Dermatitis Artefacta

History.?She said she had been troubled with irregular febrile attacks for the past two years. About fifteen months ago she received an injury to her left hand from a piece of bamboo, and the resulting ulcer persisted for about ten months. The present lesions began to appear shortly after the initial injury; at first they were pn the left forearm, not far from the injured spot, and in the last five months they had gradually spread until the whole body surface was involved. Examination.?Altogether 104 ulcers were found and they were distributed as follows: Face and forehead 12, right arm 18, left arm 17, chest 18, abdomen 2, back 7, buttocks 4, right leg 13, and left leg 13. They were discrete and fairly widely separated from each other, the two nearest being over one inch apart and the intervening skin was perfectly healthy (plate XXI, figure 1).