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NEUROTIC EXCORIATIONS WITH REPORT OF CASES

WILLIAM ALLEN PUSEY, M.D.; FRANCIS E. SENEAR, M.D.
Arch Derm Syphilol. 1920;1(3):270-278. doi:10.1001/archderm.1920.02350030038003.
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There is considerable literature in dermatology on the subject of self-inflicted lesions of the skin. The cases fall into two groups:

Group 1.—  Cases in which self-inflicted lesions are produced surreptitiously.

Group 2.—  Cases in which the lesions are self-inflicted through a nervous impulse, but without deception being an essential factor in the practice.The familiar types of dermatitis factitia constitute the first group of cases, and they need not detain us. The second group is sharply distinguished from the first by the fact that deception is not an essential feature. These patients know the part they play in the production of their lesions, or it can easily be determined from their histories. They readily admit that the lesions are self-inflicted, but they have a neurotic impulse which is quite or almost irresistible to continue in this practice. These cases have apparently had little recognition, and the dermatologic literature concerning

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