๐Ÿ—‚ ็ธฝ็›ฎ้Œ„ ๏ฝœ ๐Ÿ“– ่‹ฑๆ–‡ๅŽŸๆ–‡๏ผˆๆœฌ็ฏ‡๏ผ‰ ๏ฝœ ๐Ÿ“ ๅฎŒๆ•ด็ฟป่ญฏ ๏ฝœ โญ ็ฒพ่ฏ็ญ†่จ˜

Dermatitis artefacta

Dermatitis artefacta

Dermatitis artefacta localized to the anogenital area is sometimes encountered (Figs 12.150โ€“12.152). At this site the injuries may be sustained in the course of sadomasochistic sexual gratification1 due to algolagnia (love of pain). A biopsy is usually obtained to exclude genital cancer, but it is important also to consider pyoderma gangrenosum. It should be included in the differential diagnosis of any non-healing or atypical lesion.

Fig. 12.150 Dermatitis artifacta: there is gross destruction of the penile shaft. From Bunker C. Male Genital Skin Disease. Saunders Ltd./Elsevier 2004.