Obsessive-compulsive behaviour related cutaneous ulcers: two cases with therapeutic considerations

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author NICO, Marcello M. S. FMUSP-HC
LOURENCO, Silvia V.
dc.date.issued 2016
dc.identifier.citation INTERNATIONAL WOUND JOURNAL, v.13, n.5, p.860-862, 2016
dc.identifier.issn 1742-4801
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/17887
dc.description.abstract Obsessive-compulsive-related cutaneous disease most often includes trichotillomania, neurotic excoriations and nail biting. In this report, we present two cases of self-inflicted severe wounds that were diagnosed as secondary to obsessive-compulsive behaviour. Patients were middle-aged females who presented with deep cutaneous ulcers that were acknowledgedly maintained through repetitive manipulation. Obsessive-compulsive-related cutaneous disease is better treated with serotonin reuptake inhibitor antidepressants in higher dosages than those used to treat depression. Both patients were treated with fluoxetine 60-80 mg that resulted in adequate healing of the ulcers; relapses were observed during attempts to taper fluoxetine dosage. An adequate psychic diagnosis is required if an effective therapeutic response to self-inflicted cutaneous lesions is desired, because clinically identical lesions can also be caused as a result of distinct mental mechanisms: anxiety, depression, psychosis, obsessive-compulsive disorder and classic dermatitis artefacta.
dc.language.iso eng
dc.publisher WILEY-BLACKWELL
dc.relation.ispartof International Wound Journal
dc.rights restrictedAccess
dc.subject Dermatitis artefacta; Factitious lesions; Obsessive-compulsive disorder; Psychodermatology
dc.subject.other dermatology
dc.title Obsessive-compulsive behaviour related cutaneous ulcers: two cases with therapeutic considerations
dc.type article
dc.rights.holder Copyright WILEY-BLACKWELL
dc.description.group LIM/06
dc.identifier.doi 10.1111/iwj.12393
dc.identifier.pmid 25585672
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author NICO, Marcello M. S.:FM:MDT
hcfmusp.author.external · LOURENCO, Silvia V.:Univ Sao Paulo, Sch Dent, Dept Pathol, Sao Paulo, Brazil
hcfmusp.origem.id WOS:000387667600093
hcfmusp.origem.id 2-s2.0-84922765147
hcfmusp.publisher.city HOBOKEN
hcfmusp.publisher.country USA
hcfmusp.relation.reference · Colella G, 2009, J CRANIOFAC SURG, V20, P1078, DOI 10.1097/SCS.0b013e3181abb358
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· Nico MMS, 2010, CLIN EXP DERMATOL, V35, pe180, DOI 10.1111/j.1365-2230.2009.03619.x
· Wong Jillian W, 2013, Dermatol Online J, V19, P18169
dc.description.index MEDLINE
dc.identifier.eissn 1742-481X
hcfmusp.citation.scopus 2
hcfmusp.citation.wos 3
hcfmusp.affiliation.country Brasil


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