14Jul 2018

CUTANEOUS PATHOMIMIA IN ADULTS: A SIGN OF PSYCHIATRIC ILLNESS.

  • Department of Dermatology, Military Hospital of Instruction Mohammed V, Rabat, Morocco.
  • Department of Psychiatry, Military Hospital of Instruction Mohammed V, Rabat, Morocco.
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Psychocutaneous disorders are conditions characterized by psychiatric and skin manifestations, they are difficult to diagnose and a challenge to treat. Pathomimia is manifested by self-induced skin lesions, in order to attract more attention of the relatives and/or the medical staff. Depression and anxiety are the two most frequent psychiatric disorders among factitious disorders patients. Cooperation between dermatologists and psychiatrists, lead to significant improvement of those conditions. We report the case of a 67-year-old female with unknown psychiatric history and self-induced skin lesions of the lower limbs.


  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.), Factitious Disorder DSM-5 300.19 (F68.10)
  2. Mohandas P, Bewley A, Taylor R. Dermatitis artefacta and artefactual skin disease: the need for a psychodermatology multidisciplinary team to treat a diffcult condition. Br J Dermatol. 2013; 169:600-6.
  3. Gattu S, Rashid RM, Khachemoune A. Self-induced skin lesions: a review of dermatitis artefacta. Cutis. 2009; 84:247-51.
  4. Gregurek-Novak T, Novac-Bilic G, Vucić M. Dermatits artefacta: unusual appearance in an older woman. J Eur Acad Dermatol Venereol. 2005; 19:223-5.
  5. Campanati A, Marconi B, Penna L, Paolinelli M, Ofdani A. Pronounced and early acne in Apert?s syndrome: a case successfully treated with oral isotretinoin. Eur J Dermatol. 2002; 12:496-8.
  6. Koblenzer CS. Dermatitis artefacta. Clinical features and approaches to treatment. Am J Clin Dermatol. 2000; 1:47-55.
  7. Ahmed A, Bewley A, Taylor R. Dermatitis artefacta in vulnerable adult with a dissociative state. Clin Exp Dermatol. 2013;38:921-3.
  8. Campanati A, De Blasio S, Giuliano A, Ganzetti G, Giuliodori K, Pecora T, Consales V, et al. Response to Letter to the Editor: 'A precise knowledge of ozonated oils will help to define the favourable and peculiar properties of these functional dermatological matrices'. Burns. 2014. doi: 10.1016/j.burns.2013.12.013.
  9. Campanati A, Savelli A, Sandroni L, Marconi B, Giuliano A, Giuliodori K, et al. Effect of allium cepa-allantoin-pentaglycan gel on skin hypertrophic scars: clinical and video-capillaroscopic results of an open-label, controlled, nonrandomized clinical trial. Dermatol Surg. 2010; 36:1439-44.

[Ahmed Bouhamidi, Youness Mamouni Alaoui, Mohammed Boui and Naoufal Hjira. (2018); CUTANEOUS PATHOMIMIA IN ADULTS: A SIGN OF PSYCHIATRIC ILLNESS. Int. J. of Adv. Res. 6 (Jul). 427-430] (ISSN 2320-5407). www.journalijar.com


Ahmed Bouhamidi
Department of Dermatology, Military Hospital of Instruction Mohammed V, Rabat, Morocco

DOI:


Article DOI: 10.21474/IJAR01/7379      
DOI URL: https://dx.doi.org/10.21474/IJAR01/7379