artificial dermatitis
Introduction
Introduction to artificial dermatitis Artificial dermatitis (factitialermatitis), also known as ignitor rash (Feignederuptims), refers to the skin damage caused by the patient's intentional or unintentional use of mechanical or chemical damage to the skin, is a kind of artificial disease (factitiousdisease). basic knowledge The proportion of illness: the incidence rate is about 0.01% - 0.05% Susceptible people: no special people Mode of infection: non-infectious Complications: sepsis
Cause
Cause of anthropogenic dermatitis
(1) Causes of the disease
In the case of snoring, borderline personality disorder and developmental disorders of children and adolescents, there are obvious manifestations of artificial dermatitis, many factors causing skin damage, such as physical factors (hands or sharp tools, etc.), chemical factors ( Corrosive drugs), biological factors (animals, plants).
(two) pathogenesis
Patients with snoring may not be deliberate in the manufacture of skin lesions. The purpose of manufacturing damage is to alleviate internal conflicts. The purpose of marginal personality disorder is to alleviate their mental stress, help define their boundaries and establish personality and personality. Characteristics, children and adolescents suffer from the abnormality of parent-child relationship, mostly caused by the patient's own factors, and even by parents.
Prevention
Artificial dermatitis prevention
In the case of hysteria, borderline personality disorder and developmental disorders of children and adolescents, it can show obvious manifestations of artificial dermatitis. There are many factors that cause skin damage, such as physical factors (hands or sharp tools, etc.), chemical damage. Therefore, patients with self-mutilation tendencies such as snoring or mental disorders should be strengthened to guide and participate in group activities. By distracting and changing their mental state, the disease can be reduced to a certain extent.
Complication
Human dermatitis complications Complications sepsis
Due to damage to the skin mucosa, the main complications of this disease are skin infections and itching. And the integrity of the skin is destroyed, so it can be caused by skin bacterial infection or fungal infection, usually secondary to low body constitution, or long-term use of immunosuppressants and fungal infections such as onychomycosis, such as concurrent bacterial infection may have fever , skin swelling, ulceration and purulent secretion and other performance. Severe cases can lead to sepsis, which should be brought to the attention of clinicians.
Symptom
Anthropogenic dermatitis symptoms common symptoms personality changes
1. The parts are often found in the dominant hand and parts, most commonly found in the face, neck, front of the body, upper and lower limbs, palm sputum, genitals and other parts.
2. The shape of the rash depends on the instruments and medicines used. Generally, the rash is clear and has a special shape. For example, sharp instruments often cause linear scratches. Corrosive drugs can form spots, linear erythema, blisters or shallow ulcers. The damage is mild and superficial, but gangrene or ulcer is not uncommon. The severity of the lesion is related to the nature, strength, dose, duration of action and local tissue tolerance of the irritant.
3. Patients often show characteristics of personality abnormalities. For example, patients seem to be indifferent to the damage, and the medical history is ambiguous. When doctors try to induce details about the development of lesions, patients often show signs of anger and violation.
4. Histopathological lack of specific changes.
Examine
Human dermatitis examination
This disease belongs to the dermatitis caused by deliberate injury to the skin. It is mainly necessary to ask whether the patient has physical and chemical substances to irritate the skin damage caused by the skin to further distinguish it from other skin diseases. At the same time, blood routine, allergen examination, and immunoglobulin examination should be completed. It needs to be differentiated from allergenic skin lesions, and it can be further clarified whether there is a co-infection.
Diagnosis
Diagnosis and diagnosis of artificial dermatitis
According to the medical history, skin lesions and abnormal personality of the patient, the disease can be considered.
The following diseases should be excluded, including septic infarction, nodular polyarteritis, gangrenous pyoderma, panniculitis, arthropod bites, and granulomatous inflammation.
