3,394 results match your criteria Factitious Disorder

Factitious Disorder in Seven Patients: A Saudi Experience.

Cureus 2021 Mar 27;13(3):e14135. Epub 2021 Mar 27.

Department of Mental Health, Ministry of the National Guard Health Affairs, Riyadh, SAU.

Background Factitious disorder (FD) is a psychiatric disease where signs and symptoms are produced, falsified, or exaggerated consciously in the absence of clear external motivations. Through needless medical visits, costly investigatory testing, and potentially long hospital stays, patients with FD waste valuable time and resources, which affects both the patient and the healthcare system. It can be very challenging for physicians who have never encountered patients with FD to recognize them promptly as symptoms of FD vary greatly. Read More

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Munchausen by internet and false perinatal crises.

Ann Clin Psychiatry 2021 05;33(2):e8-e12

Clinical Professor of Psychiatry and Behavioral Medicine, University of Alabama, Tuscaloosa, Alabama, USA.

Background: In representative cases of Munchausen by internet (MBI), an individual (or "poser") goes online to falsely report or exaggerate illnesses or life crises. The principal goal, as in factitious disorder imposed on self or another, is to garner emotional satisfaction. We provide the first evidence that MBI can target a specific type of health care provider-in this case, birthing doulas. Read More

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Factitious Disorder Masquerading as a Life-Threatening Anaphylaxis.

J Investig Med High Impact Case Rep 2021 Jan-Dec;9:23247096211006248

UPMC Pinnacle Hospital, Harrisburg, PA, USA.

Factitious disorder is a psychiatric disorder in which sufferers intentionally fabricate physical or psychological symptoms in order to assume the role of the patient, without any obvious gain. We present a case of a 23-year-old female with chronic urticaria who presented with dyspnea, dysphasia, mild generalized erythema, abdominal cramps, and headache. She was tachypneic and hypotensive. Read More

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Recurrent ear bleed with profound bilateral sensorineural hearing loss: A case of Munchausen syndrome.

SAGE Open Med Case Rep 2021 12;9:2050313X211000869. Epub 2021 Mar 12.

Department of Internal Medicine, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan.

Factitious disorders and Munchausen syndromes present with history and physical symptoms to all specialties, and they are often extensively evaluated. Diagnosis of Munchausen syndrome is a challenge and patients often do not receive the correct diagnosis and appropriate care especially in settings where access to mental health professionals is difficult. We present a case of recurrent bleed from the right ear, bilateral profound hearing loss and jerky movement of limbs that was extensively evaluated and followed up for 4 years until a diagnosis of Munchausen syndrome was reached. Read More

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Munchausen syndrome: report of a case and implications for dentists.

Gen Dent 2021 Mar-Apr;69(2):56-59

Munchausen syndrome (MunS), or factitious disorder imposed on self, is an exceedingly rare and immensely difficult syndrome to identify and manage and is considered a diagnosis of exclusion. Few reports exist in the dental literature to date, so the objective of this article is to describe a case of MunS in a 60-year-old woman who sought treatment for bilateral jaw pain and uncontrolled jaw movements. The patient's symptoms started 19 months previously, following placement of a 6-unit metal-ceramic bridge. Read More

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The girl who cried wolf: A literature review and case report of pediatric factitious disorder.

Clin Child Psychol Psychiatry 2021 Feb 24:1359104521996742. Epub 2021 Feb 24.

Department of Psychiatry, Keck School of Medicine of USC, Los Angeles, USA.

Pediatric presentations of factitious disorder (Munchausen syndrome) remain underdiagnosed and poorly understood compared to adult cases. The purpose of this study is to review the current literature on child and adolescent factitious disorder in order to better understand the differences between pediatric and adult presentations of this disorder. We also present the case of an adolescent girl with factitious disorder; her hospital course draws attention to the excessive healthcare expenditures and risk of iatrogenic complications associated with this diagnosis. Read More

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February 2021

[To pretend or to really suffer ? Questions from caregivers about the factitious disorder].

Rev Med Suisse 2021 Feb;17(725):297-302

Service de psychiatrie de liaison et d'intervention de crise (SPLIC), Département de santé mentale et de psychiatrie, HUG, 1211 Genève 14.

The diagnosis of factitious disorder can only emerge when caregivers are in difficulty in caring for their patient. This disorder is a real challenge for healthcare teams throughout the treatment, from its discovery to its treatment. Secrecy and self-inflicted injuries are components that we can be uncomfortable with as caregivers. Read More

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February 2021

Striving to Die: Medical, Legal, and Ethical Dilemmas Behind Factitious Disorder.

Cureus 2021 Feb 9;13(2):e13243. Epub 2021 Feb 9.

Internal Medicine, CentraCare Hospital, St. Cloud, USA.

Factitious disorder (FD) imposed on self is one of the most challenging and controversial problems in medicine. It is characterized by falsified medical or psychiatric symptoms where patients misrepresent, simulate, or cause symptoms of an illness in the absence of obvious tangible gains. Munchausen syndrome accounts for approximately 10% of all factitious illnesses and represents its most malignant form. Read More

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February 2021

Factitious disorder of a 17-year-old female during COVID-19 pandemic.

J Paediatr Child Health 2021 Feb 1. Epub 2021 Feb 1.

Department of Consultation Psychiatry, Shaare Zedek Medical Centre, Hebrew University, Jerusalem, Israel.

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February 2021

Pseudohyperkalemia and Pseudohyponatremia in Two Children with T-Cell Acute Lymphoblastic Leukemia.

J Pediatr 2021 May 22;232:294-298. Epub 2021 Jan 22.

Department of Pediatrics, Massachusetts General Hospital for Children, Harvard Medical School, Boston, MA. Electronic address:

Pseudohyperkalemia and pseudohyponatremia are phenomena in which hematologic disorders with high cell counts result in factitious electrolyte measurements that can result in inappropriate treatment. We describe 2 children with leukemia presenting with both disturbances to highlight the importance of correlating electrolyte results from plasma with those from whole blood before intervening. Read More

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Loss of Consciousness in the Young Child.

Pediatr Cardiol 2021 Feb 2;42(2):234-254. Epub 2021 Jan 2.

Cardiology Care for Children, Lancaster, PA, USA.

In the very young child (less than eight years of age), transient loss of consciousness represents a diagnostic and management dilemma for clinicians. While most commonly benign, syncope may be due to cardiac dysfunction which can be life-threatening. It can be secondary to an underlying ion channelopathy, cardiac inflammation, cardiac ischemia, congenital heart disease, cardiomyopathy, or pulmonary hypertension. Read More

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February 2021

Observational cohort study with internal and external validation of a predictive tool for identification of children in need of hospital admission from the emergency department: the Paediatric Admission Guidance in the Emergency Department (PAGE) score.

BMJ Open 2020 12 31;10(12):e043864. Epub 2020 Dec 31.

SAPPHIRE Group, Health Sciences, University of Leicester, Leicester, UK

Objectives: To devise an assessment tool to aid discharge and admission decision-making in relation to children and young people in hospital urgent and emergency care facilities, and thereby improve the quality of care that patients receive, using a clinical prediction modelling approach.

Design: Observational cohort study with internal and external validation of a predictive tool.

Setting: Two general emergency departments (EDs) and an urgent care centre in the North of England. Read More

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December 2020

A Radical Reexamination of the Association Between Pathological Lying and Factitious Disorder.

Charles C Dike

J Am Acad Psychiatry Law 2020 12;48(4):431-435

Dr. Dike is Medical Director, Office of the Commissioner, Connecticut Department of Mental Health and Addiction Services and Associate Professor of Psychiatry, Law and Psychiatry Division, Yale University School of Medicine.

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December 2020

A brain origin for factitious disorder (Munchausen's) with malingering? A single case with an old frontal lobe lesion.

Neurocase 2021 02 11;27(1):8-11. Epub 2020 Dec 11.

Department of Neuropsychiatry, St George's Hospital NHS Foundation Trust, London, UK.

We describe a patient who presented with gender identity dysphoria and stroke-like symptoms who we diagnosed with Munchausen's syndrome (factitious disorder). We discuss whether a brain lesion in the left frontal cortex is a possible risk factor, and support this hypothesis through neuropsychological investigation, EEG abnormalities, and a personality assessment. This case report supports previous suggestions that underlying brain disease/lesions might be risk factors for Munchausen's syndrome (factitious disorder). Read More

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February 2021

Factitious disorder with psychotic symptoms: A case report.

Asian J Psychiatr 2020 Dec 5;54:102383. Epub 2020 Sep 5.

Psychiatry Department, Centro Hospitalar Psiquiátrico de Lisboa, Avenida do Brasil, 53 1749-002 Lisboa, Portugal. Electronic address:

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December 2020

Factitious disorder, presenting haemolacria in a Pakistani tribal illiterate female: A rare case report.

Perspect Psychiatr Care 2020 Nov 26. Epub 2020 Nov 26.

Centre for Health Innovation, Networking, Training, Action and Research - Bangladesh, Dhaka, Bangladesh.

Introduction: It could be challenging for healthcare workers to diagnose patients with factitious disorder who present with rare ophthalmologic manifestations such as haemolacria, because of the unavailability of adequate literature and associated guidelines. The present case report aims to fulfill this knowledge gap.

Case Presentation: A 20-year-old tribal illiterate married female patient with symptoms of bleeding episodes from her left eye was admitted to the hospital. Read More

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November 2020

Interdisciplinarity and Integration: An Introduction to the Special Issue on Psychopathology in Medical Settings.

Golan Shahar

J Clin Psychol Med Settings 2021 03 20;28(1):1-5. Epub 2020 Nov 20.

Department of Psychology, Ben-Gurion University of the Negev, Beersheba, Israel.

As the world views, incredulously, the calamitous consequences of the COVID-19 pandemic, the inseparable connections between body and mind become more and more apparent, even for the heretics (i.e., biological determinists). Read More

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Recurrent Skin Infection Unmasked as Factitious Disorder Using Bacterial Whole Genome Sequence Analysis.

Open Forum Infect Dis 2020 Nov 22;7(11):ofaa506. Epub 2020 Oct 22.

Division of Pediatric Infectious Disease, Department of Pediatrics, University of Bern, Bern, Switzerland.

infections usually resolve with adequate therapy. We report the case of an adolescent with a chronic and progressive infection refractory to combined antimicrobial and surgical therapy. Whole genome sequence analysis of consecutive isolates distinguished reinfection from recurrence and contributed to the diagnosis of a factitious disorder. Read More

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November 2020

Non-infectious and non-hereditary diseases of the corneal epithelium.

Exp Eye Res 2021 01 21;202:108316. Epub 2020 Oct 21.

USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine of USC, Los Angeles, CA, USA. Electronic address:

The corneal epithelium serves as a physical barrier and a refractive element. Therefore, diseases of the corneal epithelium can increase the risk for infection and causes vision loss. The corneal epithelium can be affected by a multitude of conditions, such as infections, hereditary diseases, depositions, trauma, autoimmune conditions, factitious disorders, and iatrogenic causes. Read More

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January 2021

Rhinotillexomania: a manifestation of psychiatric illness.

Acta Otorrinolaringol Esp 2020 Oct 18. Epub 2020 Oct 18.

Servicio de Otorrinolaringología, Hospital de Viladecans, Viladecans, Barcelona, España.

Objective: To increase the knowledge of rhinotillexomania, or compulsive nose picking, as a manifestation of psychiatric disease through the presentation of a case series and a review of the literature.

Material: We present three clinical cases with self-destructive nasal injuries as a symptom of different psychiatric diseases.

Results: One patient presented amputation of the middle turbinate as a manifestation of an obsessive-compulsive disorder of bipolar disease. Read More

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October 2020

The Role of Nuclear Medicine in the Clinical Management of Benign Thyroid Disorders, Part 1: Hyperthyroidism.

J Nucl Med 2021 03 2;62(3):304-312. Epub 2020 Oct 2.

Molecular Imaging and Therapy Service, Memorial Sloan Kettering Cancer Center, New York, New York.

Benign thyroid disorders, especially hyper- and hypothyroidism, are the most prevalent endocrine disorders. The most common etiologies of hyperthyroidism are autoimmune hyperthyroidism (Graves disease, GD), toxic multinodular goiter (TMNG), and toxic thyroid adenoma (TA). Less common etiologies include destructive thyroiditis (e. Read More

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Munchausen by Proxy Syndrome Associated with Fecal Contamination: A Case Report.

Turk Psikiyatri Derg 2020 ;31(3):212-215

Factitious disorder imposed on another, also known as Munchausen Syndrome by Proxy (MSBP), is a serious form of child abuse that is difficult to diagnose. In general, signs and symptoms are fabricated or produced by the mother or the caregiver. Delay in diagnosis may cause serious morbidity and mortality. Read More

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January 2020

Munchausen syndrome in COVID-19: An unnoticed concern.

Psychiatry Res 2020 11 17;293:113457. Epub 2020 Sep 17.

Department of Pharmacology, All India Institute of Medical Sciences Bhopal, Bhopal 462020, Madhya Pradesh, India. Electronic address:

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November 2020

Factitious Disorders in Everyday Clinical Practice.

Dtsch Arztebl Int 2020 Jun;117(26):452-459

Consultation-Liaison Psychosomatics, Neurocenter, BG Trauma Center, Murnau, and Department of Psychosomatic Medicine and Psychotherapy, Technical University of Munich, Klinikum rechts der Isar, Munich; Department of Arthroplasty, Consultation-Liaison Psychosomatics, Neurocenter, BG Trauma Center, Murnau, and Institute of Biomechanics, Paracelsus Medizinische Privatuniversität (PMU) Salzburg at BG Trauma Center, Murnau.

Background: The pathological feigning of disease can be seen in all medical disciplines. It is associated with variegated symptom presentations, self-inflicted injuries, forced but unnecessary interventions, unusual and protracted recoveries, and frequent changes of treating physician. Factitious illness is often difficult to distinguish from functional or dissociative disorders on the one hand, and from malingering on the other. Read More

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Factitious Hypoglycaemia: A Case Report and Literature Review.

Psychiatr Danub 2020 Sep;32(Suppl 1):121-129

School of Clinical Medicine, Addenbrookes Hospital, University of Cambridge, Addenbrookes Hospital, Hills Rd, Cambridge, CB2 0QQ, United Kingdom,

Background: Factitious hypoglycaemia is a form of factitious disorder imposed on self with high morbidity and mortality. It is therefore important to be aware of the key demographic and contextual risk factors for factitious hypoglycaemia, as well the investigations and management options available for suspected cases.

Subjects And Methods: In this article we describe a case report and literature review of factitious hypoglycaemia. Read More

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September 2020

Factitious Disorder (Munchausen Syndrome) in Plastic Surgery: A Systematic Review of 42 Cases.

Ann Plast Surg 2021 04;86(4):e1-e6

Department of Psychiatry and Behavioral Medicine, University of Alabama, Tuscaloosa, AL.

Introduction: Patients with factitious disorder (FD) or "Munchausen syndrome" intentionally fabricate or induce medical problems for psychological gratification. They may deceive plastic surgeons into performing multiple unnecessary procedures. We undertook the first systematic review of FD case reports in plastic surgery. Read More

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Dermatitis Artefacta, a Form of Factitial Disorder Imposed on Self, Misdiagnosed as Pyoderma Gangrenosum for Eight Years.

Cureus 2020 Jul 7;12(7):e9054. Epub 2020 Jul 7.

Dermatology, University of Colorado School of Medicine, Aurora, USA.

Dermatitis artefacta is a rare psychological disorder in which patients self-inflict cutaneous lesions to satisfy an emotional need. Due to the nature of this disease, patients can present with a wide array of sometimes very severe skin lesions. Here, we describe a case of dermatitis artefacta initially misdiagnosed as pyoderma gangrenosum and treated as such for eight years. Read More

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Munchausen syndrome by proxy (MSBP): a review regarding perpetrators of factitious disorder imposed on another (FDIA).

CNS Spectr 2020 Aug 10:1-11. Epub 2020 Aug 10.

Clínica Universitária de Psiquiatria e Psicologia Médica, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.

Munchausen syndrome by proxy (MSBP) is well-known to clinicians, but its usage is discouraged now in favor of other terms placing emphasis on the victim. This study aims to determine the most common characteristics of perpetrators but only in case reports labeled as MSBP, published in PubMed literature in the past 15 years. MSBP has been described as a rare form of abuse due to illness falsification, where the perpetrator usually receives the diagnosis of factitious disorder imposed on another (FDIA). Read More

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