Recenzija, Prikaz slučaja
Extensive Cutaneous Ulceration of the Scalp – Unknown Disease Entity or Dermatitis Artefacta?
Kornelia Pietrauszka
orcid.org/0000-0002-8702-3672
; Public Independent Mielecki’s Hospital, Katowice, Poland
Olga Zjadewicz
; Department of Dermatology,University, Bydgoszcz, Poland
Bartosz Miziołek
; Public Independent Mielecki’s Hospital, Katowice, Poland
Beata Bergler-Czop
; Department of Dermatology, Medical University of Silesia, Katowice, Poland
Andrzej Tomczyk
; Department of Plastic and Reconstructive Surgery, St.Barbara’s Hospital, Sosnowiec, Poland
Ligia Brzezińska-Wcisło
; Department of Dermatology, Medical University of Silesia, Katowice, Poland
Sažetak
Psychological disturbances and emotional stress events may elicit a
wide spectrum of skin disturbances which are classified as dermatitis artefacta.
This diagnosis should be taken into consideration when symptoms coexist in a
bizarre pattern or indicate at least several distinct skin pathologies while laboratory
tests remain inconclusive. We present a case of dermatitis artefacta which
produced very extensive loss of the scalp. Our intention was to show difficulties
in diagnostic management of this recurrent and complex psychiatric disorder
which may inconvenience clinicians. Neither laboratory tests (including bacteriology)
nor X-ray of the skull identified any significant pathology. Although
histopathology excluded skin malignancy, it showed an unspecific pattern not
attributable to the most probable skin conditions like pyoderma gangrenosum
or infection. Psychiatric consultation was inconclusive. Despite undetermined
diagnosis, the patient was eligible for reconstructive surgery, which restored his
scalp coverage. Different skin conditions may share very similar spectra of clinical
symptoms, and even deep medical investigation does not always enable
us to define the observed condition. However, both laboratory and imaging
tests are necessary to exclude infections or potential malignancies before the
diagnosis of dermatitis artefacta is established, whereas psychiatric consultation
may or may not identify mental issues.
Ključne riječi
ulceration, cutaneous ulceration, dermatitis artefacta
Hrčak ID:
274443
URI
Datum izdavanja:
17.3.2021.
Posjeta: 474 *