Dermatitis artefacta

Dermatitis artefacta je samooštećujuća dermatoza kod koje bolesnici sami izazivaju promjene na koži sa željom da preuzmu ulogu pravih pacijenata. Povezana je sa različitim psihičkim poremećajima poput depresije, opsesivno kompulzivnog poremećaja i anksioznog poremećaja. Pri nanošenju ozljeda koriste se različita mehanička i kemijska sredstva. Iako su najčešće zahvaćene mlade djevojke izmeĎu 15 i 30 godina , bolest se moţe pojaviti i u djece i starijih osoba. S obzirom na polimorfizam lezija, dermatitis artefacta predstavlja veliki problem kliničarima. Veliki problem predstavlja i nesuradljivost pacijenata jer odbijaju komunicirati sa liječnicima, kao i negiranje njihove povezanosti sa nastalim lezijama. Dijagnostički i terapijski postupak je obično dug i zahtjevan te zahtjeva timski rad dermatologa, psihijatara i psihologa kako bi se pacijenta umirilo i postigla remisija kožnih simptoma.Dermatitis artefacta is a self – inflicted dermatosis in which patients produce skin lesions in an attemt to assusme the patient role. Mechanical and chemical devices are most commonly used to produce injuries. Several psychological disorders like depression, obsessive compulsive disorders and anxiety are associated with this kind of disease. Most of the patients are young females aged between 15 and 30, but the diagnosis of dermatitis artefacta may even be made in pediatric patients or elderly people. Because of the polymorphism of the lesions, dermatitis artefacta is often a challenge for the clinicians. More difficulties might be due to the lack of cooperation in these patients, who usually refuse the dialogue with doctors and deny their primary role in damaging their skin. Diagnostic and therapeutic procedure are often longlasting and difficult and require teamwork of dermatologists, psychiatrists and psychologists, leading to steady control of impulses and full remission of cutaneous symptoms