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Results for “Factitious Disorders”

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At least 91 records · Page 5Linked to original sources
PubMed1998

Factitious deafblindness: an imperceptible variant of factitious disorder.

We describe two women who, over a period of years, feigned the loss of both vision and hearing. Their principal motive appeared to be pursuit of the sick role, though each acquired disability payments as well. A face-saving intervention sharply reduced the alleged hearing deficits in one case; the other patient precipitously left treatment. A broad range of permutations of factitious disorder has been reported, but these appear to be the first published cases of factitious deafblindness.

Adult↗
PubMed1989

Factitious disorder with physical manifestations: pitfalls of diagnosis and management.

Münchausen's syndrome is a chronic form of factitious disorder in which fabricated physical manifestations are used to attain multiple hospital admissions. Patients with this disorder are exposed to unnecessary invasive studies, and their entire life may come to revolve around attainment of hospitalization. In addition, medical personnel are subjected to confusion and frustration, scarce resources are wasted, and institutions are left with enormous unpaid bills. Using an illustrative case, we demonstrate pitfalls in the diagnosis and management of these patients, with emphasis on breaking the cycle of repeated hospitalizations, and discuss the enormous human and economic costs of their insatiable quest for medical attention.

Adult↗
PubMed2004

[Factitious disorder revealed by polymicrobial septic arthritis of a lumbar facet joint diagnosed by percutaneous biopsy].

Septic arthritis of a lumbar facet joint is rare with few reports in the literature. Clinically, septic arthritis of a lumbar facet joint can mimic spondylodiscitis. Imaging is usually required for diagnosis. Bacteriological diagnosis is needed to optimize treatment with antibiotics. Most of the previously reported cases were due to staphylococcus aureus. We report one case due to rare bacteria which lead to a diagnosis of factitious disorder. Precise bacteriological diagnosis was obtained by CT-guided percutaneous biopsy.

Arthritis, Infectious↗
PubMed2000

Postpartum depression and factitious disorder: a new presentation.

This article discusses a presentation of Munchausen Syndrome by Proxy. It is believed this factitious disorder was precipitated and grew out of the context of a postpartum depression. To our knowledge, no such case has been reported in the past and implications for new exclusion criteria defining a fictitious disorder are raised. Furthermore, reintegration of the perpetrator back to family is discussed and suggestions are made for follow-up.

Adult↗
PubMed1994

Factitious disorder presenting with acute cardiovascular symptoms.

A 23-year-old female student exhibited all the characteristics of chronic factitious disorder with physical symptoms (Munchhausen's syndrome): deliberate simulation of illness, peregrination, fantastic pseudology and dramatic circumstances on admittance. The patient induced impressive blood pressure peaks by the Valsalva manoeuvre. She also simulated arrhythmias, seizures and unconsciousness. Her symptoms had previously led to comprehensive cardiological, neurological and endocrinological evaluations and treatment in at least three different countries in two continents. A literature survey suggests that facitious cardiovascular symptoms have become more frequent during recent decades.

Acute Disease↗
PubMed2002

Factitious disorders in civil litigation: twenty cases illustrating the spectrum of abnormal illness-affirming behavior.

Physical symptoms are commonly alleged in civil litigation. In some instances these symptoms are originally produced by psychological factors and antedate the alleged injury being claimed as a tort. These cases reflect abnormal illness-affirming behavior. Factitious physical disorders represent a special category of these individuals because they produce their signs and symptoms consciously. This article reviews common features of 20 cases of factitious disorder in which the patients were involved in civil litigation. Attention to these factors can facilitate differential diagnosis, which can lead to improved understanding of causation and appropriate clinical interventions. The authors discuss how the actions of such individuals often shift along the entire spectrum of abnormal illness-affirming behavior over time.

Adult↗
PubMed1986

Factitious disorder and coexisting depression: a report of successful psychiatric consultation and case management.

The authors present a case illustrating factitious illness with a coexisting depressive disorder. The factitial presentation involved self-mutilation that served to procure and prolong patient status, while obscuring the recognition of a major depressive episode. The importance of accurate assessment and prompt recognition of factitious illness is discussed, with emphasis upon the identification of contributing psychodynamics, underlying psychopathology and ongoing psychosocial stressors. Psychiatric consultation efforts were successful, but in the context of considerable morbidity. Psychotherapeutic gains occurred only after vigorous antidepressant drug therapy and substantial psychotherapeutic efforts that empathically addressed the patient's masochism and dependency.

Adult↗
PubMed1987

A review of the somatoform and factitial disorders for the podiatrist.

In this article, the author discusses psychiatric disorders that present as physical illness with no underlying organic cause. The most common types are presented with their clinical presentation, causation, and treatment. It is intended that the practitioner will be able to include these disorders in the different diagnoses of the patients who have symptoms that are difficult to diagnose and are not responsive to therapy.

Conversion Disorder↗