Trichotillomania and Dermatitis Artefacta: A Rare Coexistence

A 24-year-old pregnant female patient presented with complains of bilateral lower limb swelling and fever for 1 month. On examination, blood pressure was 144/94 mmHg along with pitting pedal edema. She had bizarre skin lesions, aligned longitudinally and distributed over the approachable site of the...

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Main Authors: Neeraj Varyani, Sunny Garg, Garima Gupta, Shivendra Singh, Kamlakar Tripathi
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2012/674136
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author Neeraj Varyani
Sunny Garg
Garima Gupta
Shivendra Singh
Kamlakar Tripathi
author_facet Neeraj Varyani
Sunny Garg
Garima Gupta
Shivendra Singh
Kamlakar Tripathi
author_sort Neeraj Varyani
collection DOAJ
description A 24-year-old pregnant female patient presented with complains of bilateral lower limb swelling and fever for 1 month. On examination, blood pressure was 144/94 mmHg along with pitting pedal edema. She had bizarre skin lesions, aligned longitudinally and distributed over the approachable site of the body with tapering ends and in various stages of healing. Lower limbs examination also revealed similar lesions with signs of cellulitis. Her scalp had short and distorted hair suggesting pulling and plucking. These skin lesions and the denial of self-infliction by the patient made us reach the diagnosis of dermatitis artefacta with trichotillomania. Psychotherapy was advocated along with conservative management of skin lesions. The patient improved and is under our follow up.
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institution Kabale University
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publishDate 2012-01-01
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series Case Reports in Psychiatry
spelling doaj-art-73f3532466ef4f5dbd68b8e792a2ef632025-08-20T03:33:54ZengWileyCase Reports in Psychiatry2090-682X2090-68382012-01-01201210.1155/2012/674136674136Trichotillomania and Dermatitis Artefacta: A Rare CoexistenceNeeraj Varyani0Sunny Garg1Garima Gupta2Shivendra Singh3Kamlakar Tripathi4Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaDepartment of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaDepartment of Obstetrics and Gynaecology, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaDepartment of Nephrology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh 221005, IndiaDepartment of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaA 24-year-old pregnant female patient presented with complains of bilateral lower limb swelling and fever for 1 month. On examination, blood pressure was 144/94 mmHg along with pitting pedal edema. She had bizarre skin lesions, aligned longitudinally and distributed over the approachable site of the body with tapering ends and in various stages of healing. Lower limbs examination also revealed similar lesions with signs of cellulitis. Her scalp had short and distorted hair suggesting pulling and plucking. These skin lesions and the denial of self-infliction by the patient made us reach the diagnosis of dermatitis artefacta with trichotillomania. Psychotherapy was advocated along with conservative management of skin lesions. The patient improved and is under our follow up.http://dx.doi.org/10.1155/2012/674136
spellingShingle Neeraj Varyani
Sunny Garg
Garima Gupta
Shivendra Singh
Kamlakar Tripathi
Trichotillomania and Dermatitis Artefacta: A Rare Coexistence
Case Reports in Psychiatry
title Trichotillomania and Dermatitis Artefacta: A Rare Coexistence
title_full Trichotillomania and Dermatitis Artefacta: A Rare Coexistence
title_fullStr Trichotillomania and Dermatitis Artefacta: A Rare Coexistence
title_full_unstemmed Trichotillomania and Dermatitis Artefacta: A Rare Coexistence
title_short Trichotillomania and Dermatitis Artefacta: A Rare Coexistence
title_sort trichotillomania and dermatitis artefacta a rare coexistence
url http://dx.doi.org/10.1155/2012/674136
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