):591-9. [Medline].
Saez-de-Ocariz M, Orozco-Covarrubias L, Mora-Magana I, et al. Dermatitis artefacta in pediatric patients: experience at the national institute of pediatrics. Pediatr Dermatol. May-Jun 2004;21(3):205-11. [Medline].
Ozmen M, Erdogan A, Aydemir EH, Oguz O. Dissociative identity disorder presenting as dermatitis artefacta. Int J Dermatol. Jun 2006;45(6):770-1. [Medline].
Urpe M, Pallanti S, Lotti T. Psychosomatic factors in dermatology. Dermatol Clin. Oct 2005;23(4):601-8. [Medline].
Ehsani AH, Toosi S, Shahshahani MM, Arbabi M, Noormohammadpour P. Psycho-cutaneous disorders: an epidemiologic study. J Eur Acad Dermatol Venereol. Mar 11 2009;[Medline].
Ilter N, Adisen E, Gurer MA, Kevlekci C, Tekin O, Sayin A. Dermatitis artefacta masquerading as pyoderma gangrenosum. Int J Dermatol. Sep 2008;47(9):975-7. [Medline].
Harries MJ, McMullen E, Griffiths CE. Pyoderma gangrenosum masquerading as dermatitis artefacta. Arch Dermatol. Nov 2006;142(11):1509-10. [Medline].
Brod CS, Garbe C, Schleicher J, Rocken M, Schilling M. Acquired haemophilia mimicking dermatitis artefacta. Acta Derm Venereol. 2009;89(2):194-5. [Medline].
Angus J, Affleck AG, Croft JC, Leach IH, Slater DN, Millard LG. Dermatitis artefacta in a 12-year-old girl mimicking cutaneous T-cell lymphoma. Pediatr Dermatol. May-Jun 2007;24(3):327-9. [Medline].
Giunta A, Demin F, Campione E, Chimenti S, Bianchi L. Dermatitis artefacta in sporadic sclerodermoid hepatitis C virus-associated porphyria cutanea tarda. J Eur Acad Dermatol Venereol. Dec 22 2008;[Medline].
Cohen AD, Vardy DA. Dermatitis artefacta in soldiers. Mil Med. Jun 2006;171(6):497-9. [Medline].
Shenefelt PD. Complementary psychocutaneous therapies in dermatology. Dermatol Clin. Oct 2005;23(4):723-34. [Medline].
Gupta MA, Guptat AK. The use of antidepressant drugs in dermatology. J Eur Acad Dermatol Venereol. Nov 2001;15(6):512-8. [Medline].
Lee CS, Koo J. Psychopharmacologic therapies in dermatology: an update. Dermatol Clin. Oct 2005;23(4):735-44. [Medline].
Koblenzer CS. Dermatitis artefacta. Clinical features and approaches to treatment. Am J Clin Dermatol. Jan-Feb 2000;1(1):47-55. [Medline].
Further Reading
Keywords
dermatitis artefacta, factitious disorder, Munchhausen's syndrome by proxy, Münchhausen syndrome by proxy, Munchhausen syndrome by proxy, Munchausen syndrome by proxy, acne excoriee, picker's nodules, picker nodules, psychocutaneous disease, psychosomatic dermatoses, self-injurious behaviors, obsessive-compulsive behavior, attention-seeking behavior, self injury, self-induced excoriations
Differential Diagnoses & Workup: Dermatitis Artefacta