3,276 results match your criteria Factitious Disorder


The Incidence of Diagnosis of Munchausen Syndrome, Other Factitious Disorders, and Malingering.

Behav Neurol 2019 3;2019:3891809. Epub 2019 Mar 3.

Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

Background: Systematic studies on factitious disorders and malingering in large populations are rare. To address this issue, we performed a nationwide epidemiological study in Norway on the incidence of these diagnoses in an unselected patient population. In particular, we tried to confirm the diagnoses and to estimate the contribution of Munchausen syndrome to the spectrum of factitious disorders. Read More

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http://dx.doi.org/10.1155/2019/3891809DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421757PMC
March 2019
2 Reads

Dermatitis artefacta: self-inflicted genital injury.

Int Med Case Rep J 2019 18;12:71-73. Epub 2019 Mar 18.

Department of Dermatology and Venereology, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991, Moscow, Russia,

Background: The term dermatitis artefacta (factitious dermatitis, pathomimia) is reserved for the most severe variant of factitious physical disorder and is characterized by exaggerated lying (pseudologia fantastica), sociopathy, geographic wandering (peregrinating) from hospital to hospital, and seeking to be in the patient role.

Objective: This report aims to give attention to the importance of accurate and detailed history, and conducting an appropriate physical examination in patients with life-threatening diseases when the underlying cause is not apparent. The diagnosis of dermatitis artefacta must always be upheld. Read More

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http://dx.doi.org/10.2147/IMCRJ.S192522DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429999PMC
March 2019
4 Reads

Factitious thyrotoxicosis: how to find it.

Diagnosis (Berl) 2019 Mar 30. Epub 2019 Mar 30.

Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Background Although the most common cause of thyrotoxicosis is Graves' disease, the determination of the cause of thyrotoxicosis is important for establishing appropriate management. Diagnosis of surreptitious ingestion of thyroid hormones or factitious thyrotoxicosis often presents a difficult challenge especially in a patient with previously diagnosed Graves' disease. The objective of this report was to demonstrate various approaches to support the diagnosis of factitious thyrotoxicosis. Read More

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http://dx.doi.org/10.1515/dx-2019-0015DOI Listing
March 2019
1 Read

Factitious Disorder and the Interdisciplinary Team: identification of signs and risk factors.

Codas 2019 Feb 21;31(1):e20180173. Epub 2019 Feb 21.

Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil.

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http://dx.doi.org/10.1590/2317-1782/20182018173DOI Listing
February 2019
2 Reads

Clinical, demographic, psychological, and behavioral features of factitious disorder: A retrospective analysis.

Gen Hosp Psychiatry 2019 Jan 31. Epub 2019 Jan 31.

Department of Psychiatry and Psychology, Cleveland Clinic, Cleveland, OH, United States of America.

Background: Consultation psychiatrists are often asked to assess factitious disorder (FD), yet this is challenging as confirmation depends on rarely achieved direct evidence of illness-inducing behaviors. Diagnosis is thus based on other variables, such as atypical features of the medical presentation and certain patient behaviors. This study sought to assess a cohort of patients with FD for demographic and clinical variables, but also psychological and behavioral ones unexamined in previous studies. Read More

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http://dx.doi.org/10.1016/j.genhosppsych.2019.01.009DOI Listing
January 2019
3 Reads

Approach to diagnosis of factitious disorder with unexplained hemoptysis: A case report.

Medicine (Baltimore) 2019 Feb;98(6):e14152

Department of Pediatrics.

Rationale: Hemoptysis or hematemesis is a common clinical symptom in adults, but is unusually to be observed in children. Hemoptysis can occur with circulatory diseases, injuries, several types of systemic diseases, or systemic factors including factitious disorder (FD), which is difficult to be diagnosed. Here, we report a case of hemoptysis caused by FD to provide a diagnostic flow chart for such kind of disease. Read More

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http://dx.doi.org/10.1097/MD.0000000000014152DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380732PMC
February 2019
1 Read

Disclosure of caregiver-fabricated illness to a child: A team-based approach to communicating with pediatric patients.

Clin Child Psychol Psychiatry 2019 Jan 9:1359104518816122. Epub 2019 Jan 9.

Yale School of Medicine, USA.

Clinical practice guidelines for informing children they have been subjected to caregiver-fabricated illness are highly limited in the current literature. This article addresses this issue by offering an ethically informed, psychological approach to the disclosure of this form of abuse to school-aged children and adolescents who have been significantly harmed. A multidisciplinary, staged model of communication which illustrates that truthful communication with children and their families is a necessary component of the recovery process is proposed. Read More

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http://dx.doi.org/10.1177/1359104518816122DOI Listing
January 2019
23 Reads

Ocular Munchausen's Syndrome induced by introduction of ant's particles into the conjunctival fornices.

Saudi J Ophthalmol 2018 Oct-Dec;32(4):353-354. Epub 2018 Sep 24.

Emergency Department, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

Munchausen's Syndrome is a factitious disorder in which patients manipulate physicians through misrepresented signs and symptoms. The authors describe an 18-year-old woman with self-induced inoculation of ant's particles inside her conjunctival fornices of both eyes. The crushed particles was confirmed to be crushed ant's particles. Read More

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http://dx.doi.org/10.1016/j.sjopt.2018.09.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300765PMC
September 2018
5 Reads

Fabricated facial rash - an unusual presentation of factitious disorder.

Br Dent J 2018 Dec;225(12):1063-1066

Department of Oral & Maxillofacial Surgery, Ulster Hospital, Dundonald, Northern Ireland.

Patients with factitious disorder typically present with signs or symptoms suggesting a medical problem, but which transpire to be self-induced or fabricated. Repeated investigations and treatments are often carried out to no avail before this possibility is considered. In this case, a 51-year-old female presented to the oral and maxillofacial surgery unit with toothache and a facial rash. Read More

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http://www.nature.com/doifinder/10.1038/sj.bdj.2018.1036
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http://dx.doi.org/10.1038/sj.bdj.2018.1036DOI Listing
December 2018
17 Reads

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 12 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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http://dx.doi.org/10.1186/s12873-018-0208-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288932PMC
December 2018
4 Reads

Dermatitis artefacta.

Clin Dermatol 2018 Nov - Dec;36(6):719-722. Epub 2018 Aug 16.

Department of Dermatology, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA.

Dermatitis artefacta, also known as factitial dermatitis, is a condition whereby self-induced skin damage is the means used to satisfy a conscious or unconscious desire to assume the sick role. It is particularly common in women and in those with an underlying psychiatric diagnosis or external stress. The diagnosis is one of exclusion, and it is often difficult to confirm, with patients rarely admitting their role in the creation of their lesions. Read More

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http://dx.doi.org/10.1016/j.clindermatol.2018.08.003DOI Listing
March 2019
6 Reads

Malingering and factitious disorder.

Pract Neurol 2019 Apr 13;19(2):96-105. 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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http://pn.bmj.com/lookup/doi/10.1136/practneurol-2018-001950
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http://dx.doi.org/10.1136/practneurol-2018-001950DOI Listing
April 2019
29 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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http://Insights.ovid.com/crossref?an=00000637-900000000-9718
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http://dx.doi.org/10.1097/SAP.0000000000001706DOI Listing
December 2018
5 Reads

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

Ann Dermatol Venereol 2019 Feb 22;146(2):135-140. 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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https://linkinghub.elsevier.com/retrieve/pii/S01519638183071
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http://dx.doi.org/10.1016/j.annder.2018.07.028DOI Listing
February 2019
27 Reads

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

J Eur Acad Dermatol Venereol 2019 Feb 31;33(2):263-266. Epub 2018 Oct 31.

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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http://doi.wiley.com/10.1111/jdv.15275
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http://dx.doi.org/10.1111/jdv.15275DOI Listing
February 2019
32 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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December 2018
15 Reads

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

Behav Sci Law 2019 Jan 17;37(1):1-15. 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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http://doi.wiley.com/10.1002/bsl.2365
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http://dx.doi.org/10.1002/bsl.2365DOI Listing
January 2019
21 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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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31507
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http://dx.doi.org/10.1136/archdischild-2018-315073DOI Listing
September 2018
30 Reads

An Overview of Munchausen Syndrome and Munchausen Syndrome by Proxy.

Nurs Clin North Am 2018 09;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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https://linkinghub.elsevier.com/retrieve/pii/S00296465183004
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http://dx.doi.org/10.1016/j.cnur.2018.04.005DOI Listing
September 2018
27 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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http://dx.doi.org/10.1684/abc.2018.1362DOI Listing
August 2018
26 Reads

Medical Child Abuse: A Case Presenting as Anogenital Bleeding of Unknown Origin in an Older Child.

J Pediatr Adolesc Gynecol 2018 Dec 7;31(6):637-639. Epub 2018 Jul 7.

Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.

Background: Medical child abuse is a challenging diagnosis to make, particularly in older children with unusual presenting symptoms.

Case: A 7-year-old child with complex medical history presented with anogenital bleeding of unknown origin. Extensive laboratory testing, imaging studies, and diagnostic procedures were negative for any etiology. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188183025
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http://dx.doi.org/10.1016/j.jpag.2018.06.011DOI Listing
December 2018
19 Reads

Pediatric Condition Falsification Misdiagnosed by Misjudged Weight Growth from the Curve of Measured Weights.

Am J Case Rep 2018 Jun 27;19:752-756. Epub 2018 Jun 27.

Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, Groningen, Netherlands.

BACKGROUND Pediatric condition falsification (PCF) is a rare form of child abuse in which a caregiver fabricates or induces illness in the child. The diagnosis is difficult and controversial and can easily include false positives. CASE REPORT A boy, 3. Read More

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https://www.amjcaserep.com/abstract/index/idArt/908770
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http://dx.doi.org/10.12659/AJCR.908770DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6053948PMC
June 2018
17 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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http://dx.doi.org/10.7417/T.2018.2067DOI Listing
October 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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https://jmedicalcasereports.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s13256-018-1729-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6004679PMC
June 2018
48 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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http://dx.doi.org/10.5414/CN109331DOI Listing
August 2018
23 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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http://dx.doi.org/10.3389/fped.2018.00110DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5915702PMC
April 2018
8 Reads

[Pathway to diagnosis and real-life experience of patients believing they are affected by "chronic Lyme disease"].

Rev Med Interne 2018 Dec 26;39(12):912-917. Epub 2018 Apr 26.

Aix-les Bains, France.

Objectives: Chronic Lyme disease is a subject of scientific and social controversy in both Europe and the United States. The aim of our study was to analyze the pathway to diagnosis of patients believing they were affected by the disease, and to describe their real-life experience.

Method: A qualitative study was performed with 13 patients declaring themselves to be affected by chronic Lyme disease. Read More

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http://dx.doi.org/10.1016/j.revmed.2018.04.002DOI Listing
December 2018
12 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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http://doi.wiley.com/10.1111/ddg.13504
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http://dx.doi.org/10.1111/ddg.13504DOI Listing
May 2018
30 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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https://www.minervamedica.it/index2.php?show=R23Y2018N04A052
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http://dx.doi.org/10.23736/S0392-0488.18.06019-4DOI Listing
August 2018
31 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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http://dx.doi.org/10.1016/j.jemermed.2018.01.044DOI Listing
June 2018
16 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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http://doi.wiley.com/10.1111/ijd.13971
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http://dx.doi.org/10.1111/ijd.13971DOI Listing
August 2018
25 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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http://dx.doi.org/10.1136/archdischild-2016-311326DOI Listing
January 2019
8 Reads

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

Arch Dis Child 2019 Feb 4;104(2):110-114. Epub 2018 Apr 4.

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

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http://dx.doi.org/10.1136/archdischild-2017-314319DOI Listing
February 2019
24 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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http://dx.doi.org/10.3390/ijerph15040627DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5923669PMC
March 2018
24 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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http://dx.doi.org/10.1016/j.ejmg.2018.03.010DOI Listing
October 2018
17 Reads

[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
17 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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http://dx.doi.org/10.4088/PCC.17nr02229DOI Listing
February 2018
37 Reads

[Pseudohypoacusis associated with Munchausen's syndrome].

Vestn Otorinolaringol 2018;83(1):72-74

L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.

The authors describe a rare clinical case of psychogenic hearing loss in a female patient presenting Munchausen's syndrome with special reference to the objective and subjective methods designed to evaluate the hearing ability and used for diagnostics of this condition. Read More

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http://dx.doi.org/10.17116/otorino201883172-74DOI Listing
June 2018
17 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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http://dx.doi.org/10.1111/pedi.12650DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5938100PMC
June 2018
39 Reads

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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http://dx.doi.org/10.1590/S1679-45082017MD3746DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875173PMC
March 2018
27 Reads

Interpretation of Tramadol Findings in Hair. Concentrations After a Single Exposure and Application to a Munchausen's Syndrome by Proxy Case.

J Anal Toxicol 2018 04;42(3):e35-e37

Institut de medicine légale, 11 rue Humann, F-67000 Strasbourg, France.

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http://dx.doi.org/10.1093/jat/bkx101DOI Listing
April 2018
10 Reads

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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http://dx.doi.org/10.1007/s12207-017-9301-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5740202PMC
November 2017
25 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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https://linkinghub.elsevier.com/retrieve/pii/S24681229173043
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http://dx.doi.org/10.1016/j.hansur.2017.10.237DOI Listing
April 2018
19 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
29 Reads