人工皮膚炎 (Dermatitis artefacta)
人工皮膚炎 (dermatitis artefacta)
侷限於肛門生殖器區的人工皮膚炎 (dermatitis artefacta) 偶可見到 (Figs 12.150–12.152)。在此部位,這些損傷可能是在施虐受虐 (sadomasochistic) 的性快感過程中,因 algolagnia(愛痛癖,love of pain)而造成。通常會取切片以排除生殖器癌 (genital cancer),但同樣重要的是要考慮壞疽性膿皮症 (pyoderma gangrenosum)。任何無法癒合或非典型的病灶,都應將其納入鑑別診斷中。

圖 12-150:人工皮膚炎 (dermatitis artifacta):可見陰莖體 (penile shaft) 的廣泛破壞。From Bunker C. Male Genital Skin Disease. Saunders Ltd./Elsevier 2004.
Fig. 12.150 Dermatitis artifacta: there is gross destruction of the penile shaft. From Bunker C. Male Genital Skin Disease. Saunders Ltd./Elsevier 2004.