Case report<br>Dermatitis artefacta as a symptom of schizophrenia?

Anna Kępska; Magdalena Majtyka; Maciej Kowman; Iwona Kłoszewska; Ewa Kwiecińska; Anna Zalewska-Janowska

doi:10.5114/pdia.2014.40921

eISSN: 2299-0046
ISSN: 1642-395X

Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii

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4/2014
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abstract:

Case report
Dermatitis artefacta as a symptom of schizophrenia?

Anna Kępska

,

Magdalena Majtyka

,

Maciej Kowman

,

Iwona Kłoszewska

,

Ewa Kwiecińska

,

Anna Zalewska-Janowska

Postep Derm Alergol 2014; XXXI, 4: 277–279

DOI: https://doi.org/10.5114/pdia.2014.40921

Online publish date: 2014/09/08

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Dermatitis artefacta is a disease that occurs as a result of a self-inflicted injury of the skin. The skin lesions are most often located on the areas within easy reach of the patient’s dominant hand sparing the middle part of the back. Dermatitis artefacta may coexist with psychiatric disorders and imitate many dermatologic diseases. As most of the patients with self-inflicted dermatoses usually initially deny any psychiatric problems, what delays psychiatric intervention, they are typically first seen by dermatologists. We are reporting a case of a 35-year-old man with a 3-year-long history of schizophrenia who has been treated at a dermatologist’s office sequentially with acne, bacterial lesions, suspected tuberculosis. However, the treatment was ineffective. He was diagnosed with dermatitis artefacta after 7 years of disease duration. During this time he was treated with many medicines e.g. isotretinoin, which is contraindicated in psychosis as it worsens the course of disease. After establishing the correct diagnosis and antipsychotic treatment, a significant improvement was obtained in both skin condition and mental state. These are the reasons why we would like to recommend close cooperation between dermatologists and psychiatrists.

keywords:

Case reportDermatitis artefacta as a symptom of schizophrenia?

Anna Kępska , Magdalena Majtyka , Maciej Kowman , Iwona Kłoszewska , Ewa Kwiecińska , Anna Zalewska-Janowska

dermatitis artefacta, schizophrenia, self-mutilation, psychodermatology

Case report
Dermatitis artefacta as a symptom of schizophrenia?

Anna Kępska

,

Magdalena Majtyka

,

Maciej Kowman

,

Iwona Kłoszewska

,

Ewa Kwiecińska

,

Anna Zalewska-Janowska