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Factitial dermatitis, defined as the intentional production of dermatologic signs, is similar to neurotic excoriations, but the lesions will typically be more elaborate than those in neurotic excoriations, and the patient will always deny causing them.
The differential diagnosis includes psychogenic parasitosis, factitial dermatitis, and neurotic excoriations.
Factitial dermatitis, also known as dermatitis artefacta, is a psychodermatologic disorder in which patients damage their skin but deny their self-involvement.
Psychological disorders involved with factitial dermatitis include personality disorders and posttraumatic stress disorder.
Factitial dermatitis, in which affected patients burn their skin or use chemicals or caustics to injure their skin, falls within stage III.