Self-induced skin lesions: a review of dermatitis artefacta.

Psychocutaneous conditions are difficult to diagnose and a challenge to treat. Clinical manifestations can be caused by diverse and creative methods from garlic to deodorant. This review discusses the literature on dermatitis artefacta (DA). Although the overall incidence of DA is not known, the importance is emphasized by a strong association with borderline personality disorder (BPD) and dissociation disorders as well as a prevalence of 33% in patients diagnosed with anorexia and bulimia. Furthermore, DA is frustrating for physicians and family members, with a differential diagnosis that includes severely morbid medical conditions. Thus, recognizing and correctly diagnosing DA is critical to avert unnecessary tests, treatments, and frustrations, ultimately allowing for more efficient management and better healing.