oral lesions in an autistic pediatric patient.
The psychogenic purpuras: a review of autoerythrocyte sensitization, autosensitization to DNA, "hysterical" and factitial
bleeding, and the religious stigmata.
However, self inflicted wounds caused by nocturnal clenching or tongue and lip biting, electrical and thermal injuries, hot foods or beverages, and even factitial
injuries yield a similar finding.
Zonuz AT, Treister N, Mehdipour F, Farahani RM, Tubbs RS, Shoja MM: Factitial
The patients most likely to present to a dermatologist are those with delusions of parasitosis, factitial
dermatitis, neurotic excoriations, trichotillomania, and borderline personality disorder.
Indeed, a variety of treatable illnesses can also give rise to cutaneous necrotic ulcers, including staphylococcal, and streptococcal infections such as impetigo and cellulitis, herpes simplex infection, factitial
injury, squamous cell carcinoma, toxicodendron dermatitis (poison ivy), diabetic ulcer, fungal infection, localized vasculitis, erythema nodosum, Stevens-Johnson syndrome, toxic epidermal necrolysis, and other arthropod bites including bites from ticks, triatomid bugs, hymenoptera, blister beetles, crickets, and grasshoppers5, sporotrichosis7, and even Lyme disease8.
Entities to be distinguished from primary DP are factitial
dermatitis (self-inflicted for attention-seeking), Munchausen's syndrome, and malingering.
Stool composition in factitial
diarrhea: a 6-year experience with stool analysis.
Setyadi et al present an interesting case of TTS and review important aspects of the syndrome with clinically useful tables, outlining the differential diagnosis of nasal ulceration and highlighting differences between TTS and factitial
In addition to trigeminal trophic syndrome, the differential diagnosis of conditions that can cause nasal ulcers include factitial
disorders with self-induced ulcerations (such as dermatitis artifacta and neurotic excoriations), granulomatous conditions, infectious diseases, malignancy, and pyoderma gangrenosum.
dermatitis, in which affected patients burn their skin or use chemicals or caustics to injure their skin, falls within stage III.
4) To our knowledge, coexisting factitial
diarrhea has not previously been reported in the literature.