{"id":7857,"date":"2020-04-26T04:06:00","date_gmt":"2020-04-26T07:06:00","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/dermatitis-artefacta\/"},"modified":"2020-04-27T15:15:15","modified_gmt":"2020-04-27T18:15:15","slug":"artefactual-dermatitis","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-artefacta\/","title":{"rendered":"Artifact dermatitis"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-artefacta\/#Que-es-dermatitis-artefacta\" >What is dermatitis artefacta?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-artefacta\/#%C2%BFQuien-esta-en-riesgo\" >Who is at risk?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-artefacta\/#Caracteristicas-de-la-dermatitis-artefacta\" >Characteristics of dermatitis artefacta.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-artefacta\/#%C2%BFQue-tratamiento-hay-disponible\" >What treatment is available?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-dermatitis-artefacta\"><\/span>What is it <span class=\"term\" data-term-id=\"53\">dermatitis<\/span> artifact?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dermatitis artefacta is a condition in which skin lesions are produced or inflicted solely by the patient&#039;s own actions. This usually occurs as a result or manifestation of a psychological problem. It could be a form of emotional release in distressful situations or part of attention-seeking behavior. In very rare cases, there may be an underlying attempt to secure an insurance claim.<\/p>\n<p>The condition is also known as factitious dermatitis.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-esta-en-riesgo\"><\/span>Who is at risk?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dermatitis artefacta occurs more commonly in women than in men. Affected women are usually in their teens or early adulthood and tend to be emotionally immature or have <span class=\"term\" data-term-id=\"394\">psychosocial<\/span> or interpersonal difficulty. Patient intelligence varies, but many have some superficial medical knowledge.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Caracteristicas-de-la-dermatitis-artefacta\"><\/span>Characteristics of dermatitis artefacta.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Patients present lesions that are difficult to recognize and do not fit the known ones. <span class=\"term\" data-term-id=\"329\">skin disease<\/span>. Characteristics of dermatitis artefacta include:<\/p>\n<ul>\n<li>The lesions often have strange shapes with irregular contours on a <span class=\"term\" data-term-id=\"321\">linear<\/span> or geometric pattern.<\/li>\n<li>The lesions are usually clearly <span class=\"term\" data-term-id=\"811\">demarcated<\/span> around normal skin.<\/li>\n<li>The appearance of the lesions varies depending on the methods used to damage the skin.<\/li>\n<li>Lesions range from red spots, swelling, blisters, bare areas, scabs, cuts, burns and scars.<\/li>\n<li>Injuries can be caused by a variety of mechanical or chemical means, including fingernails, sharp or blunt objects, burning cigarettes, and caustic chemicals.<\/li>\n<li>It is sometimes difficult to distinguish dermatitis artefacta from natural diseases, particularly if the inflicted lesions mimic those with a pathological cause.<\/li>\n<li>The lesions do not evolve gradually, but emerge almost overnight without any prior signs or symptoms.<\/li>\n<li>They are usually located in places that are easily accessible to the patient&#039;s hands, e.g. face, hands, arms or legs.<\/li>\n<li>The patient will usually deny that the <span class=\"term\" data-term-id=\"255\">eruption<\/span> It is self-induced<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='d-a__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7498143-7047138' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/d-a__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7498143.jpg'>\n<\/div>\n<p class=\"p-small\">Artifact dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='d-a2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildexmv0-1204288-8171949' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/d-a2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDExMV0-1204288.jpg'>\n<\/div>\n<p class=\"p-small\">artefactual dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='d-a3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8965087-9009536' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/d-a3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8965087.jpg'>\n<\/div>\n<p class=\"p-small\">artefactual dermatitis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>Artifact dermatitis<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-tratamiento-hay-disponible\"><\/span>What treatment is available?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When dermatitis artefacta is suspected, direct confrontation should be avoided. Instead, the doctor must create an environment of acceptance, empathy and non-judgment. It is hoped that close supervision and symptomatic care of skin lesions will lead to a doctor-patient relationship into which psychological problems can gradually be introduced. If appropriate, <span class=\"term\" data-term-id=\"1771\">psychiatric<\/span> Referral may be recommended, although it is often refused.<\/p>\n<p>Resolution of the current underlying psychological problem will bring a cure for the time being, but dermatitis artefacta tends to wax and wane with the circumstances of the patient&#039;s life. To minimize the occurrence of dermatitis artefacta, a patient should continue to visit their doctor on an ongoing basis for supervision or support, whether lesions are present or not.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es dermatitis artefacta? La dermatitis artefacta es una afecci\u00f3n en la cual las lesiones cut\u00e1neas se producen o infligen \u00fanicamente por las propias acciones del paciente. Esto generalmente ocurre&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7857","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7857","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7857"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7857\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7857"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7857"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7857"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}