2,378 results match your criteria Factitious Disorder


The Role of the Peripheral Nerve Surgeon in the Treatment of Pain.

Neurotherapeutics 2018 Dec 12. Epub 2018 Dec 12.

Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, MO, USA.

Pain is a frequent cause of physician visits. Many physicians find these patients challenging because they often have complicated histories, emotional comorbidities, confusing examinations, difficult problems to fix, and the possibility of factitious complaints for attention or narcotic pain medications. As a result, many patients are lumped into the category of chronic, centralized pain and relegated to pain management. Read More

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December 2018

Hypoglycemia secondary to factitious hyperinsulinism in a foster care adolescent - a case report of munchausen syndrome in a community hospital emergency department setting.

BMC Emerg Med 2018 Dec 11;18(1):53. Epub 2018 Dec 11.

Northeast Georgia Medical Center Barrow, 316 N Broad St, Winder, GA, 30680, USA.

Background: Factitious disorder causing hypoglycemia is a psychiatric condition in which patients deliberately use blood sugar lowering medications to cause severe symptoms for the purposes of hospitalization or other primary gains.

Case Presentation: We report a case of factitious hypoglycemia in a 19-year-old foster care adolescent female who presented to the Emergency Department with recurrent hypoglycemic episodes, to the degree that the patient required large amounts of dextrose and further management by intensive care unit hospitalization. Further inquiry revealed that the patient intentionally injected herself with large doses of insulin for the purposes of seeking hospital admission. Read More

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December 2018

Malingering and factitious disorder.

Pract Neurol 2018 Nov 13. Epub 2018 Nov 13.

Nuffield Orthopaedic Hospital, Oxford Centre for Enablement, Oxford, UK.

Although exaggeration or amplification of symptoms is common in all illness, deliberate deception is rare. In settings associated with litigation/disability evaluation, the rate of malingering may be as high as 30%, but its frequency in clinical practice is not known. We describe the main characteristics of deliberate deception (factitious disorders and malingering) and ways that neurologists might detect symptom exaggeration. Read More

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November 2018
11 Reads

Current Management of Self-Inflicted Wounds in Surgery: A Critical Review.

Ann Plast Surg 2018 Dec;81(6S Suppl 1):S79-S88

From the Hansjörg Wyss Department of Plastic and Reconstructive Surgery, New York University School of Medicine, New York, NY.

Objective: Despite the presence of self-inflicted wounds (SIWs) across all of medicine, our current understanding of SIWs in surgery is limited. Here, we detail the pertinent aspects of the history, diagnosis, decision making, and management of SIWs as they relate to the field of surgery. In addition, we present the first comprehensive review of SIWs across the surgical literature. Read More

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December 2018
2 Reads

[Self-inflicted lesions in the context of hidradenitis suppurativa: Pathomimicry].

Ann Dermatol Venereol 2018 Oct 22. Epub 2018 Oct 22.

Département de dermatologie et vénéréologie, hôpital Bel-Air, CHR Metz-Thionville, 57000 Thionville, France.

Background: Factitious disorders constitute a complex pathology for the dermatologist. Although a diagnosis is often indicated, it is difficult to confirm and treatment is complicated. Dermatitis artefacta is the somatic expression of an often serious psychiatric disorder consciously created by patients on their own cutaneous-mucosal surfaces but the motivation is unconscious and no secondary benefits are sought (in contrast to simulation). Read More

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October 2018
9 Reads

Distinct community structure and microbial functions of biofilms colonizing microplastics.

Sci Total Environ 2019 Feb 1;650(Pt 2):2395-2402. Epub 2018 Oct 1.

Key Laboratory of Integrated Regulation and Resources Development on Shallow Lakes of Ministry of Education, College of Environment, Hohai University, Nanjing, 210098, People's Republic of China.

Microplastics are frequently detected in freshwater environments, serving as a new factitious substrate for colonization of biofilm-forming microorganisms. Distinct microbial assemblages between microplastics and surrounding waters have been well documented; however, there is insufficient knowledge regarding biofilm colonization of plastic and non-plastic substrates, despite the fact that microbial communities generally aggregate on natural solid surfaces. In this study, the effects of substrate type on microbial communities were evaluated by incubation of biofilms on microplastic substrates (polyethylene and polypropylene) and natural substrates (cobblestone and wood) for 21 days under controlled conditions. Read More

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February 2019
7 Reads

Position Statement: Linear prurigo is a subtype of chronic prurigo.

J Eur Acad Dermatol Venereol 2018 Oct 5. Epub 2018 Oct 5.

Department of Dermatology and Center for Chronic Pruritus, University Hospital Münster, Münster, Germany.

Background: Chronic prurigo (CPG) is a distinct disease characterized by chronic pruritus, history and/or signs of prolonged scratching and multiple pruriginous lesions. It may present with various clinical manifestations, including papules, nodules, plaques or umbilicated lesions. Some patients with chronic pruritus show pruriginous linear and scaring scratch lesions (LSSL) and it is unclear whether these lesions belong to the spectrum of CPG. Read More

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October 2018
14 Reads

Ethical Challenges in Acute Evaluation of Suspected Psychogenic Stroke Mimics.

J Clin Ethics 2018 ;29(3):185-190

Department of Neurology and Department of Neurosurgery, New York University Langone Medical Center, New York, New York, USA.

Tissue plasminogen activator (tPA) is administered to patients with suspected ischemic stroke to improve blood flow to the brain In rare cases, patients present with complaints of stroke symptoms that appear to be non-organic due to malingering, factitious disorder, or conversion disorder (psychogenic stroke mimics). Deciding whether or not to administer tPA to these patients can be challenging. The risk of hemorrhage after administration of tPA is low, but not zero. Read More

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January 2018
8 Reads

Differentiating factitious psychological presentations from malingering: Implications for forensic practice.

Behav Sci Law 2018 Sep 17. Epub 2018 Sep 17.

University of North Texas, Denton, TX, USA.

Practitioners and researchers have long been challenged with identifying deceptive response styles in forensic contexts, particularly when differentiating malingering from factitious presentations. The origins and the development of factitious disorders as a diagnostic classification are discussed, as well as the many challenges and limitations present with the current diagnostic conceptualization. As an alternative to a formal diagnosis, forensic practitioners may choose to consider most factitious psychological presentations (FPPs) as a dimensional construct that are classified like malingering as a V code. Read More

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September 2018
3 Reads

Twelve-year-old boy presenting with recurrent abdominal pain and 25 urinary calculi.

Arch Dis Child Educ Pract Ed 2018 Sep 15. Epub 2018 Sep 15.

Department of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.

: A 12-year-old boy, with intermittent abdominal pain from 3 years of age, presented with increased frequency of right lower quadrant pain (at least three episodes per week over the past six months) and pain during micturition affecting school attendance. His family history included referred urolithiasis. An abdominal ultrasound performed 1 year before our visit showed a small stone of 4 mm in the right renal pelvis for which he did not receive any therapy. Read More

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September 2018
11 Reads

An Overview of Munchausen Syndrome and Munchausen Syndrome by Proxy.

Nurs Clin North Am 2018 Sep;53(3):375-384

University of Arizona, College of Nursing, 1305 N. Martin Avenue, Tucson, AZ 85721, USA.

Munchausen syndrome and Munchausen syndrome by proxy are complex diseases that are difficult to diagnose and treat. To assist in this process, an overview of diagnostic criteria with common characteristics and red flags are discussed, with case studies illustrating identification and diagnosis of these disorders. Treatment options are addressed within the context of each of these complex syndromes. Read More

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September 2018
12 Reads

Factitious hypoglycemia : "a never-ending story"?

Ann Biol Clin (Paris) 2018 Aug;76(4):439-444

Département des laboratoires cliniques, Cliniques universitaires St-Luc - Université catholique de Louvain, Bruxelles, Belgique, Pôle de recherche en endocrinologie, diabète et nutrition, Institut de recherche expérimentale et clinique, Cliniques universitaires St-Luc - Université catholique de Louvain, Bruxelles, Belgique.

Our team of diabetologist is challenged by the case of a 41 year-old woman with recurrent hypoglycaemic episodes. Her clinical background was complex with, among others, a neuroendocrine tumor, a nonalcoholic steatohepatitis and an adrenal insufficiency; these conditions require the exploration of several potential causes. After excluding an endogenous etiology, a factitious hypoglycemia was quicky suspected by clinicians. Read More

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August 2018
9 Reads

Midface toddler excoriation syndrome (MiTES) can be caused by autosomal recessive biallelic mutations in a gene for congenital insensitivity to pain, PRDM12.

Br J Dermatol 2018 Nov 16;179(5):1135-1140. Epub 2018 Sep 16.

Cambridge Institute for Medical Research, University of Cambridge, Cambridge, U.K.

Background: Midface toddler excoriation syndrome (MiTES) is a condition recently reported in three unrelated children. Habitual scratching from the first year of life inflicted deep, chronic, scarring wounds around the nose and eyes. One child had a mild neurological deficit but there was no other evidence of insensitivity to pain. Read More

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November 2018
89 Reads

Munchausen Syndrome by Proxy: balancing ethical and clinical challenges for healthcare professionals Ethical consideration in factitious disorders.

Clin Ter 2018 May-Jun;169(3):e129-e134

University of Padua, Department of Molecular Medicine.

Munchausen syndrome by proxy is a relatively rare behavioral disorder affecting a child's primary caregiver, typically the mother. Ethical dilemmas that physicians may face in such situations mainly concern the medical options for best protecting the child's welfare, that are important, in clinical pediatric practice, because critical conflicts might arise between health professionals and parents. In such cases, the physician's primary obligation is to protect the children involved, whose family environment may be essential to their wellbeing. Read More

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October 2018
23 Reads

Complexities of human memory: relevance to anaesthetic practice.

Authors:
R A Veselis

Br J Anaesth 2018 Jul;121(1):210-218

Department of Anesthesiology and Critical Care Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA; Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA. Electronic address:

Mechanisms of anaesthetic actions on memory have largely focused on easily definable aspects of episodic memory, with emphasis on particular drug interactions on specific memory processes. However, the memory landscape of the perioperative experience includes many facets that lie outside these conceptualisations. These include patient recall of preoperative conversations, patient beliefs regarding allergies and unusual/uncommon anaesthetic events, memories of awareness, and particularly vivid dreams during anaesthesia. Read More

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July 2018
1 Read

Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions.

J Periodontol 2018 Jun;89 Suppl 1:S74-S84

Division of Periodontology, Niigata University Graduate School of Medical and Dental Sciences, Japan.

Periodontal health is defined by absence of clinically detectable inflammation. There is a biological level of immune surveillance that is consistent with clinical gingival health and homeostasis. Clinical gingival health may be found in a periodontium that is intact, i. Read More

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June 2018
27 Reads

Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions.

J Clin Periodontol 2018 Jun;45 Suppl 20:S68-S77

Division of Periodontology, Niigata University Graduate School of Medical and Dental Sciences, Japan.

Periodontal health is defined by absence of clinically detectable inflammation. There is a biological level of immune surveillance that is consistent with clinical gingival health and homeostasis. Clinical gingival health may be found in a periodontium that is intact, i. Read More

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June 2018
44 Reads

Clenched fist syndrome: a case report.

J Med Case Rep 2018 Jun 18;12(1):168. Epub 2018 Jun 18.

Division of Mental Health and Addictions, University Hospital of North Norway, N-9291, Tromsø, Norway.

Background: The clenched fist syndrome/psycho-flexed hand, first described in the early 1980s, has not yet entered the major psychiatric textbooks. Curiously, the phenomenon has been illuminated mainly in journals and textbooks on hand surgery. There is a need to examine, describe, and understand this syndrome from a psychiatric perspective. Read More

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June 2018
28 Reads

Changing incidence of factitious renal stone disease
.

Clin Nephrol 2018 Aug;90(2):102-105

Purpose: We sought to describe patterns of factitious urinary stone submission over time by investigating a contemporary stone analysis database and comparing two distinct time points.

Materials And Methods: We retrospectively reviewed a single stone analysis lab database at two time points, 1990 and 2010, and compared total incidence of factitious stone submission, as well as gender patterns and type of factitious stone submitted.

Results: A total of 27,014 stones were analyzed, 16,216 (60%) from 1990 and 10,798 (40%) from 2010 with a decrease in total incidence from 2. Read More

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August 2018
4 Reads

A Case of Factitious Hyperglycemia in a Patient on Intravenous Ascorbic Acid.

Case Rep Endocrinol 2018 14;2018:7063137. Epub 2018 May 14.

Division of Endocrinology, Maimonides Medical Center, Brooklyn, NY, USA.

Finger stick blood glucose meters are widely used in outpatient and inpatient settings. However, various factors can affect accuracy of readings from these meters. Here we present a patient who had spurious glucose elevation on these meters while being on intravenous ascorbic acid. Read More

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May 2018
2 Reads

Factitious Hypoglycemia Caused by a Unique Pattern of Drug Use: A Case Report.

Int J Endocrinol Metab 2018 Jan 20;16(1):e62591. Epub 2017 Dec 20.

Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

Introduction: Factitious hypoglycemia, caused by the surreptitious use of insulin and sulfonylureas, is one of the most challenging differential diagnoses of hypoglycemia. Diagnosis is usually established via exclusion with respect to the special patterns of plasma insulin and C-peptide during hypoglycemic episodes.

Case Presentation: We report a case of recurrent hypoglycemic episodes and confusing patterns of insulin and C-peptide levels. Read More

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January 2018
2 Reads

Don't Judge a Book by Its Cover: Factitious Disorder Imposed on Children-Report on 2 Cases.

Front Pediatr 2018 18;6:110. Epub 2018 Apr 18.

Section of Child and Adolescent Neuropsychiatry, Department of Human Neuroscience, Sapienza University of Rome, Rome, Italy.

Factitious Disorder Imposed on Another (FDIA), also known as Munchausen Syndrome by Proxy (MSbP) is a very serious form of child abuse. The perpetrator, usually the mother, invents symptoms or causes real ones in order to make her child appear sick. Usually this is due to a maladaptive disorder or to an excessive of attention-seeking on her part. Read More

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April 2018
6 Reads

Histopathological patterns in dermatitis artefacta.

J Dtsch Dermatol Ges 2018 May 24;16(5):559-564. Epub 2018 Apr 24.

Department of Dermatology, Jena University Hospital, Jena, Germany.

Background: Dermatitis artefacta is a relevant and frequently unrecognized clinical condition associated with self-harming behavior, in which unconscious manipulation causes skin lesions. While atypical lesions and an unusual disease course may give rise to clinical suspicion of a self-induced disorder, questioning and examining these patients usually fails to confirm or clarify this suspicion. In this setting, the dermatopathologist may be faced with the question whether there are any histological signs corroborating the diagnosis of dermatitis artefacta. Read More

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May 2018
8 Reads

Dermatitis artefacta in childhood and adolescence: a spectrum of disease.

G Ital Dermatol Venereol 2018 Aug 19;153(4):525-534. Epub 2018 Apr 19.

Department of Dermatology, Royal London Hospital, London, UK -

Dermatitis artefacta (DA) or artefactual skin disease (ASD) is a factitious skin disorder rarely reported in the pediatric population. Skin lesions are produced deliberately either consciously or in a dissociative state to satisfy an underlying psychological need. Children may present with acutely formed skin changes or with chronic lesions, quite often having seen other specialists during their journey. Read More

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August 2018
16 Reads

Recurrent Ethylene Glycol Poisoning with Elevated Lactate Levels to Obtain Opioid Medications.

J Emerg Med 2018 06 5;54(6):815-818. Epub 2018 Apr 5.

Denver Health and Hospital Authority, Department of Emergency Medicine, Denver, Colorado.

Background: Malingering is when a patient feigns illness for secondary gain. While most patients with malingering manufacture or exaggerate symptoms, some patients may induce illness. Previous reports of malingering patients inducing illness include sepsis, kidney pain, migraine, and chest pain. Read More

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June 2018
4 Reads

Relevance of insulin immunoassay characteristics in factitious hypoglycemia.

Endocrinol Diabetes Nutr 2018 May 3;65(5):306-307. Epub 2018 Apr 3.

Servicio de Endocrinología y Nutrición, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España; Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, España; Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociada (CIBERDEM), Madrid, España; Universitat de Barcelona, Barcelona, España.

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May 2018
3 Reads

Religious stigmata: a dermato-psychiatric approach and differential diagnosis.

Int J Dermatol 2018 Aug 6;57(8):885-893. Epub 2018 Apr 6.

Chief of the Dermatology Department, Hotel Dieu de France University Hospital, Beirut, Lebanon - Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.

Background: Stigma refers to the wounds reproduced on the human body, similar to the ones inflicted on the Christ during his crucifixion, on the palms, soles, and head, as well as the right or the left side of the chest, the lips and, the back. Whether they are genuine or fabricated, stigmata are still considered a medical enigma.

Objective: To summarize and analyze all available medical data about stigmata, integrating both its dermatological and psychiatric features. Read More

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August 2018
8 Reads

Forty years of fabricated or induced illness (FII): where next for paediatricians? Paper 2: Management of perplexing presentations including FII.

Arch Dis Child 2019 Jan 4;104(1):7-11. Epub 2018 Apr 4.

Child Health, Cardiff and Vale ULHB, Cardiff, UK.

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January 2019
4 Reads

40 years of fabricated or induced illness (FII): where next for paediatricians? Paper 1: epidemiology and definition of FII.

Arch Dis Child 2018 Apr 4. Epub 2018 Apr 4.

Great Ormond Street Hospital For Children NHS Foundation Trust, London, UK.

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April 2018
10 Reads

Recurrent Renal Colic in a Patient with Munchausen Syndrome.

Int J Environ Res Public Health 2018 03 29;15(4). Epub 2018 Mar 29.

Pediatric Clinic, Department of Surgical and Biomedical Sciences, Università degli Studi di Perugia, 06100 Perugia, Italy.

Background: In most of the cases regarding children, factitious disorders (FDs) are intentionally produced by parents. Less attention is paid to FDs in which a child or adolescent intentionally induces or falsifies the disease to attain a patient's role.

Case Presentation: A 13-year-old immigrated and adopted boy previously underwent an operation for renal joint syndrome and was affected by recurrent episodes of renal colic. Read More

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March 2018
9 Reads

Long-term predictors for psychological outcome of pre-symptomatic testing for late-onset neurological diseases.

Eur J Med Genet 2018 Oct 23;61(10):575-580. Epub 2018 Mar 23.

IBMC - Instituto de Biologia Molecular e Celular, i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal; ICBAS - Instituto de Ciências Biomédicas Salazar, Universidade do Porto, Porto, Portugal.

This longitudinal study aimed at determining predicting variables for middle and long-term psychological disturbance due pre-symptomatic testing (PST) for two late-onset neurological diseases, Huntington disease (HD) and TTR (transthyretin protein) familial amyloid polyneuropathy (FAP) Val30Met (now classified as Val50Met). 196 clinical records of persons who performed PST at least three years ago and answered to the two stages of evaluation (before PST and least 3 years after disclosure of results) were analysed. For this purpose, regression analysis was performed, showing that the Positive Symptom Distress Index (PSDI), psychoticism, somatization and paranoid ideation dimensions assume predictive value in the middle and long-term impact for total anxiety and PSDI. Read More

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October 2018
6 Reads

Do Bioflavonoids in Heartwood Stimulate Oviposition in the Ladybird ?

Int J Insect Sci 2018 28;10:1179543318758409. Epub 2018 Feb 28.

Functional Foods Research Unit, National Center for Agricultural Utilization Research, USDA-ARS, Peoria, IL, USA.

Maximizing the reproductive potential of ladybird beetles fed factitious foods or artificial diets, in lieu of natural prey, is a major challenge to cost-effective mass rearing for augmentative biological control. In this study, we tested the hypothesis that compounds in redcedar, , stimulate oviposition in the ladybird . We also tested the prediction that several bioflavonoids, identified in heartwood fractions, elicited this behavioral response. Read More

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February 2018
1 Read

[Mixed Munchausen Syndrome with organic comorbidity].

Vertex 2017 Mar;28(132):145-151

Servicio de Salud Mental Instituto de Investigaciones Médicas "A. Lanari", Facultad de Medicina, UBA.

We present a detailed case report that shows a woman patient who has Factitious Disorder manifested by the coexistence both of: A) typical/direct Munchausen and B) Munchausen by proxy or indirect: being the frst one (A) about the own person and the second one (B) about other people (most cases about their own young children). Furthermore, in the reported case we observed that the patient shown the particularity of having positive biological markers for Myasthenia Gravis (serology markers), and having inconsistent clinical manifestations that are typically observed in the exacerbation phase when she still continued in remission phase. In our own bibliographic research we couldn`t fnd anything about this case of "Mixed Munchausen Syndrome with organic comorbidity". Read More

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March 2017
8 Reads

Psychological Aspects of Factitious Disorder.

Prim Care Companion CNS Disord 2018 Feb 22;20(1). Epub 2018 Feb 22.

Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.

Factitious disorder can present in multiple health care settings, with patients intentionally producing symptoms to assume the sick role. This assumption of the sick role can result in multiple hospitalizations with unnecessary diagnostic workup, as well as invasive diagnostic procedures that can lead to worrisome side effects. Differential diagnoses that should be ruled out include malingering, somatic symptom disorder, and anxiety disorders. Read More

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February 2018
13 Reads

Progressive subcutaneous emphysema of unknown origin: a surgical dilemma.

Acta Chir Belg 2018 Feb 23:1-3. Epub 2018 Feb 23.

a Department of Plastic, Reconstructive and Aesthetic Surgery , ZNA Middelheim Hospital , Antwerp , Belgium.

Objective: Subcutaneous emphysema can be an alarming sign of a necrotizing soft tissue infection. However, non-infectious etiologies exist that can be treated conservatively. This case report describes a subcutaneous emphysema of unknown origin and highlights the importance of distinguishing these clinical entities. Read More

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February 2018
6 Reads

Factitious hypoglycemia in children and adolescents with diabetes.

Pediatr Diabetes 2018 06 21;19(4):823-831. Epub 2018 Feb 21.

Section of Pediatric Diabetes and Metabolism, DEOB, NIDDK, NIH, Bethesda, Maryland.

Background: Factitious hypoglycemia is a condition of self-induced hypoglycemia due to surreptitious administration of insulin or oral hypoglycemic agents. In adults, it is an uncommon, but well known clinical entity observed in individuals with and without diabetes.

Objectives: To report a case of factitious hypoglycemia highlighting diagnostic pitfalls, to identify common characteristics of children and adolescents with factitious hypoglycemia, and to examine whether the information on long-term outcome exists. Read More

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June 2018
17 Reads

The potential of Dicyphus hesperus as a biological control agent of potato psyllid and sweetpotato whitefly in tomato.

Bull Entomol Res 2018 Dec 8;108(6):765-772. Epub 2018 Feb 8.

R&D Department,Koppert México SA de CV,Circuito el Marqués Norte 82,Parque Ind. El Marqués,Querétaro,México.

The potential of the mirid predator Dicyphus hesperus Knight (Heteroptera: Miridae) as a biological control agent of the sweetpotato whitefly, Bemisia tabaci Gennadius (Hemiptera: Aleyrodidae) and the potato psyllid, Bactericera cockerelli Sulcer (Hemiptera: Psyllidae) in tomato was investigated in two experiments. The first experiment focused on the study of the life history traits of D. hesperus when fed on nymphs of the potato psyllid compared with the factitious prey Ephestia kuehniella Zeller (Lepidoptera: Pyrallidae) eggs. Read More

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December 2018
1 Read

Munchausen syndrome and Munchausen syndrome by proxy: a narrative review.

Einstein (Sao Paulo) 2017 Oct-Dec;15(4):516-521

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

The Munchausen syndrome and Munchausen syndrome by proxy are factitious disorders characterized by fabrication or induction of signs or symptoms of a disease, as well as alteration of laboratory tests. People with this syndrome pretend that they are sick and tend to seek treatment, without secondary gains, at different care facilities. Both syndromes are well-recognized conditions described in the literature since 1951. Read More

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March 2018
11 Reads

Author Correction: Comparison of bacterial microbiota of the predatory mite Neoseiulus cucumeris (Acari: Phytoseiidae) and its factitious prey Tyrophagus putrescentiae (Acari: Acaridae).

Sci Rep 2018 01 17;8(1):1317. Epub 2018 Jan 17.

Crop Research Institute, Drnovska 507/73, Prague 6-Ruzyne, CZ-161 06, Czechia, Czech Republic.

A correction to this article has been published and is linked from the HTML version of this paper. The error has been fixed in the paper. Read More

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January 2018
1 Read

Differentiating Factitious from Malingered Symptomatology: the Development of a Psychometric Approach.

Psychol Inj Law 2017 9;10(4):341-357. Epub 2017 Nov 9.

Radix Forensic Psychiatric Hospital, Heerlen, The Netherlands.

Psychometric symptom validity assessment is becoming increasingly part and parcel of psychological and neuropsychological assessments. An unresolved and rarely addressed issue concerns the differentiation between factitious and malingered symptom presentations: present-day symptom validity tests can assess an examinee presents with noncredible symptomatology, but not an examinee does so. We explored this issue by developing the (SDI); a symptom validity test that incorporates strategies intended to gauge internal incentives associated with factitious disorder. Read More

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November 2017
18 Reads

Factitious disorders in the hand-Main diagnostic traps highlighted with 3 cases.

Hand Surg Rehabil 2018 Apr 29;37(2):110-113. Epub 2017 Dec 29.

Service de chirurgie plastique et chirurgie de la main, CHU de Rouen, 1, rue de Germont, 76000 Rouen, France.

Every doctor can be confronted, during his career, with patients presenting symptoms they created themselves. Because it is easily accessible, the hand is a favored target organ for these self-inflicted injuries. The diagnosis of factitious disorder of the hand is very difficult, rarely suggested and widely under-estimated. Read More

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April 2018
7 Reads

[Image of the month. Dermatitis Artefacta.]

Rev Med Liege 2017 Dec;72(12):521

Service de Psychiatrie, Centre Hospitalier Universitaire Mohammed VI, Faculté de Médecine et de Pharmacie, Université Mohammed premier, Oujda, Maroc.

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December 2017
15 Reads

Epidemiology and evolution of the diagnostic classification of factitious disorders in .

Psychol Res Behav Manag 2017 11;10:387-394. Epub 2017 Dec 11.

Department of Medicine and Surgery, Section of Psychiatry, University of Insubria, Varese, Italy.

A systematic search for all case reports and case series of adult patients with factitious disorders (FD) in the databases MEDLINE, Scopus, and PsycINFO was conducted. FD is a psychiatric disorder in which sufferers intentionally fabricate physical or psychological symptoms in order to assume the role of a patient, without any obvious gain. The clinical and demographic profile of patients with FD has not been sufficiently clear. Read More

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December 2017
14 Reads