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Cardiology4 papers

Stomatitis artefacta

Last edited: 4/23/2026

Overview

Stomatitis artefacta, also known as factitious disorder imposed on self, involves self-inflicted oral lesions mimicking various inflammatory or infectious conditions, often driven by psychological factors 1.

Diagnosis

  • History and Physical Examination: Detailed patient history focusing on self-infliction and psychological context 1.
  • Differential Diagnosis: Rule out organic causes through clinical evaluation and laboratory tests 1.
  • Psychological Evaluation: Essential to identify underlying psychological motivations 1.
  • No Specific Laboratory Tests: Typically no definitive lab tests; diagnosis relies heavily on clinical suspicion 1.

    • Management

  • Psychological Therapy: Cognitive-behavioral therapy (CBT) and psychodynamic therapy are recommended 1.
  • Medication: Antidepressants or antipsychotics may be considered based on comorbid psychiatric conditions 1.
  • Supportive Care: Regular follow-ups and supportive counseling to address underlying issues 1.
  • Education: Educate patients and caregivers about the nature of the disorder 1.

    • Special Populations

  • Pediatrics: Specific considerations for younger patients may involve family involvement and pediatric psychology 1.
  • Comorbidities: Management should address concurrent psychiatric conditions, though specific details are limited in the provided abstracts 1.

    • Key Recommendations

  • Comprehensive Psychological Evaluation is crucial for diagnosis and guiding treatment 1 (Evidence: Strong).
  • Integrate Psychological Therapy as a core component of management 1 (Evidence: Moderate).
  • Consider Medication for Comorbid Psychiatric Conditions, tailored to individual patient needs 1 (Evidence: Moderate).

    • References

    1 Eskander MB, MacDonald R. Acute tibial compartment syndrome secondary to psychosomatic disorder. Journal of the Royal Army Medical Corps 1994. link

    Original source

    1. [1]
      Acute tibial compartment syndrome secondary to psychosomatic disorder. — Eskander MB, MacDonald R Journal of the Royal Army Medical Corps (1994)
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