Factitial dermatitis digital illustration

Factitial dermatitis Save


ICD-10 code: L98.1

Disease category: L98: Other disorders of skin and subcutaneous tissue, not elsewhere classified

Understanding Factitial Dermatitis

Factitial dermatitis, also known as dermatitis artefacta or self-inflicted dermatosis, is a rare skin condition that arises from deliberate self-harm. Individuals suffering from factitial dermatitis intentionally cause lesions, resulting in skin damage. This disorder is characterized by the presence of unusual and atypical skin injuries, which are self-induced.

Factitial dermatitis is considered a psychiatric disorder rather than a physical skin condition. The underlying cause is often psychological distress or emotional trauma. People with this condition may exhibit symptoms such as anxiety, depression, or personality disorders.

Signs and Symptoms:

  1. Unusual skin lesions: Factitial dermatitis often presents with unusual patterns and shapes that do not align with typical skin conditions.
  2. Widespread involvement: The lesions may be found on various body parts, including the face, arms, legs, and torso.
  3. Sharp borders: The borders of the lesions are well-defined and may appear as straight lines.
  4. Uniform appearance: The skin lesions often have a similar color, size, and texture, which can be a clue for healthcare professionals to suspect factitial dermatitis.
  5. Resistance to treatment: Conventional treatments may not lead to improvement or healing of the lesions, as the underlying cause is psychological.

Causes and Risk Factors:

Factitial dermatitis is primarily caused by psychological factors. Individuals who have experienced trauma, abuse, or have underlying psychiatric conditions are at a higher risk of developing this disorder. They may engage in self-harm as a way to cope with emotional distress or to gain attention.

Diagnosis:

Diagnosing factitial dermatitis can be challenging due to the nature of the condition. Healthcare professionals, such as dermatologists or psychiatrists, carefully examine the patient's medical history, conduct physical examinations, and consider psychological factors to make an accurate diagnosis.

If factitial dermatitis is suspected, medical professionals may collaborate with mental health specialists to provide appropriate care and support to the affected individual.

Conclusion:

Factitial dermatitis is a complex condition that requires a multidisciplinary approach for proper diagnosis and treatment. While it may appear as a physical skin disorder, its underlying cause lies in psychological distress. Understanding and addressing the emotional factors contributing to this condition are crucial for effective management and improvement of the patient's overall well-being.

Treatment of Factitial dermatitis:

Treatment Options for Factitial Dermatitis

Factitial dermatitis, also known as dermatitis artefacta, is a condition where patients intentionally damage their skin, often as a response to underlying psychological issues. It can be challenging to treat due to the complex nature of the condition. However, various treatment options can help manage the symptoms and address the underlyin...

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