PMC3420478_01
Dermatitis artefacta lesions on the upper limbs.
CRIM.PSYCHIATRY2012-674136.001.jpg
PMC3420478_01_CRIM.PSYCHIATRY2012-674136.001.jpg
fig1
We noticed multiple, well-demarcated, bizarre lesions on the dorsum of the bilateral forearms (Figures 1 and 3) and aligned longitudinally.
Dermatitis artefacta lesions on the bilateral feet.
CRIM.PSYCHIATRY2012-674136.002.jpg
PMC3420478_01_CRIM.PSYCHIATRY2012-674136.002.jpg
fig2
On detailed dermatological survey, these lesions were located on the easily approachable aspect of bilateral upper limbs and dorsum of bilateral feet (Figures 2 and 3), with sparing of the usually covered and unapproachable areas of limbs, trunk, and genitalia.
Confluent dermatitis artefacta lesions on the upper and lower limbs.
CRIM.PSYCHIATRY2012-674136.003.jpg
PMC3420478_01_CRIM.PSYCHIATRY2012-674136.003.jpg
fig3
We noticed multiple, well-demarcated, bizarre lesions on the dorsum of the bilateral forearms (Figures 1 and 3) and aligned longitudinally. On detailed dermatological survey, these lesions were located on the easily approachable aspect of bilateral upper limbs and dorsum of bilateral feet (Figures 2 and 3), with sparing of the usually covered and unapproachable areas of limbs, trunk, and genitalia.
Trichotillomania lesions on vertex of scalp.
CRIM.PSYCHIATRY2012-674136.004.jpg
PMC3420478_01_CRIM.PSYCHIATRY2012-674136.004.jpg
fig4
Also, there was an area of short, irregular, broken, and distorted hair on the scalp, mainly over the vertex, suggesting hair pulling and plucking (Figure 4), whereas eyebrows, eyelashes, pubic hair, and other body hair were spared.