Health providers induced iatrogenic delusions of infestation

Patients that suffer from factitial dermatosis mutilate their skin, often lacking any consciousness of self-injury, attributing the resulting lesions to spontaneous development. The case hereby described shows how the health providers' interventions led a patient from a baseline undiagnosed fac...

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Bibliographic Details
Published in:Clinical, cosmetic and investigational dermatology cosmetic and investigational dermatology, 2019-09, Vol.12, p.679-681
Main Authors: Shah, Pooja R, Cusick, Elizabeth, Nousari, Yasmine, Sandoz, Andrea, Tausk, Francisco
Format: Article
Language:English
Subjects:
Antibiotics
Biopsy
Case Report
Case reports
Delusions
Delusions of Infestation
Delusions of parasitosis
Dermatology
Factitious dermatosis
Health education
Iatrogenesis
Infections
Medical diagnosis
Medical errors
Medical schools
Mental disorders
Mind body relationship
Patients
Physicians
Psychodermatology
Self destructive behavior
Skin
Skin diseases
Skin ulcer
Ulcers
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Summary:Patients that suffer from factitial dermatosis mutilate their skin, often lacking any consciousness of self-injury, attributing the resulting lesions to spontaneous development. The case hereby described shows how the health providers' interventions led a patient from a baseline undiagnosed factitious disorder to frank delusions of infestation with Mycobacterium Kansasii, and a relentless search for antibiotic treatments. We highlight the need for educating health practitioners on the characteristics of psycho-cutaneous disorders. Keywords: delusions of parasitosis, delusions of infestation, factitious dermatosis, psychodermatology, dermatology
ISSN:1178-7015
1178-7015
DOI:10.2147/CCID.S218894