Self-inflicted injury is a clinical phenomenon of unknown proportion.\ud Individuals may self-harm for medical attention, physical\ud release, or other self-motivating factors. Self-mutilation\ud may be seen in young, otherwise healthy adults. The case of\ud a 38-year-old female patient is illustrated. The patient presented\ud serially with a variety of wounds on the feet, which\ud were later discovered to be the product of a number of\ud episodes of self-inflicted injury. A review of recent literature is\ud detailed and, finally, the implications and practical difficulties\ud of this sensitive clinical situation are discussed
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