Dermatology Oasis

Editor: Dr. Nameer Al-Sudany (IRAQ)

Dermatitis artefacta

Dermatitis artefacta

History

          A 38-year-old married woman presented with an irregular, clear-cut, longitudinal crusted ulcer about 12×2.5 cm with pinkish red border involved the flexor aspect of the upper part of the forearm of 1 month duration. The ulcer seems to be self-induced with a caustic material (chemical burn) but the patient denied any history of self-mutilatin. The ulcer appearance which didn’t fit any ulcerative dermatological entity and the rapid evolution in addition to non-specific histological findings on skin biopsy may permit the diagnosis of dermatitis artefacta.
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