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Dermatitis artefacta: Keloids and foreign body granuloma due to overvalued ideation of acupuncture

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Author(s): Choudhary Sanjiv | Khairkar Praveen | Singh Adarshlata | Gupta Sumit

Journal: Indian Journal of Dermatology, Venereology and Leprology
ISSN 0378-6323

Volume: 75;
Issue: 6;
Start page: 606;
Date: 2009;
Original page

Keywords: Dermatitis artefacta | Foreign body granuloma | Keloids | Overvalued ideation of acupuncture

ABSTRACT
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 accessible areas of the body. Histopathology from the crusted plaque revealed foreign body granuloma. To satisfy her psychological or emotional need, it is the deliberate and conscious production of self-inflicted skin lesions through overvalued ideation of acupuncture on her part.
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