The eccrine glands appeared normal and without discernible histopathologic alterations.
The clinical presentations of dermatitis artefacta are many and varied, ranging from relatively obvious, cigarette burn–type lesions to much more sophisticated forms of contrived skin disease.1 The patients are frequently female, with paramedical experience or occupations such as hospital or dental nursing. They are often extensively investigated by multiple physicians who, while realizing that the disease is probably self-induced, are worried about missing an underlying disease. In most cases of dermatitis artefacta, baffling lesions that do not correspond to any recognizable clinical pattern are seen. Less commonly, the artifactual lesions are more sophisticated and mimic "real" disease much more closely.
A Green Man. Arch Dermatol. 2000;136(1):113-118. doi: