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Image Number 2455 (Dermatitis artefacta)

 
Morphology:
Ulcer

Diagnosis: Dermatitis artefacta

Site: Arm,forearm

Sex: F

Age: 38

Type:

Description: Factitious ulcer.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History:

A 38-year-old married woman presented with an irregular, clear-cut, longitudinal crusted ulcer about 12x2.5 cm with pinkish red border involved the flexor aspect of the upper part of the forearm of 1 month duration. The ulcer seems to be self-induced with a caustic material (chemical burn) but the patient denied any history of self-mutilatin. The ulcer appearance which didn't fit any ulcerative dermatological entity and the rapid evolution in addition to non-specific histological findings on skin biopsy may permit the diagnosis of dermatitis artefacta. 



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