The American Journal of Medicine
Volume 121, Issue 5 , Pages 390-392 , May 2008

A Puzzling Case of Persistent Purpura

  • Catherine Skagen, MD

      Affiliations

    • Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison
    • ,
  • Molly Hinshaw, MD

      Affiliations

    • Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison
    • ,
  • Elizabeth Faust, MD

      Affiliations

    • Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison.
    • ,
  • Rosemarie Liu, MD

      Affiliations

    • Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison
    • ,
  • Rita Lloyd, MD

      Affiliations

    • Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison
    • ,
  • Burr Eichelman, MD, PhD

      Affiliations

    • Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison.
    • ,
  • Carolyn Bell, MD

      Affiliations

    • Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison
    • Corresponding Author InformationRequests for reprints should be addressed to Carolyn L. Bell, MD, University of Wisconsin, Hospital and Clinics, 600 Highland Ave, MC 3244, Madison, WI 53792.

References 

  1. Fliege H, Grimm A, Eckhardt-Henn A, et al. Frequency of ICD-10 Factitious Disorder: Survey of senior hospital consultants and physicians in private practice. Psychosomatics. 2007;48:60–64
  2. Krahn LE, Li H, O'Connor MK. Patients who strive to be ill: factitious disorder with physical symptoms. Am J Psychiatry. 2003;160:1163–1168
  3. Malone RD, Lange CL. A clinical approach to the malingering patient. J Am Acad Psychoanal Dyn Psychiatry. 2007;35:13–21
  4. Koblenzer CS. Dermatitis artefacta (Clinical features and approaches to treatment). Am J Clin Dermatol. 2000;1:47–55
  5. Urbani CE. Psoriasis-like factitial dermatitis. J Eur Acad Dermatol and Venereol. 2003;17:476–477
  6. Zonuz AT, Treister N, Mehdipour F, et al. Factitial pemphigus-like lesions. Med Oral Patol Oral Cir Bucal. 2007;12:E205–E208
  7. Yates VM. Factitious purpura. Int J Dermatol. 1992;31:167–168
  8. Sutherland AJ, Rodin GM. Factitious disorders in a general hospital setting: clinical features and a review of the literature. Psychosomatics. 1990;31:392–399
  9. Ratnoff OD. Psychogenic purpura (autoerythrocyte sensitization): an unsolved dilemma. Am J Med. 1989;87(3N):16N–21N

 Parwathi “Uma” Paniker, MD, Section Editor

PII: S0002-9343(08)00179-4

doi: 10.1016/j.amjmed.2008.02.011

The American Journal of Medicine
Volume 121, Issue 5 , Pages 390-392 , May 2008

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