36y/o F with c/o recurrent areas to buttocks. Denies having | Figure 1

36y/o F with c/o recurrent areas to buttocks. Denies having drainage at sites and itching, but admits to "picking" at scabs. Hx. Includes HTN, obesity, psoriasis, hypothyroid, and anxiety with known occurrences of cutting. You can see where new areas have formed over scar tissue from previous wounds. Dx?

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Have a guess about this diagnosis? (Hint:the 2 pinpoint areas are self inflicted and not the cause)


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