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Results for “Factitious Disorders”

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PubMedDate not supplied

[Several cases of non-phlebologic pigmentation of the lower extremities].

Hyperpigmentation of the lower limbs does not always reflect a phlebological abnormality. The authors briefly recall other pathological circumstances which result in cutaneous hyperpigmentation : cutaneous porphyria (hyperpigmentation of the exposed parts), malignant melanoma, Recklinghausen's neurofibromatosis (café-au-lait spots and naevo-cellular naevi), pigmented dermatoses (lichen planus), fixed pigmented toxidermias, drug induced hyperpigmentations (minocyne, synthetic anti-malarials which can provoke the development of large areas of greyish coloured s in), reticular "hot water bottle" dermatitis and malingering syndromes.

Drug Eruptions↗
PubMed1983

[An amnesic adolescent].

Personality amnesia is a difficult and fairly uncommon problem in psychiatric practice. We report the case of a 15-year-old adolescent who experienced total amnesia for two months. His identity could be established only by publishing his photo and history in a widely read newspaper. After discussing diagnostic problems, we remain unsure as to the psychopathological diagnosis, a difficult issue in personality amnesia, and prognosis, which is unpredictable as a result of the changes inherent to adolescence.

Adolescent↗
PubMedDate not supplied

[Neuropsychological tests in the diagnosis of dementia].

The author describes the place of the neuropsychological investigation in the clinical evaluation of patients suspected of mental deterioration and criticizes classic psychometry as inadequate in its quantitative and non specific approach to dementia, to examine the operative behavior of demented patients. More specifically, the author points out the careful attention which must be paid in utilizing the usual intelligence scales, the mental deterioration index and organic impairment scoring systems, often unsuitable for the diagnosis. On the other hand, the author preferes the use of a mental investigation more specifically based on fundamental cognitive functions (language, gnosis, praxis) and illustrates this point of view by some mental deterioration batteries currently used in some countries. Finally, the neuropsychological assessment appears indispensable for diagnosis, prognosis and therapy. Problems raised with early diagnosis, differential diagnosis between reversible and non reversible dementia, between dementia and pseudodementia are discussed with the specific contribution of neuropsychology. The necessity of further investigations in this field is emphasized. A proposition is outlined which would lead to improved neuropsychological tests of greater sensibility and accuracy.

Aged↗
PubMed1983

Factitious fever.

Explore the source record for details and available documents.

Factitious Disorders↗
PubMed1984

The role of the psychiatrist in otolaryngology.

The patient, staff, and physician benefit when the otolaryngologist and psychiatrist are able to work closely together. Not only is clinical care improved, but time can be spent more efficiently in dealing directly with the patient's problem.

Adult↗
PubMed1984

[Factitious crusting cheilitis].

The authors report 4 cases of factitious crusting cheilitis seen in young women. The lesions are crusty, yellowish or even black, forming as a mould casting the lip. The crusts are sometimes very thick just as an oyster-shell. When removed the underlying mucosa appears either normal or erosive and the crusts reappear rapidly. Emotional factors and personality disturbances are often present. Most probably the crusts are the result of a traumatic mechanism induced by chewing or sucking the lip. In the 4 reported patients the clinical aspect and the psychological status of the patients are similar, the 4 of them being not at all bothered by their cheilitis. The factitious keratotic cheilitis has to be differentiated from other cheilitis induced by Candida albicans (although Candida albicans may superinfect any cheilitis) or by an actinic phenomenon, from glandular cheilitis (of the Puente-Acevedo or of the Volkmann type) and from dermatitis localized on the lips. In some instances an exfoliative cheilitis may also to be of factitious origin. The factitious origin of such a cheilitis is always difficult to demonstrate but its possibility should be kept in mind.

Adolescent↗
PubMedDate not supplied

[Recited depression].

Several subjects who tell their depression and play a part of it in front of the doctor without being really depressed are reported. Some of them try to hide the symptoms (irritability or erethism, ceremonials of obsessive neurosis, shunning of phobia) which, in their opinion, might be detrimental to their reputation. Others neglect to describe some of the symptoms of their polymorphous clinical picture only underlining the depressive signs. Some others play a part of depression because they have believed to recognize themselves in persons presented by mass media, because it seems to them a duty to show an adequate depression in case of mournful event, or because they "convert" their problem into a depression. Some others use depression as a blackmail, or to obtain an advantage from doctor's conviction about their illness. The reason for the high frequency of similar cases in the present time are examined: the scientific divulgation and the acceptance of depression by the modern society are among the most important ones. The peculiar semantic vicissitudes of the word depression are also reviewed. A widening of the boundaries of depression has contributed to an increase in the number of the cases. Finally, in addition to patients who are depressed without being aware of it, the authors focus the inverse possibility: patients who believed or try to make their doctor believe (playing the part of depression in front of them) that they are depressed.

Aged↗