Self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach

Introduction . Patients with self-inflicted skin lesions (SISL) are most often referred to dermatologists. Since psychological and psychiatric conditions might be the underlying reasons for the behavior of these patients, the psychology-associated component should always be kept in mind when approac...

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Main Authors: Dimitre Dimitrov, Radomir Reszke, Jacek Szepietowski
Format: Article
Language:English
Published: Termedia Publishing House 2016-12-01
Series:Przegląd Dermatologiczny
Subjects:
Online Access:https://www.termedia.pl/Self-inflicted-skin-lesions-the-importance-of-a-proper-diagnostic-and-therapeutic-approach,56,28784,1,1.html
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author Dimitre Dimitrov
Radomir Reszke
Jacek Szepietowski
author_facet Dimitre Dimitrov
Radomir Reszke
Jacek Szepietowski
author_sort Dimitre Dimitrov
collection DOAJ
description Introduction . Patients with self-inflicted skin lesions (SISL) are most often referred to dermatologists. Since psychological and psychiatric conditions might be the underlying reasons for the behavior of these patients, the psychology-associated component should always be kept in mind when approaching such individuals. Objective. To discuss distinctive aspects of the approach towards patients with SISL and emphasize the most relevant issues concerning the management of psychodermatoses. Case report. We present a case of a 13-year-old girl with a 6-month history of skin lesions misdiagnosed as allergic contact dermatitis. Conscientious history taking and physical examination enabled the diagnosis of SISL. Conclusions. The proper approach to patients presenting with psychodermatoses differs from that for other dermatological patients and requires considering several additional aspects. We would like to emphasize the distinguishing aspects and importance of the proper approach to patients with SISL that might aid clinicians in diagnosing and treating these individuals in the future.
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spelling doaj.art-969abf9191a546a2ae632ab8dcf0fe7e2022-12-22T02:00:06ZengTermedia Publishing HousePrzegląd Dermatologiczny0033-25262084-98932016-12-01103647547810.5114/dr.2016.6383728784Self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approachDimitre DimitrovRadomir ReszkeJacek SzepietowskiIntroduction . Patients with self-inflicted skin lesions (SISL) are most often referred to dermatologists. Since psychological and psychiatric conditions might be the underlying reasons for the behavior of these patients, the psychology-associated component should always be kept in mind when approaching such individuals. Objective. To discuss distinctive aspects of the approach towards patients with SISL and emphasize the most relevant issues concerning the management of psychodermatoses. Case report. We present a case of a 13-year-old girl with a 6-month history of skin lesions misdiagnosed as allergic contact dermatitis. Conscientious history taking and physical examination enabled the diagnosis of SISL. Conclusions. The proper approach to patients presenting with psychodermatoses differs from that for other dermatological patients and requires considering several additional aspects. We would like to emphasize the distinguishing aspects and importance of the proper approach to patients with SISL that might aid clinicians in diagnosing and treating these individuals in the future.https://www.termedia.pl/Self-inflicted-skin-lesions-the-importance-of-a-proper-diagnostic-and-therapeutic-approach,56,28784,1,1.htmlpsychodermatology self-inflicted skin lesions factitious dermatosis
spellingShingle Dimitre Dimitrov
Radomir Reszke
Jacek Szepietowski
Self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach
Przegląd Dermatologiczny
psychodermatology
self-inflicted skin lesions
factitious dermatosis
title Self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach
title_full Self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach
title_fullStr Self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach
title_full_unstemmed Self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach
title_short Self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach
title_sort self inflicted skin lesions the importance of a proper diagnostic and therapeutic approach
topic psychodermatology
self-inflicted skin lesions
factitious dermatosis
url https://www.termedia.pl/Self-inflicted-skin-lesions-the-importance-of-a-proper-diagnostic-and-therapeutic-approach,56,28784,1,1.html
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