Excoriations in delusions of parasitosis in an amphetamine addict.
Sample of the fibres that a patient with Morgellons disease brought to clinic.
Russell's sign: callosities of the knuckles from manual forced vomiting in bulimia.
Dermatitis factitia. (a) Crude, linear, angulated and destructive factitious dermatitis. (b) Note the straight edges and sharp angulation of some of t...
Non‐healing wound after surgery with characteristic central ’interference haemorrhage’.
Patient with delusional infestation. The marks on the legs are where the patient applied elastic bands to stop the ’worms’ from travelling up his leg ...
(a) A patient with nodular prurigo. (b, c) Close up of noduar prurigo.
Childhood trichotillomania showing eyelash involvement with hair loss and broken‐off hairs. This child also had scalp involvement.
Dermatitis artefacta. (a) Symmetrical and predominantly monomorphic lesions on the hands. (b) Severe dermatitis artefacta resulting from a patient who...
Persistent ulceration of the breast from covert injections of milk and talcum powder.
Glue applied to look like herpes zoster.
(a) Container brought in by a patient with delusional parasitosis. (b) ’Specimen sign’ for delusional infestation.
(a,b) Facial picking disorder.
Adult trichotillomania. (a) Extensive hair loss with a preserved tuft over the occiput. (b) Patient with hairs at different lengths.
Scarring from deliberate self‐cutting over a birthmark.
Dermatitis artefacta (a) of the ankle, and (b) close up of a lesion.
Diogenes syndrome in a young man showing accretions of facial keratin and debris.
Management algorithm for delusional infestation. (From Lepping et al . 2014 [ ]. Reproduced with permission of Wiley.)
Acne excoriée. (a) Habitual scarring lesions of the cheek and chin. (b) Lesions on the forehead.
Gastric trichobezoar on barium contrast examination showing a lace‐like pattern of the mass of hairs.
Factitious disease of skin on the chin and the ’Mona Lisa smile’.
Dermatitis factitia showing the drip sign.