Gupta Manavi, Sharma Apoorva, Kumaran Muthu Sendhil
Department of Dermatology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Cureus. 2024 Sep 5;16(9):e68682. doi: 10.7759/cureus.68682. eCollection 2024 Sep.
Dermatitis artefacta (DA) is a rare and challenging-to-diagnose factitious dermatological disorder, most commonly affecting late adolescents and young adults. This case report presents a 17-year-old girl with a history of unexplained linear lesions on her face and abdomen persisting for 11 months, leading to significant school absenteeism. The dermatological examination was otherwise unremarkable except for multiple well-defined excoriations, erosions, and scarring, suggestive of DA. Dermoscopic examination supported this diagnosis, showing characteristic features. The patient was treated with N-acetyl cysteine and referred for psychiatric evaluation, highlighting the intricate nature of managing DA, particularly in young individuals who may have underlying psychological distress. The case underscores the importance of a multidisciplinary approach in diagnosing and treating DA, given its overlap with other neuropsychiatric and dermatological disorders.
人工皮炎是一种罕见且难以诊断的人为性皮肤病，最常影响青少年晚期和年轻成年人。本病例报告介绍了一名17岁女孩，其面部和腹部有不明原因的线状皮损，持续11个月，导致严重缺课。除了多处边界清晰的擦伤、糜烂和瘢痕形成外，皮肤科检查未见其他异常，提示人工皮炎。皮肤镜检查支持这一诊断，显示出特征性表现。该患者接受了N-乙酰半胱氨酸治疗，并被转介进行精神科评估，突出了管理人工皮炎的复杂性，尤其是在可能存在潜在心理困扰的年轻人中。鉴于人工皮炎与其他神经精神和皮肤病的重叠，该病例强调了多学科方法在诊断和治疗人工皮炎中的重要性。
