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Factitious disorders in adults: two cases of unusual skin ulcers.

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  • 1Dermatological Clinic, Department of Clinical and Molecular Medicine, Marche Polytechnic University, Ancona, Italy. Psychiatric Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy. Corresponding author: a.campanati@univpm.it.


The factitious disorders (FDs) include a large group of dermatological conditions characterized by skin lesions that patients themselves self-inflict but deny their active participation. FDs usually represent a diagnostic challenge, and their therapeutic management is usually based on a multidisciplinary approach because most FRD patients also suffer from undiagnosed behavior and personality disorders. We report two cases of FD: one patient that was suffering from severe depression and induced third-degree chemical burns on his own lower limbs, and another patient affected by obsessive-compulsive disorder and anorexia nervosa that presented with deep self-inflicted ulcers on her face. Our multispecialist approach, based on close cooperation between dermatologists and psychiatrists, led to a significant improvement of clinical conditions in both cases. Dermatologists need to be aware that FDs are complex disorders and a multidisciplinary approach is usually recommended to control their clinical course.

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