PDF(Pubmed)
Abstract：
Dermatitis artefacta (factitious dermatitis) is a dermatological disease of different types; it could appear on various parts of the body. It is associated with severe difficulties, such as psychic distress and negative feelings aroused in healthcare personnel or borderline personality disorder, and the long-term possibility of patient self-harm to create more symptoms, resulting in unnecessary medical procedures. This is a case of a 17-year-old girl who was hospitalized with a skin ulcer on her right ankle that proved to be a factitious disorder. She was experiencing severe symptoms of anxiety, such as feeling nervous, having trouble sleeping and concentrating, and an inability to control worry due to her preparation for university studies. She refused to see a mental health professional since the onset of anxiety symptoms, i.e., the last four months. Patients who present with factitious disorder deliberately create clinical signs of a somatic disease because they need warmth and attention in a medical environment. Symptoms offer no significant benefit, and the pathophysiological mechanisms are mainly psychological. The primary treatment for factitious disorder is psychotherapy while the management of the ulcer requires dermatosurgical treatment.
摘要：
皮炎（人工皮炎）是一种不同类型的皮肤病;它可能出现在身体的各个部位。它与严重的困难有关，如医护人员的心理困扰和负面情绪或边缘性人格障碍，以及患者自我伤害产生更多症状的长期可能性，导致不必要的医疗程序。这是一个17岁女孩的病例，她的右脚踝皮肤溃疡住院，被证明是一种人为障碍。她有严重的焦虑症状,比如感到紧张，睡眠和注意力不集中，以及由于她准备大学学习而无法控制的担忧。自出现焦虑症状以来，她拒绝去看心理健康专家，即，过去四个月.患有人为障碍的患者故意产生躯体疾病的临床症状，因为他们在医疗环境中需要温暖和关注。症状没有明显的好处，病理生理机制主要是心理机制。人为障碍的主要治疗方法是心理治疗，而溃疡的治疗需要皮肤外科治疗。
