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Self induced facial

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Uwe Gieler 1 , Sylvie G. Linder 4 , Gregor B. Consoli The terminology, classification, diagnosis and treatment of self-inflicted dermatological lesions are subjects of open debate. The present study is the result of various meetings of a task force of dermatologists, psychiatrists and psychologists, all active in the field of psychodermatology, aimed at clarifying the terminology related to these disorders.
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Facial self-induced paraffinoma in an elderly woman

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Facial self-induced paraffinoma in an elderly woman

A year-old Caucasian woman without remarkable medical history presented with an asymptomatic bilateral periocular swelling, which had been present for 2 months. Physical examination showed symmetric indurated periocular erythematous plaques Figure 1. Biopsy of a skin lesion revealed aggregates of vacuoles of different sizes Figure 2 surrounded by a prominent inflammatory infiltrate constituted by macrophages, lymphocytes, neutrophils, and granulomatous foreign body reaction throughout the reticular dermis and hypodermis. These histological findings were consistent with the injection of an oily foreign substance. The patient denied the self-induced nature of the lesions, so she was referred for psychiatric evaluation and admitted having self-injected mineral oil as an impulsive attempt to get attention from her family.
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Special Report

DermNet provides Google Translate, a free machine translation service. Note that this may not provide an exact translation in all languages. Dermatitis artefacta is a condition in which skin lesions are solely produced or inflicted by the patient's own actions.
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Dermatitis artefacta DA is a self-inflicted dermatological condition where the underlying motive is to assume a sick role. The act of self-harm is to discharge the inner sense of isolation and emotional distress, which is too great to endure. Rarity may be attributed to masquerading presentation, leading to misdiagnosis and paucity of awareness among the physicians. Lack of proper identification of the underlying psychiatric disturbances may be the major cause of the loss of follow-ups.
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