Treating A Patient With Multiple, Pruritic Open Lesions On Both Feet

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Key Questions To Consider

1. What essential question does one still need to ask in order to help make the diagnosis?
2. What is the tentative diagnosis?
3. Can you list at least three differential diagnoses?
4. What features of this condition differentiate it from other conditions in your differential diagnosis?
5. What is the suitable treatment for this condition?

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Treating A Patient With Multiple, Pruritic Open Lesions On Both Feet
Treating A Patient With Multiple, Pruritic Open Lesions On Both Feet
31
Author(s): 
By G. “Dock” Dockery, DPM, FACFAS

Suggested Reading
1.    Antony SJ, Mannion SM: Dermatitis artefacta revisited. Cutis. 1995;55(6):362-364.
2.    Cyr PR, Dreher GK: Neurotic excoriations. Am Fam Physician 2001;64:1981-1984.
3.    Dockery GL: Psychocutaneous disorders: Some lower extremity presentations. J Am Podiatr Assoc. 1982;72;388-395.
4.    Dockery GL: Psychocutaneous Disorders, ch 17, Cutaneous Disorders of the Lower Extremity, WB Saunders, Phila. Pp 288-298, 1997.
5.    Dockery GL: How to Detect and Treat Pruritus. Podiatry Today. 19(8); 52-64, 2006.
6.    Joe EK, Li VW, Magro CM, et al: Diagnostic clues to dermatitis artefacta. Cutis; 1999; 63(4):209-214.
7.    Koblenzer CS: Neurotic excoriations and dermatitis artefacta. Dermatol Clin. 1996;14(3):447-455.
8.    Koo J, Lebwohl A: Psychodermatology: the mind and skin connection. Am Fam Physician. 2001;64:1873-1878.
9.    Nielsen K, Jeppesen M, Simmelsgaard L, et al: Self-inflicted skin diseases. A retrospective analysis of 57 patients with dermatitis artefacta seen in a dermatology department. Acta Derm Venereol. 2005;85(6):512-515.

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