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Titolo:
Dermatitis artefacta: A review of 14 cases
Autore:
Obasi, OE; Naguib, M;
Indirizzi:
King Khalid Natl Guard Hosp, Dept Med, Jeddah 21423, Saudi Arabia King Khalid Natl Guard Hosp Jeddah Saudi Arabia 21423 1423, Saudi Arabia
Titolo Testata:
ANNALS OF SAUDI MEDICINE
fascicolo: 3, volume: 19, anno: 1999,
pagine: 223 - 227
SICI:
0256-4947(199905)19:3<223:DAARO1>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
DISEASE; FEMALE;
Keywords:
dermatitis artefacta; emotional/psychiatric problems; secondary gains;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Obasi, OE King Khalid Natl Guard Hosp, Dept Med, POB 9515, Jeddah 21423, Saudi Arabia King Khalid Natl Guard Hosp POB 9515 Jeddah Saudi Arabia 21423
Citazione:
O.E. Obasi e M. Naguib, "Dermatitis artefacta: A review of 14 cases", ANN SAUDI M, 19(3), 1999, pp. 223-227

Abstract

Background: Dermatitis artefacta (DA) is a self-inflicted dermatologic injury sometimes produced for secondary gains. Laboratory investigations, including histologic examination of lesional tissue biopsy, are usually negative and do not give a clue to the correct diagnosis. Patients and Methods: Over a five-year period, 14 patients were diagnosed with DA at King Fahad Hospital (KFH) in Al Baha during routine outpatient and inpatient dermatologic consultations. The diagnoses were based on vagueness of history given by the patients, and the presence of bizarre skin lesions distributed over sites accessible to the patients' hands. Investigations excluded the possibility of other diseases. In some cases, consultant psychiatric assessment was sought in order to identify possible underlying psychopathologic factors. Seven patients were hospitalized while the rest weremanaged as outpatients. Results: The 14 patients comprised 12 females and two males aged 12 to 71 (mean 25.9) years. All except one were Saudis. DA in the males was probablycaused for secondary gains. The females, four of whom were married and eight single, were aged 12-36 (mean 21.8) years. Nine of the females (64%) hadidentifiable severe emotional or psychiatric problems. The remaining two were unmarried and had no identifiable underlying factors. Conclusion: This study reveals that the presentation of DA in Saudi Arabiais essentially similar to what has been reported from other parts of the world. It brings into focus a medical problem which needs to be recognized, as greater awareness may bring about earlier correct diagnosis and treatment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 10:10:45