Conor is an 18 year-old Caucasian man presenting with bizarrely shaped skin ulcerations on his forearms and anterior legs bilaterally. His skin lesions exhibited sharp angulations and straight edges, and some lesions had healed over with scarring, suggesting the chronicity of the condition. He had no other medical problems and was not on any medications. Upon questioning, he initially related a very vague, illogical story about the origin of the skin lesions. He neither denied nor confirmed the possible self-induced element involved.