Autoamputación digital en el pie

Self-mutilation is a (notorious) manifestation within the spectrum of self-injuries behaviours and is a rare expression of mental disease. The high risck population include people with mental retardation, psicosis, antisocial personality disorder and borderline personality disorder. We should also named drug abuse as a participating factor in many cases of self-mutilation. Proper management in emergencie room is essential, including psychiatrists and surgeons participation. Nevertheless, control of these patients is difficult with a high rate of morbidity. The aim of this article is to describe a case of toe self-mutilation treated in our department as well as highlighting the key aspects associated with this entity.