TY - JOUR PY - 2022// TI - Self-inflicted pathological cutaneous disorders. Part two JO - Italian journal of dermatology and venereology A1 - Bonamonte, Domenico A1 - Foti, Caterina A1 - DE Marco, Aurora A1 - Hansel, Katharina A1 - Cecchini, Elisa A1 - Filoni, Angela A1 - DE Prezzo, Serena A1 - Ambrogio, Francesca A1 - Angelini, Gianni A1 - Stingeni, Luca SP - ePub EP - ePub VL - ePub IS - ePub N2 - Self-inflicted skin disorders are artefact diseases inflicted by the use of multiple different means, for various different purposes. They account for about 2% of dermatology patient visits, and include disorders with a denied or hidden pathological behavior (factitious disorders) and disorders with a non-denied and nonhidden pathological behavior (compulsive disorders). In turn, factitious skin disorders are subdivided into 2 groups: factitious disorders without an external incentive (considered in a preceding work) and factitious disorders with external incentives. In the second eventuality, the simulator is motivated by illicit intent, wishing to evade civil duties or a prison sentence, for instance, or to exploit situations of an occupational nature, and is fully aware of his action and his intention. Apart of the two groups of pathomimic artefacts and malingering, some self-inflicted dermatoses are due to behavioral disorders involving compulsive habits (tics, psychological excoriations). The great majority of subjects suffering from the latter disturbances are quick to confess their urge to self-inflict lesions. The management, including both psychiatric and dermatological assessment, concludes this second part of the work regarding the self-inflicted cutaneous diseases.

Language: en

LA - en SN - 2784-8671 UR - http://dx.doi.org/10.23736/S2784-8671.22.07376-5 ID - ref1 ER -