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Case Reports
. 2023 Jan 26;15(1):e34244.
doi: 10.7759/cureus.34244. eCollection 2023 Jan.

Dermatitis Artefacta: A Challenging Case Report

Lena Basfar  1 , Ahmed Almadfaa  2 , Bashayr A Nazer  2 , Khalid Al Hawsawi  3 , Shahad T Khayyat  2
Affiliations
Case Reports

Dermatitis Artefacta: A Challenging Case Report

Lena Basfar et al. Cureus. .

Abstract

We report a 31-year-old female presented with a history of recurrent skin and oral lesions for 10 years. She brought a histopathology report confirming the diagnosis of pemphigus vulgaris (PV), which was found to be faked with no patient information and lacked letterhead. Skin and oral examination only reveal multiple linear upper lip erosions. We believed the patient had a preliminary diagnosis of PV, and we asked the patient to continue her medications. Based on the conflicting history and occurrence of contradictory issues, a diagnosis of dermatitis artefacta was made. The patient improved after four sessions of dialectical therapy.

Keywords: dermatitis artefacta; excoriations; factitious disorder; rare; self-inflicted injury.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Histopathological report showing pemphigus vulgaris
Figure 2
Figure 2. Multiple regularly arranged linear erosions over the upper lip with few crusted erosions on the lower lip
See this image and copyright information in PMC

References

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