Affiliation:
1. Department of Psychiatry, RVM Institute of Medical Sciences and Research Centre, Siddipet, Telangana, India
Abstract
Abstract
Dermatitis artefacta (DA), or factitious dermatitis, presents a complex interplay of psychiatric and dermatological factors, challenging clinicians in diagnosis and management. This article delves into a comprehensive review of contemporary understanding, emphasizing treatment strategies, psychological correlations, and clinical presentations through the analysis of three compelling case studies. Presenting three cases, each examined after a referral from dermatology to psychiatry, sheds light on the varied manifestations of DA. These cases, spanning diverse socioeconomic backgrounds and occupations, underscore the universal nature of this condition. Notably, each patient’s denial of psychological distress complicates diagnosis and management. Selective serotonin reuptake inhibitors emerge as a preferred option due to their favorable side effect profile. In conclusion, navigating factitious dermatitis requires clinicians to adopt a nonconfrontational, empathetic stance, fostering a therapeutic relationship conducive to addressing underlying psychological issues.