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Case Reports in Psychiatry
Volume 2012 (2012), Article ID 674136, 3 pages
http://dx.doi.org/10.1155/2012/674136
Case Report

Trichotillomania and Dermatitis Artefacta: A Rare Coexistence

1Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India
2Department of Obstetrics and Gynaecology, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India
3Department of Nephrology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh 221005, India

Received 6 October 2011; Accepted 14 November 2011

Academic Editors: L. Dell'Osso and J. Saiz-Ruiz

Copyright © 2012 Neeraj Varyani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 24-year-old pregnant female patient presented with complains of bilateral lower limb swelling and fever for 1 month. On examination, blood pressure was 144/94 mmHg along with pitting pedal edema. She had bizarre skin lesions, aligned longitudinally and distributed over the approachable site of the body with tapering ends and in various stages of healing. Lower limbs examination also revealed similar lesions with signs of cellulitis. Her scalp had short and distorted hair suggesting pulling and plucking. These skin lesions and the denial of self-infliction by the patient made us reach the diagnosis of dermatitis artefacta with trichotillomania. Psychotherapy was advocated along with conservative management of skin lesions. The patient improved and is under our follow up.