John Libbey Eurotext

European Journal of Dermatology


sQuiz your knowledge: Extensive facial scarring: an unusual presentation in a neuropsychiatric patient Volume 27, numéro 4, July-August 2017


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1 Centro Hospitalar de Setúbal, Rua Camilo Castelo Branco, 2910-446 Setúbal, Portugal
2 Royal London Hospital Whipps Cross University Hospital, London, UK

A 47-year-old Afro-Caribbean male presented to our psychodermatology clinic with long-standing facial ulceration and subsequent scarring, mainly affecting his chin and both cheeks. The patient complained of persistent facial pain, severe pruritus, and burning sensation in the trigeminal nerve distribution (especially the mandibular branch) and at the angle of the mandible (figure 1). He admitted that he picked at his skin, and described temporary relief of his symptoms only following skin trauma. [...]