Dermatitis artefacta may mimic a number of common skin disorders. We report an example of an unusual and treatment-resistant erythematous facial dermatosis in an adolescent girl imitating a number of dermatological disorders which led to a delay in the diagnosis of dermatitis artefacta induced by benzyl nicotinate. Cutaneous factitious disease should be included in the differential diagnosis of recurrent lesions, particularly in facial skin if signs and symptoms, history, laboratory results and dermatopathology findings are inconclusive.

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