Dermatitis artefacta, a psychodermatologic condition- Case report
Dermatitis artefacta, a psychodermatologic condition- Case report

Summary/Abstract: Dermatitis artefacta is a term that refers to the situation of the patients using different tools, such as sharp tools, cigarette or chemicals in order to cause damage to the skin and is associated with various mental disorders such as personality disorders or psychosis. In this paper, we present a clinical case, a male patient of 48 years old, found in the records of the “Socola” Institute of Psychiatry Iasi at age 7, when he was hospitalized with the diagnosis “Nocturnal enuresis with demodulation on the electroencephalography”. Since 2011, the patient experienced tingling, numbness and pain of the hands, claiming he had something under the skin, which causes this pain. In November 2013, the patient was again consulted by a Dermatologist because he presented an ulceration, which occupies the dorso-lateral side of the right hand and the dorsal side of the right auricular. The diagnosis was “Dermatitis artefacta”. Currently, we could see that scarring lesions on the hands are no longer been present, he had no pain and numbness, but argues that the symptoms were improved, as a result of its own actions on injuries with a sharp object. Taking into account the polymorphism of the psychiatric symptoms, it was needed the administration of mood stabilizers such as Valproate and low dose of atypical antipsychotics (Risperidonum). In conclusion, this case required collaboration with other medical specialties, a comprehensive approach in a multidisciplinary team.

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