%0 Journal Article
%T Factitious cheilitis: a case report
%A Erdinc Aydin
%A Ozgur Gokoglu
%A Gamze Ozcurumez
%A Hakan Aydin
%J Journal of Medical Case Reports
%D 2008
%I BioMed Central
%R 10.1186/1752-1947-2-29
%X We present a 56 year-old female with an ulcerated and crusted lesion on her lower lip. The biopsy showed granulation tissue and associated inflammation but no malignancy. Based on the tissue examination and through clinical evaluation the diagnosis of factitious cheilitis was rendered.Thorough clinical history, utilization of basic laboratory tests and histopathologic evaluation are required to exclude other diseases and a thoruough psychiatric evaluation and treatment is vital for successful management of these patients.Self induced disorders may have variable presentations and they may roughly be classified into two groups. The ones with the characteristics of both impulsivity and compulsivity, patients usually acknowledge the self-inflicted nature of the lesions, typical examples of which are pychogenic excoriation (pathological or compulsive skin picking) and trichotillomania (chronic hair pulling) [1]. The other group constitutes abnormal illness behaviors in which patients have concious symptom formation but with motivations that arise from unconcious conflicts ie. Factitious disorders. An important distinction between these two groups of self-inflicted disorders is in the first group patients report their concern and they very much wish to put an end to their behavior while in the second group patients simulate, induce, or aggravate illness, often inflicting painful, deforming, or even-life-threatening injury on themselves primarily to gain the emotional care and attention that comes with playing the role of the sick. Factitious cheilitis, also known as factitious lip crusting, localized crusting or artifactual and exfoliative cheilitis, is a chronic condition characterized by crusting and ulceration [2-4]. It is attributed to self induced trauma such as repetitive bitting, picking or licking of the lips [5]. Preponderance in young women have been reported but it could be seen in any age group and race [2,3,6]. The lesions may be bizarre and hemorrhagic givin
%U http://www.jmedicalcasereports.com/content/2/1/29