Lip Ulcerations Associated with Obsessive- Compulsive Behavior: Case Report

Letícia Logullo, Helio G. Rocha Neto, Karla Calaca Kabbach Prigenzi, Sandra Lopes Mattos e Dinato


Self-inflicted lesions include skin alterations caused by an abnormal behavior. They demand interdisciplinary involvement of health professionals. They are most common among middle-aged women. We report the case of a 42-year-old man with a diagnosis of an ulcerated lesion on the upper and lower lips, secondary to obsessive-compulsive behavior. Histopathological findings were non-specific and the results of laboratory tests performed showed no alterations. Joint evaluation by Psychiatry and Dermatology was initiated, with follow-up sessions of psychotherapy. Patient chose to abandon treatment. The importance of recognizing psychodermatoses for the dermatologist is emphasized, aiming at the early diagnosis and therapeutics, which will allow the prevention of destructive and mutilating lesions.


Lip; Obsessive-Compulsive Disorder/complications; Self-Injurious Behavior; Skin Ulcer/etiology

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