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人工皮炎(人为性皮炎)——一项跨学科的诊断和治疗挑战

[Dermatitis artefacta (factitial dermatitis)--an interdisciplinary diagnostic and therapeutic challenge].

作者信息

Körber A, Grabbe S, Dissemond J

机构信息

Universitätsklinikum Essen, Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie.

出版信息

MMW Fortschr Med. 2006 Mar 16;148(11):52-3, 55. doi: 10.1007/BF03364599.

DOI:10.1007/BF03364599
PMID:16612964
Abstract

Factitial cutaneous lesions result from self-inflicted injury leading to objectifiable clinically relevant damage to the skin. Triggering factors are frequently psychiatric disorders or specific stress situations. Clinical manifestations range from superficial erosions to deep wounds.The establishment of the diagnosis is often a time-consuming and complicated process that precedes acceptance of the underlying pathology by both the therapist and patient. If lasting therapeutic success is to be achieved, the possibility of such cutaneous lesions must be included in differential diagnostic considerations, and early interdisciplinary cooperation is necessary.

摘要

人工性皮肤损伤是由自我造成的伤害导致的,会对皮肤造成可客观诊断的临床相关损害。诱发因素通常是精神疾病或特定的压力情境。临床表现从浅表糜烂到深部伤口不等。确立诊断往往是一个耗时且复杂的过程,在此之前治疗师和患者都要接受潜在的病理状况。若要取得持久的治疗成功,在鉴别诊断时必须考虑到出现这种皮肤损伤的可能性,并且早期开展多学科合作是必要的。

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