![]() Tricyclics also help relieve pain and depression. Tricyclics also are helpful for patients with itching and insomnia. ![]() If the individual has evidence of depression, then reports indicate that SSRIs should be the drugs of choice. NSAIDs may be prescribed, but opiate and other prescription analgesics should be avoided for fear of inducing addiction and physical dependence. ![]() The usual drugs include antipsychotics, antidepressants, and sedatives. The underlying mental health disorder must be addressed and treated. The skin lesions may need treatment with topical antibiotics, but in some cases, one may need oral antibiotics if there is evidence of a severe infection. The patients also may present with nonhealing postsurgical wounds.Ĭlassic location of dermatitis artefacta includes the following: Any part of the body can be affected, but the most common site in all age groups is the face, followed by dorsum of hands and forearm of the non-dominant limb. Traces or evidence of these is noticeable on close examination of crude dermatitis. These may be consequences of an application of foreign bodies or chemicals. The lesions may be circular blisters or erosions, burns, cryodamage, excoriations, urticarial lesions, hemorrhages, indurations, or necrosis. The patients typically have a “la belle indifference” towards their predicament, showing a lack of concern, but their relatives may be angry and frustrated. More emphasis is given to describing the complications and failure to heal. The fabricated history that follows is usually “hollow," and there is no complete description of the genesis of individual skin lesions which appear suddenly and fully formed on accessible sites. The typical presentation includes cutaneous lesions which are bizarre and mimic many of the known inflammatory reactions in the skin.
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