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At least 649 records · Page 36Linked to original sources
PubMed1980

Ganser state: a case of hysterical pseudodementia.

This case history shows the clinical features of a Ganser-like syndrome, in which two basic dilemmas readily present themselves to the clinician. First, careful neurologic, psychiatric, and psychosocial investigation is essential for differential diagnosis. And second, criteria must be established to distinguish a true Ganser syndrome from Ganser symptoms. Ultimately, one must ask where this "syndrome" or constellation of symptoms belongs on the spectrum of psychosis and hysteria.

Diagnosis, Differential↗
PubMed1990

"Superwarfarin" ingestion. A new problem in covert anticoagulant overdose.

For the attention of psychiatric consultants, brodifacoum, a new longer-acting, warfarin-like oral anticoagulant rodenticide, has been used for suicide attempts. The overdose potential with brodifacoum is serious since it is readily available without prescription, and bleeding complications last for weeks to months after a single ingestion. This article reports a case of ingestion and reviews four similar cases from medical literature. Also reviewed are details about mechanism of action, procedures for diagnosis, and treatment requirements. Also, characteristics of persons who ingest long-acting anticoagulants appear to differ from those who ingest short-acting anticoagulants reported from earlier literature.

4-Hydroxycoumarins↗
PubMed1985

Weaving a tangled web: the psychology of deception and self deception in psychogenic pain.

Accounting for the unusual economy of secondary gain or reinforcement, understanding abnormal illness behavior and evaluating for the role of the unconscious and primary gain are three important problems which complicate the understanding of psychogenic pain. These problems might be addressed in part by an examination of the experimental studies of the social psychology of deception of self and others. The forced compliance situation, in which subjects who lie for a certain level of compensation persist in telling the lie in other settings, is one of the best studied of these experimental situations. Ways in which this experimental work might apply to problems in understanding pain patients are explored. Possible applications of this research to treatment are discussed along with areas for further research.

Cognitive Dissonance↗
PubMed1984

Chronic factitious illness: recognition and management of deception.

Factitious disease is often manifested in the head and neck region. It is only when the oral and maxillofacial surgeon is aware of the existence of this syndrome and has been unable to correlate a patient's history and signs and symptoms with known diseases that factitious illness may be suspected as the diagnosis. Three case histories that help to demonstrate the variety of ruses used by patients to feign illness are presented. The expertise of a psychiatrist will often help to substantiate the diagnosis, but in many instances the main aspects of treatment will remain in the hands of the original clinician. It is important for clinicians to realize that patients with chronic factitious illness are extremely manipulative and unwilling to admit to their fabrications.

Adult↗
PubMed1984

Parenteral abuse of diazepam: a case report.

A 26-year-old male was admitted to the emergency ward, presenting what seemed to be an acute dystonic crisis. The patient was found to be an oral and parenteral abuser of Valium (diazepam). He used to feign the dystonic syndrome in order to get an i.v. shot of the drug.

Adult↗
PubMed1995

Factitious pheochromocytoma: novel mimickry by Valsalva maneuver and clues to diagnosis.

Factitious pheochromocytoma usually occurs in patients surreptitiously ingesting adrenergic medications. We encountered a case of factitious pheochromocytoma where in the subject mimicked hemodynamic (profound hypertension) and biochemical (plasma catecholamine elevation) manifestations of the illness by consciously altering autonomic function with Valsalva maneuver. Clues to this presentation included visible performance of Valsalva maneuver, marked disparity between blood pressures recorded in the presence and absence of the subject's knowledge, normal urinary catecholamine and metabolite excretion, and normal plasma chromogranin A. We reproduced, in part, the hemodynamic and biochemical manifestations of this presentation with Valsalva maneuver in healthy subjects.

Adrenal Gland Neoplasms↗
PubMed2006

Eighteen needles to forget...an unnamed past.

Lasthénie de Ferjol syndrome is a very rare psychiatric illness that occurs mainly in women. It is characterized by severe recurrent iron-deficiency anemia caused be repeated episodes self-induced blood-letting. We report the case of a young homosexual male repeatedly admitted to various hospitals for severe hypochromic anemia. We discovered that the anemia was indeed due to psychotic self-provoked hemorrhages. Based on this experience and a review of the few cases reported in the literature, we discuss issues of early diagnosis, management and treatment of Lasthénie de Ferjol patients.

Adult↗
PubMed2006

[Genital artefact ulcers appearing simultaneously in a couple].

Genital ulcers may be due to a number of causes, with the most frequent ones being of infectious, tumorous and physical etiology. The coexistence of genital lesions in a couple makes it necessary to rule out sexual transmission as a first option, as it is not always the cause. We present the case of a 78 and 73-year-old couple, both of whom presented with genital ulcers which had been developing for months and which began to manifest simultaneously. The negative results in the tests performed, the exclusion of other likely causes and the favorable evolution of the lesions suggest self-inflicted ulcers as a probable diagnosis, an infrequent form of presentation of "folie à deux". Despite its infrequent occurrence, dermatitis artefacta is a cause that should always be included in the differential diagnosis of any skin lesion, as it often goes unnoticed because of its many clinical presentations.

Aged↗
PubMed1999

Factitious disease of periocular and facial skin.

PURPOSE: To describe the clinical appearance of factitious (or self-inflicted) lesions on periocular skin and face. METHODS: All patients with factitious cutaneous disease who were examined at Mayo Clinic, Rochester, Minnesota, between 1985 and 1997 were identified. For patients with lesions on the face and periocular skin, the demographic features, clinical descriptive characteristics of their lesions, associated psychopathology, and treatments were ascertained. RESULTS: Of 38 patients with factitious dermatitis, 18 (47%) had facial lesions. Of these 18 patients, 15 (83%) were female. The mean age (+/- SD) of the patients with facial lesions was 35.2 +/- 15.7 years (range, 9 to 66 years). Eight patients (44%) had neurotic excoriations, nine (50%) had dermatitis artefacta, and one (6%) had trichotillomania. The working diagnoses of five patients cared for initially in the Department of Ophthalmology were corneal epithelial and facial desquamation associated with severe pain of unknown cause, medial cicatricial ectropion of probable vasculitic cause, basal cell carcinoma of the nasojugal fold, recurrent preseptal cellulitis resistant to medical treatment, and madarosis of the upper eyelids of unknown cause. CONCLUSION: Cutaneous factitious disease may masquerade as numerous clinical entities and should be included in the differential diagnosis of lesions of the periocular skin.

Adolescent↗