Shelley W B
Arch Dermatol. 1982 Apr;118(4):260-2.
Factitial dermatitis was the presenting sign of the multiple lentigines syndrome (leopard syndrome) in a young woman. Six years of an unremitting succession of erosive lesions was medically interpreted as a continuous, nonverbal appeal for help in avoiding an undesirable job. Manifestations of her multiple lentigines syndrome included generalized lentigines, mild mental retardation, diabetes mellitus, transitory ECG abnormalities, a cardiac murmur, ocular hypertension, eye muscle paresis, webbed toes, and skeletal deformities of the hands and chest. Through the years, the repetitive sequence of factitial, erosive, nonscarring lesions eradicated her lentigines, leaving the relatively inaccessible back as the only site of residual multiple lentigines.
人工皮炎是一名年轻女性多发性雀斑样痣综合征（豹斑综合征）的首发症状。六年不间断的糜烂性皮损在医学上被解释为一种持续的、无声的求助信号，以避免从事一份不理想的工作。她的多发性雀斑样痣综合征的表现包括全身性雀斑样痣、轻度智力低下、糖尿病、短暂性心电图异常、心脏杂音、高眼压、眼肌麻痹、蹼状趾以及手部和胸部骨骼畸形。多年来，人工性、糜烂性、无瘢痕性皮损的反复出现消除了她的雀斑样痣，仅留下相对难以触及的背部作为残余多发性雀斑样痣的唯一部位。
