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LETTER TO THE EDITOR
Year : 2017  |  Volume : 8  |  Issue : 5  |  Page : 367  

Dermatitis factitia


Department of Dermatology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India

Date of Web Publication15-Sep-2017

Correspondence Address:
Rashmi Kumari
Department of Dermatology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry - 605 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.214711

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How to cite this article:
Gupta D, Kumari R, Thappa DM. Dermatitis factitia. Indian Dermatol Online J 2017;8:367

How to cite this URL:
Gupta D, Kumari R, Thappa DM. Dermatitis factitia. Indian Dermatol Online J [serial online] 2017 [cited 2019 Jul 23];8:367. Available from: http://www.idoj.in/text.asp?2017/8/5/367/214711

Sir,

A 25-year-old female presented with multiple round, monomorphic ulcers and scars in various stages of healing for the past 6 months. These were unusually close to one another and most pronounced over the thighs, upper chest, and abdomen with a conspicuous sparing of breasts [Figure 1]a and [Figure 1]b. Lesions were completely absent over relatively inaccessible areas such as the back and buttocks [Figure 2]a and [Figure 2]b. Initially, she refused to describe their exact evolution, however, on detailed probing, she revealed that these ulcers were self-inflicted from the hot end of a burning candle. There was a history of severe marital discord. Skin biopsy was unremarkable. A psychiatric evaluation supported the diagnosis of dermatitis factitia and selective serotonin re-uptake inhibitors and individual therapy were advised.
Figure 1: (a) Multiple round, monomorphic ulcers and scars in various stages of healing present unusually close to one another over thighs; (b) multiple healed, round, similar appearing scars over the upper chest and abdomen with a conspicuous sparing of breasts

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Figure 2: Complete absence of lesions over relatively inaccessible areas such as the (a) back; (b) buttocks

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.


    Figures

  [Figure 1], [Figure 2]



 

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