Factitious disorder, a disorder characterized by the falsification of symptoms to obtain primary gain, continues to be one of the more challenging cases that psychiatrists encounter. We describe a case of a woman we treated on the medical unit who falsified several of her symptoms but also was diagnosed with Yao syndrome, a disease that can also cause unexplained symptoms such as abdominal pain and fever. We navigate the difficulties in managing this type of patient and comanaging her with medicine and rheumatology. Although the prevalence of factitious disorder is anywhere from 1% to 2% of patients on the medical floor, they typically utilize a disproportionate number of resources. Despite this, the literature is still inconclusive when it comes to the management and treatment approaches. More study is warranted on this complex and burdensome illness.
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http://dx.doi.org/10.1097/NMD.0000000000001605 | DOI Listing |
Cureus
January 2025
Department of Neurology, Unidade Local de Saúde da Arrábida, Setúbal, PRT.
Munchausen syndrome (MS), a complex form of factitious disorder (FD), presents significant diagnostic and management challenges in emergency and hospital settings. Patients deliberately fabricate or induce symptoms to gain medical attention, often leading to unnecessary interventions, resource misallocation, and iatrogenic harm. This study highlights the diagnostic complexity and the need for multidisciplinary management of Munchausen syndrome through a detailed case report and literature review.
View Article and Find Full Text PDFChildren (Basel)
December 2024
Department of Paediatrics, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Munchausen syndrome by proxy (MSBP) or factitious disorder imposed on another (FDIA) is a bizarre psychiatric entity, consisting of the fabrication of symptoms and alteration of laboratory tests by a caregiver. It is considered a serious form of child abuse. Alarm signs are frequent medical visits and strange symptoms that are never objectified during hospitalization.
View Article and Find Full Text PDFCureus
January 2025
Occupational Health, Tasmanian Occupational & Environmental Medicine, Hobart, AUS.
This article introduces the evitatious phenomenon, with a proposed research criteria for behaviors induced by stress-related avoidance in occupational and psychiatric settings. Evitatious Phenomenon is characterized by a conscious desire to avoid stressors, leading to unconscious behaviors that inadvertently result in avoidance. Unlike malingering or factitious disorder, evitatious phenomenon is not marked by intentional deception but rather by an unconscious process, filling a gap in the current understanding of stress-induced behaviors.
View Article and Find Full Text PDFCureus
December 2024
Department of Surgery, Arabian Gulf University, Manama, BHR.
Breast-related herniation (BRH) is a vague term for many clinicians. The absence of a universal nomenclature and the different nature of the herniation process involved, being true or false, contribute to this vagueness. BRH includes a spectrum of disorders ranging from a few congenital breast disorders to commoner herniation processes related to acquired breast diseases.
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