PDF(Pubmed)
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.
摘要：
我们报告了一名31岁的女性，有10年的皮肤和口腔复发性病变史。她带来了一份组织病理学报告，确认诊断为寻常型天疱疮（PV），被发现是伪造的，没有病人信息，也没有信头。皮肤和口腔检查仅显示多个线性上唇糜烂。我们认为病人初步诊断为肺静脉，我们要求病人继续服药。基于矛盾的历史和矛盾问题的发生，诊断为皮炎。经过四次辩证治疗，患者病情好转。
