Deparmtent of Dermatology and Allergolog, Vivantes Clinic Berlin Spandau, Germany.
J Dtsch Dermatol Ges. 2010 May;8(5):361-72; quiz 373. doi: 10.1111/j.1610-0387.2010.07327.x. Epub 2010 Feb 12.
Facticious Disorders are self inflicted skin lesions and includes the creation of physical or psychiatric symptoms in oneself or other reference persons. In dermatology frequently, there are mechanical injuries by pressures, friction, occlusion, biting, cutting, stabbing, thermal burns or self-inflicted infections with wound-healing impairment, abscesses, mutilations or damages by acids and other toxic to the skin. The current classification differentiates between four groups: 1. Dermatitis artefacta syndrome in the narrower sense as unconscious/dissociated self-injury, 2. Dermatitis paraartefacta syndrome: Disorders of impulse control, often as manipulation of an existing specific dermatosis (often semi-conscious, admitted - self-injury), 3. Malingering: consciously simulated injuries and diseases to obtain material gain, 4. special forms, such as the Gardner Diamond Syndrome, Münchhausen Syndrome and Münchhausen-by-Proxy Syndrome. This categorization is helpful in understanding the different pathogenic mechanisms and the psychodynamics involved, as well as in developing various therapeutic avenues and determining the prognosis.
人为性疾病是指自我造成的皮肤损伤，包括在自身或其他参照个体身上制造身体或精神症状。在皮肤病学中，经常有机械性损伤，如压力、摩擦、闭塞、咬伤、切割、刺伤、热烧伤或自我造成的愈合障碍的感染、脓肿、残缺或酸和其他对皮肤有毒的损伤。目前的分类将其分为四组：1.狭义的人为性皮炎综合征，无意识/分离性自我伤害；2.人为性皮病综合征：冲动控制障碍，通常是对现有特定皮肤病的操纵（通常是半意识的，承认-自我伤害）；3.装病：有意识地模拟伤害和疾病以获得物质利益；4.特殊形式，如 Gardner Diamond 综合征、Münchhausen 综合征和 Münchhausen-by-Proxy 综合征。这种分类有助于理解不同的发病机制和所涉及的心理动力学，以及开发各种治疗途径和确定预后。
