ArticleClinical case reports2026
When Mind Hurts the Skin: A Rare Case of Dermatitis Artefacta in an Epileptic Female.
Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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11 authors.
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Abstract
DA is an uncommon psychocutaneous disorder in which the patient intentionally induces lesions to satisfy a subconscious psychological need and, at the same time, denies self-harm. DA typically presents as bizarre, well-demarcated lesions in accessible areas. Diagnosis is based on the suspicion and exclusion of organic causes. A 27-year-old married woman presented with painful, slow-healing ulcers on the dorsum of both hands and forearms for 2 months, along with body pain and progressive hair loss. The patient had epilepsy, which was controlled with sodium valproate and carbamazepine, although she had occasional psychogenic non-epileptic seizures (PNES). She denied systemic symptoms, like fever or arthralgia. Examination revealed irregular punched-out ulcers with erythematous borders, crusting, and post-inflammatory hyperpigmentation and infection or signs of systemic illness. Investigations revealed leukocytosis (TLC 19.1 × 10
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