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Chapter 31. Factitious Dermatitis

Distribution, Configuration, and Individual Lesions

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Fig. 31-1

Abrasions and impetiginized crusts that do not conform to the effects of any accidental injury.


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Fig. 31-2

Abrasions and hemorrhagic crusts with bizarre, unnatural shapes.


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Fig. 31-3

Erosions and ulcerations in artificial design.


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Fig. 31-4

A deep, handmade ulcer in curvilinear shape.


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Fig. 31-5

Atrophic linear scars and purulence emanating from a subcutaneous abscess.


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Fig. 31-6

Superficial cuts in haphazard array.


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Fig. 31-7

Artifactual lesions that have resulted from flagellation.


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Fig. 31-8

Deep ulcers with unnatural shapes, probably induced by application of acid.


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Fig. 31-9

Eschars secondary to burns by acid.


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Fig. 31-10

Erosions and ulcers with jagged outlines.


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Fig. 31-11 A

Linear lesions distributed symmetrically consequent to rubbing a heated coin vigorously against the skin for purposes of mystical healing.


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Fig. 31-11 B

Linear lesions distributed symmetrically consequent to rubbing a heated coin vigorously against the skin for purposes of mystical healing.


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Fig. 31-12

Erosion covered by hemorrhagic crusts in linear arrangement, secondary to a self-inflicted burn.


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Fig. 31-13

Scarification.


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Fig. 31-14

Scarification.


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Fig. 31-15

Linear scars after surgery for factitial panniculitis secondary to injections of milk.


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Fig. 31-16

Nodules on the penis as a result of injection of plastic (“Tancho nodules”).


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Fig. 31-17

Extensive tattoo.