Recurrent headache and facial ecchymosis: a case of dermatitis artefacta? Reply from authors.

We really appreciate your comment about our rare clinical case report. The first time we visited this patient we thought about the possibility of a cutaneous factitious disorder. Consequently, we conducted a comprehensive interview with the patient and her family who repeatedly denied mental problems and the use of topical products on the skin during the headache episodes. Moreover, we requested a psychiatry evaluation that was strictly normal.