Basfar Lena, Almadfaa Ahmed, Nazer Bashayr A, Al Hawsawi Khalid, Khayyat Shahad T
College of Medicine, Ibn Sina National College for Medical Studies, Jeddah, SAU.
College of Medicine, King Abdulaziz University, Jeddah, SAU.
Cureus. 2023 Jan 26;15(1):e34244. doi: 10.7759/cureus.34244. eCollection 2023 Jan.
We report a 31-year-old female presented with a history of recurrent skin and oral lesions for 10 years. She brought a histopathology report confirming the diagnosis of pemphigus vulgaris (PV), which was found to be faked with no patient information and lacked letterhead. Skin and oral examination only reveal multiple linear upper lip erosions. We believed the patient had a preliminary diagnosis of PV, and we asked the patient to continue her medications. Based on the conflicting history and occurrence of contradictory issues, a diagnosis of dermatitis artefacta was made. The patient improved after four sessions of dialectical therapy.
我们报告一名31岁女性，有10年复发性皮肤和口腔病变病史。她带来一份组织病理学报告，确诊为寻常型天疱疮（PV），但发现该报告是伪造的，没有患者信息且无信头。皮肤和口腔检查仅发现上唇多处线状糜烂。我们认为该患者初步诊断为PV，并让患者继续用药。基于相互矛盾的病史和矛盾问题的出现，诊断为人工性皮炎。经过四次辩证治疗后患者病情好转。
