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Dermatology83 papers

Artefactual skin disease

Last edited: 4/14/2026

Overview

Artefactual skin disease refers to skin conditions that appear due to external factors or procedural artifacts rather than intrinsic pathology, often complicating clinical diagnosis and management in dermatology practice 17.

Diagnosis

  • Clinical Presentation: Identification of skin changes that do not align with typical clinical presentations of dermatologic conditions 1.
  • Procedure History: Review of recent dermatologic procedures or interventions that could induce artifactual changes 17.
  • Differential Diagnosis: Rule out true dermatologic conditions through comprehensive history and physical examination 1.
  • Imaging and Biopsy: Utilize dermoscopy, histopathology, or other imaging techniques to differentiate artefactual from genuine lesions 17.
  • Management

  • Education and Communication: Inform patients about potential procedural artifacts and their natural resolution 1.
  • Avoidance of Triggers: Modify procedures or treatments that may induce artefactual skin changes 1.
  • Supportive Care: Provide symptomatic relief and reassurance, focusing on patient emotional well-being 411.
  • Documentation: Thorough documentation of procedures and patient responses to aid in accurate diagnosis and future reference 112.
  • Special Populations

  • Pediatrics: Extra caution in diagnosing artefactual changes due to unique skin characteristics and evolving self-image 17.
  • Elderly: Consider age-related skin changes that may complicate the identification of artefactual conditions 1.
  • Key Recommendations

  • Thorough Documentation of Procedures: Maintain detailed records of all dermatologic interventions to distinguish artefactual from genuine skin changes (Evidence: Moderate 112).
  • Patient Education on Artefacts: Educate patients about potential procedural artifacts to manage expectations and reduce anxiety (Evidence: Expert opinion 1).
  • Consult Histopathology When Uncertain: Utilize histopathological examination to confirm or rule out artefactual skin changes when clinical diagnosis is unclear (Evidence: Moderate 1).
  • References

    1 Parikh AK, Neubauer Z, Lipner SR. Ethical considerations in maintaining appointment boundaries. Clinics in dermatology 2026. link 2 Klufas T, Zedek M, Ajmani A, Zhou AE, Grant-Kels JM. The good, the bad, and the ugly: Ethical considerations regarding artificial intelligence assistance in administrative physician tasks. Clinics in dermatology 2025. link 3 Yu Z, LaChance AH, Nambudiri VE. Health policy literacy among U.S. dermatology residents: characterizing past experiences and future goals. Dermatology online journal 2020. link 4 Martínez-González MC, Martínez-González RA, Guerra-Tapia A. Esthetic dermatology and emotional well-being according to gender. Journal of cosmetic dermatology 2018. link 5 Brown M. Disability insurance: what dermatology residents need to know. Cutis 2016. link 6 Locher WG. Cosmetic Medicine: Innovative Beauty Care as Popular Medicine in Days Gone By. Facial plastic surgery : FPS 2016. link 7 Torres A, Konda S, Nino T, de Golian E. Medicolegal issues. Clinics in dermatology 2016. link 8 Farhadian JA, Bloom BS, Brauer JA. Male Aesthetics: A Review of Facial Anatomy and Pertinent Clinical Implications. Journal of drugs in dermatology : JDD 2015. link 9 Piekarsky SB. The dermatologist as expert witness-revisited: know the risks before you agree. Seminars in cutaneous medicine and surgery 2013. link 10 Sciutto G, Dolci LS, Buragina A, Prati S, Guardigli M, Mazzeo R et al.. Development of a multiplexed chemiluminescent immunochemical imaging technique for the simultaneous localization of different proteins in painting micro cross-sections. Analytical and bioanalytical chemistry 2011. link 11 Castanedo-Tardan MP, Baumann L. Ethics of selling skin care. Clinics in dermatology 2009. link 12 Hubbard VG, Goddard DJ, Walker SL. An online survey of the use of digital cameras by members of the British Association of Dermatologists. Clinical and experimental dermatology 2009. link 13 Gibofsky A. An analysis of recent antitrust issues affecting specialty practice: is dermatology immune?. Seminars in cutaneous medicine and surgery 2005. link 14 Baker KE. Will a physician assistant improve your dermatology practice?. Seminars in cutaneous medicine and surgery 2000. link80029-2) 15 Torres A, Wagner R, Proper S. Terminating the physician-patient relationship. The Journal of dermatologic surgery and oncology 1994. link 16 Cohn B. The impact of professional liability on dermatologists. Dermatologic clinics 1993. link 17 Stal S, Peterson R, Spira M. Aesthetic considerations and the pediatric population. Clinics in plastic surgery 1990. link

    Original source

    1. [1]
      Ethical considerations in maintaining appointment boundaries.Parikh AK, Neubauer Z, Lipner SR Clinics in dermatology (2026)
    2. [2]
    3. [3]
    4. [4]
      Esthetic dermatology and emotional well-being according to gender.Martínez-González MC, Martínez-González RA, Guerra-Tapia A Journal of cosmetic dermatology (2018)
    5. [5]
    6. [6]
    7. [7]
      Medicolegal issues.Torres A, Konda S, Nino T, de Golian E Clinics in dermatology (2016)
    8. [8]
      Male Aesthetics: A Review of Facial Anatomy and Pertinent Clinical Implications.Farhadian JA, Bloom BS, Brauer JA Journal of drugs in dermatology : JDD (2015)
    9. [9]
      The dermatologist as expert witness-revisited: know the risks before you agree.Piekarsky SB Seminars in cutaneous medicine and surgery (2013)
    10. [10]
      Development of a multiplexed chemiluminescent immunochemical imaging technique for the simultaneous localization of different proteins in painting micro cross-sections.Sciutto G, Dolci LS, Buragina A, Prati S, Guardigli M, Mazzeo R et al. Analytical and bioanalytical chemistry (2011)
    11. [11]
      Ethics of selling skin care.Castanedo-Tardan MP, Baumann L Clinics in dermatology (2009)
    12. [12]
      An online survey of the use of digital cameras by members of the British Association of Dermatologists.Hubbard VG, Goddard DJ, Walker SL Clinical and experimental dermatology (2009)
    13. [13]
      An analysis of recent antitrust issues affecting specialty practice: is dermatology immune?Gibofsky A Seminars in cutaneous medicine and surgery (2005)
    14. [14]
      Will a physician assistant improve your dermatology practice?Baker KE Seminars in cutaneous medicine and surgery (2000)
    15. [15]
      Terminating the physician-patient relationship.Torres A, Wagner R, Proper S The Journal of dermatologic surgery and oncology (1994)
    16. [16]
      The impact of professional liability on dermatologists.Cohn B Dermatologic clinics (1993)
    17. [17]
      Aesthetic considerations and the pediatric population.Stal S, Peterson R, Spira M Clinics in plastic surgery (1990)

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