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Journal Information
Vol. 100. Issue 8.
Pages 657-660 (October 2009)
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Vol. 100. Issue 8.
Pages 657-660 (October 2009)
Actas 1909-2009
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Dermatitis Artefacta 100 Years Ago, by Juan de Azúa
Dermatitis Artefactas Cien Años Atrás, por Juan de Azúa
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5959
F. Heras-Mendaza
Corresponding author
felipeheras@yahoo.com

Correspondence: Felipe Heras Mendaza, Servicio de Dermatología Laboral, Escuela Nacional de Medicina del Trabajo, Pabellón 8, Ciudad Universitaria, 28040 Madrid, Spain.
Servicio de Dermatología Laboral, Escuela Nacional de Medicina del Trabajo, Instituto de Salud Carlos III, Madrid, Spain
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Article information
Abstract

In 1909, the Spanish dermatologist Juan de Azúa published a study of the main features of skin lesions in dermatitis artefacta. In the article, he paid particular attention to the psychological state of these patients, their family situation, and what they were hoping to gain with pathomimicry. Azúa directly confronted the patients with the diagnosis, which he demonstrated by applying an occlusive dressing. Written in a literary style typical of the times, the article includes the subjective impressions of Azúa, through which he manages to transmit a much more realistic image of these patients than that portrayed with the sterile language we tend to use in current medical literature.

Key words:
dermatitis artefacta
mimicry
hysteria
hysterics
Dermatology and Psychiatry
Olavide Museum
Resumen

En 1909, el dermatólogo español Juan de Azúa publica un trabajo donde recoge las principales características de las lesiones cutáneas de la dermatitis artefacta. En él, también presta una especial atención ala psicología de estos pacientes, al entorno familiar que los rodea y a la compensación que pretende conseguir el enfermo con la patomimia. Azúa confrontaba directamente al paciente con el diagnóstico, que demostraba mediante una cura oclusiva. Redactado en un estilo literario, al modo de la época, el artículo incluye las apreciaciones subjetivas de Azúa, que consiguen transmitir una imagen de estos enfermos mucho más cercana a la realidad que el lenguaje aséptico que tendemos a emplear hoy en día en la literatura médica.

Palabras clave:
dermatitis artefacta
simulación
histeria
histerismo
dermatología y psiquiatría
Museo Olavide
Full text is only aviable in PDF
References
[1.]
J. Azúa.
Gangrena histérica, seca, en placa y lesiones por simulación en histéricas.
Actas Dermosifiliogr, 2 (1909), pp. 164-169
[2.]
J. Vallejo.
Histeria.
Introducción a la psicopatología y la psiquiatría, 4th ed., pp. 417-435
[3.]
A. Tardieu.
Manual de patología y de clínica médica, traducido al castellano por D. Pedro Espina y Martínez.
Carlos Bailly-Bailliere, (1867),
[4.]
A. Rodríguez-Pichardo.
Dermatitis artefacta.
Dermatología y Psiquiatría. Historias clínicas comentadas, pp. 143-163
[5.]
J. Azúa.
Lesiones ulcerosas, simuladas por una histérica.
Actas Dermosifiliogr, 5 (1912), pp. 1-9
Copyright © 2009. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
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