DR P. MARAZZI / SCIENCE PHOTO LIBRARY DR P. MARAZZI / SCIENCE PHOTO LIBRARY
Dermatitis artefacta. Close-up of a rash due to dermatitis artefacta on the skin of an 57-year- old alcoholic woman. The sore, inflamed lesions (red) have been deliberately produced by the patient. Dermatitis artefacta can range from a mild self-inflicted scratch to extensive self- mutilation. Patients often attempt to conceal the dermatitis from their doctors. In this case, the patient was suffering from alcoholism; other patients may have senile dementia or a personality disorder. Dermatitis artefacta is a form of neurosis classified as a factitious disorder, the production of physical or psycho- logical symptoms without any obvious motive.
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