3,527 results match your criteria: "Factitious Disorder"
Breast-Related Herniation: A Call for Multidisciplinary Awareness and a Proposal for a Classification.
Cureus
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.
View Article and Find Full Text PDFOrthopaedic deception: when psychiatric disorders mimic musculoskeletal conditions.
Int Orthop
December 2024
IRRCS - Istituto Ortopedico Rizzoli; 1st Orthopedic Department, Bologna, Italy.
Article Synopsis
A Case of Ganser Syndrome Presenting as a Stroke Alert: Fact or Factitious?
Cureus
October 2024
Department of Neurology, University of South Alabama College of Medicine, Mobile, USA.
Article Synopsis
- Ganser syndrome is a rare disorder marked by giving almost correct answers to questions, hallucinations, and altered consciousness, often linked to functional neurological symptoms.
- A case study highlights a 53-year-old man who showed these symptoms after sudden left-sided weakness, following a police report of indecent exposure.
- His inconsistent mental status during evaluation suggested he was aware of his thoughts, and previous hospitalization records support that fear of legal consequences triggered his Ganser syndrome symptoms.
Advancing Understanding of Dermatological Manifestations in Munchausen Syndrome by Proxy.
Cureus
October 2024
Dermatology, Edward Via College of Osteopathic Medicine, Blacksburg, USA.
Article Synopsis
- This review examines the intricate link between Munchausen Syndrome by Proxy (MSBP) and its skin-related symptoms, highlighting the need for deeper understanding in this area of psychiatric disorders.
- Through case studies and existing literature, it showcases various dermatological issues in MSBP patients, from self-inflicted wounds to fabricated conditions, and discusses the psychological motivations behind caregivers' actions.
- The paper emphasizes the challenges healthcare providers face in identifying MSBP-related skin symptoms and advocates for a multidisciplinary approach, improved assessment tools, and further research to enhance understanding and diagnosis of MSBP.
Clinical considerations regarding suspected "BvFTD-by-proxy": a case series.
Neurocase
August 2024
Departments of Neurology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Article Synopsis
- A diagnosis of behavioral variant frontotemporal dementia (bvFTD) often depends on reports from informants about noticeable behavioral changes in patients.
- The term "bvFTD-by-proxy" refers to cases where changes are reported only by informants, which can lead to questions about the reliability of their observations.
- Three case studies illustrated that symptoms resembling bvFTD were reported by spouses, but medical tests showed only mild issues, highlighting the risks of inaccurate informant reports and the need for careful, coordinated care to protect patient autonomy.
Evaluation of the Prevalence of Factitious Disorder and Its Demographic and Clinical Characteristics in Psychiatric Inpatients in Iran; A Cross-Sectional Study.
Med J Islam Repub Iran
June 2024
Department of Health Psychology, Kish International Campus, University of Tehran, Tehran, Iran.
Article Synopsis
- Diagnosing factitious disorder (FD) in Iran is challenging, with only 17 confirmed cases in five years, highlighting potential delays in patient care and rising costs.
- *The study revealed most FD patients were young males (ages 20-30) with comorbidities, especially substance use disorder and personality disorders, suggesting a complex clinical picture.
- *The findings indicate FD is often underdiagnosed, emphasizing the need for greater awareness of its signs and the importance of considering comorbid conditions in treatment plans.
An Insight Into Adolescent Dermatitis Artefacta: A Case Report.
Cureus
September 2024
Department of Dermatology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Article Synopsis
- Dermatitis artefacta (DA) is a rare skin disorder primarily seen in late adolescents and young adults, often challenging to diagnose.
- A 17-year-old girl experienced unexplained linear skin lesions for 11 months, resulting in significant school absences; her examination revealed characteristics typical of DA.
- Treatment involved N-acetyl cysteine and psychiatric evaluation, emphasizing the need for a comprehensive approach to manage DA due to its links with psychological issues.
Article Synopsis
- The text discusses the phenomenon of stigmata, specifically focusing on the case of Blessed Elena Aiello, who experienced severe hematidrosis, or blood sweating, from 1923 until her death.
- Stigmata are marks associated with Jesus Christ’s crucifixion, believed by some to be divinely impressed on individuals, and Aiello's symptoms reportedly occurred during Lent, particularly on Good Friday.
- A medical study conducted by doctors suggested the origins of her sores were unclear, leading to discussions about the potential for simulation or psychological factors such as autosuggestion.
A medical child abuse case with spurious bleeding; importance of collecting the evidence.
J Forensic Leg Med
October 2024
Department of Social Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey. Electronic address:
Article Synopsis
- Medical Child Abuse (MCA) involves caregivers harming children by fabricating or exaggerating medical symptoms, leading to unnecessary treatments that can be dangerous for the child.
- An 18-month-old boy exhibited recurrent bleeding episodes that were later identified as likely being fabricated by his mother, raising suspicions of MCA after inconsistencies were noted in his medical history.
- The case highlights the importance of timely and thorough investigations to diagnose MCA, emphasizing the need for collecting concrete evidence, such as DNA testing, to support allegations of abuse.
Seizures, medical child abuse, and the pediatric neurologist.
Semin Pediatr Neurol
July 2024
Center for Family Safety and Healing, Nationwide Children's Hospital, 655 East Livingston Avenue, Columbus, OH 43205, United States.
Article Synopsis
- Medical child abuse, formerly known as Munchausen syndrome by proxy, occurs when a caregiver intentionally harms a child by fabricating or inducing medical conditions, often leading to unnecessary treatment.
- About 40-50% of these cases involve neurological issues, with fake or induced seizures being particularly common and challenging to identify.
- Timely diagnosis relies on clinicians maintaining a high level of suspicion for such abuse, and the article explores the epidemiology, diagnosis, and management of medical child abuse focused on seizure cases.
Hypoglycemia in non-diabetic in-patients at a teaching referral hospital in Iran.
J Diabetes Metab Disord
June 2024
Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Article Synopsis
- This study examined non-diabetic patients with hypoglycemia to understand their comorbid conditions, symptoms, lab results, and diagnoses.
- Conducted at Shariati Hospital in Iran from 2016 to 2023, it analyzed data from 74 non-diabetic patients, excluding those with diabetes and focusing on various factors related to their hypoglycemic episodes.
- The findings revealed that a significant portion experienced common symptoms like weakness and dizziness, with underlying causes including psychological disorders and organ failure, highlighting the need for timely diagnosis and treatment to avoid serious health consequences.
Insulin Abuse: A Case Report of Munchausen Syndrome.
Endocr Metab Immune Disord Drug Targets
June 2024
Abant Izzet Baysal University Internal Medicine Bolu Turkey.
Article Synopsis
- Hypoglycaemia in diabetes involves abnormal glucose levels accompanied by symptoms, while Munchausen Syndrome (MS) entails individuals intentionally faking symptoms for secondary gain.
- The report discusses a case of a 28-year-old woman with type I diabetes who repeatedly induced hypoglycemia attacks to seek unnecessary medical attention.
- Understanding Munchausen Syndrome is crucial for healthcare providers to avoid misdiagnosing patients and to prevent costly and unnecessary medical procedures.
Article Synopsis
- Factitious disorder imposed on another (FDIA) is a type of child abuse where a caregiver fakes or causes illness in someone they care for, previously known as Munchausen syndrome by proxy.
- A case study of a two-year-old girl showed symptoms resembling a serious autoimmune disease, but it turned out to be induced by her caregiver, who was secretly giving her a medication to simulate illness.
- The girl did not improve despite medical treatment until the caregiver was separated, demonstrating the need for healthcare providers to consider FDIA when faced with unexplained or recurring health issues in children.
A Rare Case of Focused Pulling Type of Trichotillomania Presenting as Dermatological Pathomimicry.
Int J Trichology
April 2024
Department of Skin and VD, IMS and SUM Hospital, Bhubaneswar, Odisha, India.
Article Synopsis
- Nonhealing ulcers are persistent lesions that do not respond to initial or appropriate treatments. * Trichotillomania (TTM) is an impulse control disorder that can lead to severe complications, including ulcers and scarring. * This report discusses a unique case of a 30-year-old female with TTM who developed a large factitious ulcer, highlighting a rare association not previously documented in research.
Factitious disorder presenting as sickle cell disease: a case report.
Lancet Reg Health Am
June 2024
Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Article Synopsis
- False claims of intersex conditions have been found across various media, with 37 cases identified as false based on medical implausibility and inconsistencies.
- * Of the false claims, the majority were from natal males (26) and mostly involved transgender individuals seeking to live in a non-natal gender.
- * The motivations behind these false claims ranged from avoiding stigma related to being transgender to seeking attention or engaging in paraphilic behaviors like autogynephilia.
Prevalence and risk factors for depression in factitious disorder: a systematic review.
Front Psychiatry
April 2024
Unit of Psychiatry, Department of Medicine (DMED), University of Udine, Udine, Italy.
Article Synopsis
- Factitious disorder involves patients intentionally exaggerating or fabricating symptoms to take on the sick role, and depression can be a part of this condition or occur alongside it.!* -
- A systematic review of literature showed that approximately 30% of people with factitious disorder also experience depression, often linked to past traumatic events and psychosocial issues.!* -
- Effective treatment for factitious disorder requires a collaborative approach, and it's crucial to screen for depression in these patients due to its high prevalence.!*
[Factitious disorder imposed on self and Munchausen syndrome: An update].
Rev Med Interne
October 2024
Service de médecine légale et pénitentiaire, CHU Pontchaillou, 2, rue Henri Le Guilloux, 35033 Rennes, France; Université de Rennes, Rennes, France. Electronic address:
Article Synopsis
- Factitious disorder imposed on self (FDIS) is a mental health issue where patients intentionally fake symptoms for no obvious external reasons, and it can affect anyone, not just stereotypical profiles like young women in healthcare.* -
- Munchausen syndrome is a severe form of FDIS that is more common in men, and those with FDIS often have other mental health problems, with a rare but possible risk of death.* -
- Diagnosing FDIS requires careful assessment to rule out other possibilities, and treatment approaches are largely undefined, so healthcare providers should prioritize empathy and avoid unnecessary interventions.*
Self-mutilation: a systematic review.
Forensic Sci Med Pathol
April 2024
Postgraduate Program in Structural and Functional Biology, Department of Morphology, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil.
Article Synopsis
- * Research from various databases between 2018 and June 2023 indicates that self-mutilation injuries are more prevalent in men, who tend to suffer more severe injuries, with a notable global presence particularly in Asia and America.
- * The study finds a clear link between self-mutilation and mental health disorders, with many cases in men going underreported due to lower rates of seeking specialized treatment, and the most common injuries occurring on the arms and external genitalia, often inflicted with knives.
Hymenoptera Venom Immunotherapy Meets Factitious Disorder.
Cureus
March 2024
Medical School, University of Cyprus, Nicosia, CYP.
Article Synopsis
- Factitious disorder on self involves individuals intentionally creating or exaggerating symptoms of a medical condition; factitious anaphylaxis is a rare variant that mimics severe allergic reactions.
- A case is presented of a young female patient who experienced factitious anaphylaxis while undergoing venom immunotherapy, showing symptoms like difficulty breathing and loss of consciousness.
- The diagnosis of factitious disorder led to the decision to stop her venom immunotherapy to prevent further incidents.
Article Synopsis
- Research on the early signs of schizophrenia has progressed and now influences psychiatric practices through tools like interviews to assess symptoms.
- The rise of social media, particularly among teens, has been linked to the emergence of symptoms portrayed online, such as "TIK-TOK tics."
- A case study of a 15-year-old revealed a misdiagnosis of prodromal schizophrenia, which was later corrected to borderline personality disorder, highlighting the need for thorough psychiatric evaluations and the potential impact of social media on symptom perception.
Misdiagnosis of functional neurological symptom disorders in paediatrics: Narrative review and relevant case report.
Clin Child Psychol Psychiatry
July 2024
Child Neurology and Psychiatry Unit, Department of Human Neuroscience, Sapienza University, Italy.
Article Synopsis
- Functional neurological symptom disorders (FNSD) are commonly encountered in clinical practice, especially in children, and can be mistaken for other medical issues due to their complex symptoms.
- The review contrasts FNSD with various psychiatric and neurological disorders, clarifying that FNSD should be viewed as a diagnosis of inclusion, not just exclusion based on overlapping symptoms.
- A key case study of a 14-year-old boy initially diagnosed with FNSD, later found to have paroxysmal kinesigenic dyskinesia, highlights the need for thorough assessment to avoid misdiagnosing FNSD and to identify true underlying conditions.