{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T12:15:38Z","timestamp":1771330538562,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,6,8]],"date-time":"2015-06-08T00:00:00Z","timestamp":1433721600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Dermatitis artefacta (<jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content>) consists of self\u2010inflicted skin lesions that the patient denies having produced.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To conduct a single\u2010center retrospective clinical review of children and adolescents diagnosed with <jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From 1976 to 2006, data were collected on children diagnosed with <jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content> who were seen in the Department of Dermatology in our hospital. Clinical and epidemiologic features are described. Forty\u2010four children (mean age 12.9\u00a0yrs) were selected, representing 21.9% of the total patients with <jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content> recorded (<jats:italic>n<\/jats:italic>\u00a0=\u00a0201) during this period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The most frequent clinical forms were excoriations (16 [36.4%]) and ulcers (10 [22.7%]), followed by blisters (7 [15.9%]), burns (3 [6.8%]), contact dermatitis (3 [6.8%]), hematomas (2 [4.5%]), panniculitis (1 [2.3%]), cheilitis (1\u00a0[2.3%]), and hyperpigmentation (1 [2.3%]). Sixteen were located exclusively on the face and neck, whereas 28 also had other locations (upper limbs, <jats:italic>n<\/jats:italic>\u00a0=\u00a010; lower limbs, <jats:italic>n<\/jats:italic>\u00a0=\u00a09; thorax, <jats:italic>n<\/jats:italic>\u00a0=\u00a05; abdomen, <jats:italic>n<\/jats:italic>\u00a0=\u00a04). Cutaneous lesions were treated with occlusive bandages using zinc paste or a plaster splint when necessary.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>To our knowledge, this is the largest reported series of <jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content> in childhood. This complicated psychodermatologic condition requires correct diagnosis, appropriate management, and psychiatric assessment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pde.12625","type":"journal-article","created":{"date-parts":[[2015,6,11]],"date-time":"2015-06-11T06:08:41Z","timestamp":1434002921000},"page":"604-608","source":"Crossref","is-referenced-by-count":23,"title":["Dermatitis Artefacta in Childhood: A Retrospective Analysis of 44 Patients, 1976\u20132006"],"prefix":"10.1111","volume":"32","author":[{"given":"Sara","family":"Alc\u00e1ntara Luna","sequence":"first","affiliation":[{"name":"Department of Dermatology Hospital Universitario Virgen Macarena Sevilla Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bego\u00f1a","family":"Garc\u00eda Bravo","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital Universitario Virgen Macarena Sevilla Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Rodr\u00edguez Pichardo","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital Universitario Virgen Macarena Sevilla Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco M.","family":"Camacho Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital Universitario Virgen Macarena Sevilla Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,6,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-1506"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5178.96720"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ad.2012.10.004"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2006.08.016"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1470.2007.00418.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1470.2007.00441.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2010.08.020"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.105.2.336"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2005.01022.x"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.3.5982.527"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0736-8046.2004.21303.x"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-0960.2001.00533.x"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0736-8046.2004.21319.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0151-9638(06)70886-9"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.2310\/7750.2006.00023"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.2165\/11589040-000000000-00000"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mop.0000236390.41462.39"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2005.05.015"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpde.12625","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.12625","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T11:13:25Z","timestamp":1696158805000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.12625"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6,8]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1111\/pde.12625"],"URL":"https:\/\/doi.org\/10.1111\/pde.12625","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6,8]]}}}