Dr. Suvash Sahu
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
My daughter is 13 years old. She is suffering from strange allergy since two years. It became very bad and affects her psychologically. It started when we changed our location before two years. I have consulted three doctors and all of them said it as strange and did not show response to any medication. I even tried biopsy to find out the disease. Her doctor just advised to avoid potato chips, cream, etc. She become more frustrated and looks sad always. Please help us.
Hi,
Welcome to icliniq.com.
I have seen your concern and examined the given pictures (attachment removed to protect patient identity). It looks like dermatitis artefacta or striae distensae (stretch marks). Dermatitis artefacta is defined as the self-inflicted skin damage. Typical locations for the lesions are always on accessible sites where patient hands can reach like face, distal end of upper limb, lower limb, trunks, upper arm and scalp. Dermatitis artefacta individual may also have a personal history of psychiatric illness, including anxiety, depression and personality disorder. Such patient requires both dermatologic and psychosocial support.
The Probable causes
Investigations to be done
Differential diagnosis
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
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Dermatology
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