Document Detail


Dermatitis artefacta in soldiers.
MedLine Citation:
PMID:  16808128     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Dermatitis artifacta is not an uncommon disease in military settings. Soldiers may intentionally produce skin lesions to achieve sick leave from military duties. The aim of this work was to describe a series of soldiers with dermatitis artifacta. METHODS: A prospective study was conducted among soldiers of the Israel Defense Force. RESULTS: Fourteen soldiers from the Israel Defense Force were included in the study. There were 13 men and one woman. The ages of the patients ranged between 19 and 26 years. For all patients, dermatitis artifacta was characterized by the acute appearance of a pruritic rash located on readily accessible areas of the limbs and abdomen. The rash was associated with systemic symptoms for 12 (85.7%) of 14 patients. None of the patients admitted to intentionally inflicting the skin lesions. The rash consisted of erythematous patches with numerous papules and pustules arranged in a linear pattern. All patients were treated with topical corticosteroids, four patients were treated with antibiotics, and three patients were treated with systemic corticosteroids. For all patients, the eruption resolved completely within 1 to 3 weeks. CONCLUSIONS: In the context of soldiers standing to gain sick leave by assuming the sick role, dermatitis artifacta can be reliably diagnosed by noting the characteristic location and morphological features of the skin lesions.
Authors:
Arnon D Cohen; Daniel A Vardy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Military medicine     Volume:  171     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-30     Completed Date:  2006-08-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  497-9     Citation Subset:  IM    
Affiliation:
Dermatology Service, Clalit Health Services, Southern District, Beer-Sheva, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Hormones / therapeutic use
Adult
Dermatitis, Occupational / diagnosis*,  drug therapy,  psychology
Exanthema / diagnosis
Factitious Disorders / diagnosis*,  psychology
Female
Histamine H1 Antagonists / therapeutic use
Humans
Israel
Male
Malingering
Military Medicine*
Military Personnel*
Prospective Studies
Pruritus / diagnosis
Risk Assessment
Risk Factors
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Histamine H1 Antagonists

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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