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At least 811 records · Page 45Linked to original sources

Simulated paraplegia: an occasional problem for the neurosurgeon.

Fourteen cases of simulated paraplegia and tetraplegia encountered amongst 4,800 neurosurgical admissions are described. The classification of such cases is difficult. Use of the term "hysteria" depends on whether the behaviour is judged to be conscious or not, but this can rarely be decided. In most of the patients the paralysis was of relatively short duration and recovered rapidly with simple methods of treatment which permitted this to occur without loss of face, but such cases presenting as acute neurological emergencies represent only one relatively simple form of pretended or "hysterical" illness. Many of these patients are probably never seen by psychiatrists.

Adolescent↗

Spurious stones.

One hundred and sixteen (3.5%) of 3,300 specimens submitted by 72 patients as urinary stones were artifacts, i.e. not formed of accepted constituents of urinary calculi. The laboratory diagnostic methods included infrared and wet chemical analysis, and X-ray diffraction. Twenty-eight were of organic origin and some of these were undoubtedly submitted by accident as calculi. Eighty-eight were of mineral origin, mainly quartz and feldspar, and it is believed that the great majority were submitted for secondary gain or for psychiatric reasons. Ten patients each submitted from 2 to 10 artifacts. Five cases studies are presented which illustrate some confounding clinical and laboratory findings. Spurious stones can lead to difficult clinical and laboratory problems.

Adult↗

Pseudo-factitial dermatitis: a useful clinical and/or histopathological concept.

The concept of pseudo-factitial dermatitis can be defined as follows: any skin condition which, by its clinical or histopathological profile, can lead the clinician to an erroneous diagnosis of factitial dermatitis. Therefore, pseudo-factitial dermatitis does not exist as such; intellectually, it is of special interest for the practising dermatologist, in terms of differential diagnosis, either clinical or histopathological.

Dermatitis↗

Factitious disease.

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Factitious Disorders↗

Overt self-injury.

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Defense Mechanisms↗

Factitious hypoglycemia in an insulin-dependent woman in the eighth week of gestation.

An extremely rare case of factitious hypoglycemia in a young insulin-dependent pregnant woman in the first trimester of pregnancy is reported. Pregnancy resulted in the birth of a normal child. The clinical and laboratory procedures used to ascertain this diagnosis together with the psychological dynamics of the case are discussed.

Factitious Disorders↗