{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T14:15:34Z","timestamp":1763388934972},"reference-count":7,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,1,14]],"date-time":"2015-01-14T00:00:00Z","timestamp":1421193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Obsessive\u2010compulsive\u2010related cutaneous disease most often includes trichotillomania, neurotic excoriations and nail biting. In this report, we present two cases of self\u2010inflicted severe wounds that were diagnosed as secondary to obsessive\u2010compulsive behaviour. Patients were middle\u2010aged females who presented with deep cutaneous ulcers that were acknowledgedly maintained through repetitive manipulation. Obsessive\u2010compulsive\u2010related 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\u201380 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\u2010inflicted cutaneous lesions is desired, because clinically identical lesions can also be caused as a result of distinct mental mechanisms: anxiety, depression, psychosis, obsessive\u2010compulsive disorder and classic dermatitis artefacta.<\/jats:p>","DOI":"10.1111\/iwj.12393","type":"journal-article","created":{"date-parts":[[2015,1,14]],"date-time":"2015-01-14T15:49:47Z","timestamp":1421250587000},"page":"860-862","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Obsessive\u2010compulsive behaviour related cutaneous ulcers: two cases with therapeutic considerations"],"prefix":"10.1111","volume":"13","author":[{"given":"Marcello MS","family":"Nico","sequence":"first","affiliation":[{"name":"Department of Dermatology, Medical School University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia V","family":"Louren\u00e7o","sequence":"additional","affiliation":[{"name":"Department of Pathology, Dental School University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,1,14]]},"reference":[{"key":"e_1_2_4_2_1","first-page":"18169","article-title":"Psychopharmacological therapies in dermatology","volume":"19","author":"Wong JW","year":"2013","journal-title":"Dermatol Online J"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.2009.03619.x"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(87)90101-0"},{"key":"e_1_2_4_5_1","first-page":"209","article-title":"Diagnostic clues to dermatitis artefacta","volume":"63","author":"Joe EK","year":"1999","journal-title":"Cutis"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2004.00965.x"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.12788\/j.sder.0006"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181abb358"}],"container-title":["International Wound Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fiwj.12393","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.12393","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T21:46:39Z","timestamp":1696196799000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iwj.12393"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,14]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,10]]}},"alternative-id":["10.1111\/iwj.12393"],"URL":"https:\/\/doi.org\/10.1111\/iwj.12393","archive":["Portico"],"relation":{},"ISSN":["1742-4801","1742-481X"],"issn-type":[{"value":"1742-4801","type":"print"},{"value":"1742-481X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,14]]},"assertion":[{"value":"2014-08-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-10-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-01-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}