Autoaggressive dermatoses in the practice of a dermatovenereologist

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Abstract

The article presents clinical cases of autoaggressive dermatoses from the own practice of authors. In the first case, the patient turned to a cosmetologist for the purpose of aesthetic correction of scars; it was found that she inflicted self-harm unconsciously against the background of long-term depression and psycho-emotional stress associated with instilling a sense of guilt for the absence of children in the family. Against the background of the recurrent nature of the skin process, the patient is strongly recommended consultation and treatment by a psychotherapist.

The following two cases share common features: the presence of “parasites under the skin”, with which patients independently fought with “radical” methods. The first patient was identified retrospectively upon admission to the venereology department, and according to the patient, “he already cured the tick” on his own. In the second case, the demonstrative type of behavior and flaunting his own state attracts attention. This patient with a diagnosis of neurotic excoriations (dermatozoic delusions?), examination by a neurologist and a psychotherapist is recommended.

About the authors

Vera V. Ryabova

Kirov State Medical University

Email: ryabova.vv@gmail.com
ORCID iD: 0000-0002-6594-6652
SPIN-code: 5573-6747

MD, Cand. Sci. (Med.), PhD, assistant of the Department of Dermatovenereology and Cosmetology

Russian Federation, K. Marx str., bldg 112, 610027, Kirov

Anna L. Evseeva

Kirov State Medical University

Email: jls0105@icloud.com
ORCID iD: 0000-0001-6680-283X
SPIN-code: 2409-6034

Senior Lecturer, Department of Dermatovenereology and Cosmetology

Russian Federation, K. Marx str., bldg 112, 610027, Kirov

Sergei V. Koshkin

Kirov State Medical University; Kirov Regional Dermatology Hospital

Author for correspondence.
Email: koshkin_sergey@mail.ru
ORCID iD: 0000-0002-6220-8304
SPIN-code: 6321-0197

MD, Dr. Sci. (Med.), Professor, MD, Associate Professor, Head of the Department of Dermatovenereology and Cosmetology

Russian Federation, K. Marx str., bldg 112, 610027, Kirov; Semashko str., bldg 2a, 610000, Kirov

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Supplementary files

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1. JATS XML
2. Fig. 1. Excoriations, ulcers with hemorrhagic and purulent-hemorrhagic crusts, atrophic scars and hyperpigmented spots

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3. Fig. 2. Ulcerative defect, purulent-hemorrhagic crust, atrophic scars

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4. Fig. 3. Excoriations with hemorrhagic crusts

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5. Fig. 4. Atrophic scars on the skin of the cheek, telangiectasias

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6. Fig. 5. Atrophic scars on the skin of the cheek, telangiectasias

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7. Fig. 6. Ulcerative defect of the skin, a container with "wart roots"

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8. Fig. 7. Ulcerative defects, hemorrhagic crusts, scars on the skin of the upper extremities

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Copyright (c) 2022 Ryabova V.V., Evseeva A.L., Koshkin S.V.

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