A case of bullous dermatitis artefacta possibly induced by a deodorant spray

Ikenaga, Satsuki; Nakano, Hirofumi; Umegaki, Noriko; Moritsugu, Ryuta; Aizu, Takayuki; Kuribayashi, Michihito; Hanada, Katsumi

doi:10.1111/j.1346-8138.2006.00007.x

Cited by 24 publications

(24 citation statements)

References 5 publications

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“…Dermatitis artefacta is one of a spectrum of factitious diseases etiologically responsible for skin lesions denied by patients: it is unclear whether these lesions are created consciously or unconsciously. This type of dermatitis is commonly seen in adolescents and young adults [78].…”

Section: Factitious Disordersmentioning

confidence: 99%

The psychiatric aspects of skin disorders

Osman¹,

Mufaddel²,

Mugaddam

et al. 2011

Expert Review of Dermatology

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The skin is recognized as an important mode of communication between the external and the internal psychic and biological processes [1]. The skin and the psyche are closely related from historical, embryologic, biological, psychological developmental and cultural perspectives.The importance of the skin is that it is literally the initial point of contact between the external and internal environments. Exposure to external pollutants, toxins, allergens and other noxious environmental elements find symptomatic expression through the skin.Embryologically, the shared origins of brain and skin are well recognized. Both are developed from the same embryologic germ layer (ectoderm) and two-way communication influences seem to persist throughout the life cycle.Biologically, the contribution of stress to skin diseases is backed by neuroendocrine and immunologic sciences. Emotional factors influence many skin diseases, and the correlation between stressful life events and disease flares is well-recognized in dermatology [2]. Flares of psoriasis, herpes simplex and atopic eczema are influ enced by proinflammatory cytokines, which are also modulated by psychosocial stressors [3]. The cytokines regulate immunologic responses and also mediate inflammatory processes, with recurrent hormonal secretion leading to central biologic changes in mood, anxiety and vegetative conditions [4].Psychologically, the internal psychological factors and emotional suffer ing may eventually find the skin a suitable organ for a visible expression of turmoil. This close relationship between the skin and the psyche has long been recognized in the sci entific literature. On 7 July 1949, AW Watt read an article at the 25th annual meeting of the British Association for Dermatology and Syphilology in London (UK) in which he encouraged dermatologists to consider psycho logical factors related to dematologic conditions [201].In addition to Watt, there were many proponents of the concept of intercon nection between the skin and the psyche with proposed modelsThe skin and the psyche are linked from embryologic, biological, psychological and cultural perspectives. Both the skin and the brain are developed from the same ectodermic germ layer. New evidence in psychoneuroimmunology suggest that both the skin and the psyche are affected by immunologic vulnerabilities and endocrine reactions. Emotional stress may exacerbate many chronic dermatoses and can initiate a vicious cycle referred to as the 'itch-scratch cycle'; therefore, treatment of such cases may be difficult without addressing stress. The dynamic interaction between the skin and the psyche is also manifest in cosmetic behavior, whereby the psychological state of the individual is altered through the widely utilized cosmetics and cosmetic procedures. The motives for seeking cosmetic procedures may include a desire to enhance selfconfidence, body image and self-empowerment. Individuals of both genders are becoming concerned about their physical appearance and are increasingly seeking cosmetic procedure...

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Section: Factitious Disordersmentioning

confidence: 99%

The psychiatric aspects of skin disorders

Osman¹,

Mufaddel²,

Mugaddam

et al. 2011

Expert Review of Dermatology

View full text Add to dashboard Cite

show abstract

“…When confronted, patients usually deny any role in inducing the skin lesions. Bullous factitial dermatitis has been described secondary to aerosol spray, garlic burn, and curling iron injury –…”

mentioning

confidence: 99%

Multinucleated giant cells in factitial dermatitis

Winters¹,

Machan

Liu

et al. 2013

J Cutan Pathol

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“…One depressed patient used a rubber teat to produce multiple suction blisters that mimicked bullous pemphigoid 9 . A Japanese 12‐year‐old girl was suspected to use a deodorant spray as a blister‐inducing agent 1 …”

Section: Discussionmentioning

confidence: 99%

“…Factitious disorders are self‐inflicted skin lesions and include the creation of physical or psychiatric symptoms in oneself or other reference persons. In dermatology, frequent findings are mechanical injuries by cutting, stabbing, thermal burns or self‐inflicted infections with wound‐healing impairment, abscesses or damages by acids and other toxic fluids to the skin 1 . It is often unclear whether these lesions are created consciously or unconsciously.…”

Section: Introductionmentioning

confidence: 99%

“…Dermatitis artefacta is commonly seen in adolescents and young adults. It is common for the patients to have one of the personality disorders or dysfunctional mother‐child relationships 1,2 . While the skin lesions can be either single or multiple, the distribution is typically bilateral and symmetrical within easy reach of the dominant hands.…”

Section: Introductionmentioning

confidence: 99%

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