Self-induced panniculitis in adolescence: Three cases and review of the literature

Pediatr Dermatol. 2023 Jul-Aug;40(4):673-677. doi: 10.1111/pde.15225. Epub 2022 Dec 15.

Abstract

Self-induced trauma is a rare cause of panniculitis in adolescents and may be associated with undiagnosed underlying psychological conditions. The condition often poses a diagnostic challenge as patients usually present with non-specific signs and symptoms, and often a concealed history of self-induced trauma. Here, we present three adolescent patients with self-induced traumatic panniculitis. All three patients were repeatedly admitted with non-specific cutaneous lesions as well as multiple somatic complaints. After extensive evaluation to exclude organic causes, psychiatric assessment eventually revealed underlying psychosomatic disorders as a cause of the self-induced trauma.

Keywords: pediatric dermatology; psychiatry; psychology; traumatic panniculitis.

Publication types

  • Review
  • Case Reports

MeSH terms

  • Adolescent
  • Fat Necrosis* / complications
  • Humans
  • Mental Disorders*
  • Panniculitis* / diagnosis
  • Panniculitis* / etiology
  • Panniculitis* / pathology