Six cases of keratoconjunctivitis caused by self-inflicted injury are described. The diagnosis is suggested by the combination of the characteristic sharply delineated lesions localised in the more accessible inferior and nasal quadrants of the bulbar conjunctiva and cornea, together with the unconcerned attitude of the patient and other psychological features. Secondary post-traumatic erosions...

Skin is well recognized as an important somatic mirror of one's emotion and a site for the discharge of one's anxieties. We present a case of a 42-year-old female patient presenting with a vague history of generalized body pain and skin lesions in the form of cotton threads buried under the skin, crusted plaque, multiple keloids and rusted pin buried through the skin mostly in the easily access...

A 14 year old girl presented with an 8 month history of increasing weight loss, peaking at approximately 10%; and disordered eating, increasing pallor, intermittent fevers and lethargy on the background of a complex social situation, anxiety issues and known congenital heart disease. This occurred on the background of known previous issues regarding desire for thinness in her mother. An outpati...

Dear Editors, Self-inflicted ulceration, as part of dermatitis artefacta, is a rare condition often diagnosed by exclusion as clinical, histological and laboratory findings do not comply with any known disease (1). Patients with such skin lesions also suffer from psychiatric diseases such as schizophrenia, dementia, personality disorders and so on (1). As far as treatment is concerned, best res...

Dealing with basal cell carcinomas (BCC) is daily routine for a dermatologist. Their pathogenesis therefore receives little attention and interest. If a BCC is observed at an early age or if there is a tendency for multiple BCC’s, hereditary predisposing factors like decreased DNA repair (xeroderma pigmentosum), BCC’s in the family [Guarneri et al., 2000] or the basal cell naevus syndrome (Gorl...

Primary psychiatric disorders where skin changes appear most frequently include: delusions of parasitosis, body dysmorphic disorder, neurotic excoriations, dermatitis artefacta, and trichotillomania. In all these diseases the primary pathologic condition is of psychiatric nature, and the skin changes are secondary and self-induced. In this review we wanted to present the epidemiology, clinical ...

Delayed post‐burn blistering is an interesting and unusual phenomenon which has received little attention in the literature.[1,2] We herein report a case of a 20‐year‐old man who presented to the dermatology outpatient department with complaints of recurrent, apparently spontaneous blistering, occurring over a post‐ burn scar. The patient had sustained a thermal burn with accidental spillage of...

Epidermolysis bullosa pruriginosa (EBP; OMIM #604129) is an unusual variant of autosomal dominant (or occasionally recessive) dystrophic epidermolysis bullosa (DEB) in which intense itching and scratching impacts upon the phenotype (1, 2). Although trauma-induced blistering often occurs, and toenail dystrophy is almost universal, the skin lesions can often resemble nodular prurigo, lichen simpl...