Abstract
We present here the cases of 2 children with type 1 diabetes mellitus treated with insulin pumps who were hospitalized for episodes of hypoglycemia. Review of their insulin pumps revealed normal basal and bolus insulin delivery. However, subsequent review of the priming history in the pump revealed...
|
PMID: 20385648
PDF is available here.
Abstract
Dermatitis artefacta (DA) is defined as all dermatological, self-inflicted skin lesions, where the patient denies having produced the lesions.
The purpose of this study is to make a single-centre retrospective clinical review of patients diagnosed as DA of the breast....
|
PMID: 19694893
PDF is available here.
Abstract
Self-mutilation in the context of factitious disorder can lead to prolonged and complicated treatment in every medical field. Because of a prevalence of 1-5% in hospitalised patients, it is important to be aware of this disorder to protect patients from self- and foreign-induced harm. Often the pati...
|
PMID: 20205067
PDF is available here.
Abstract
Dystrophy is a main factor of CRPS. A large number of patients do not develop dystrophy but, instead, they suffer from pain with limitation in movement, possible paraesthesia and/or swelling. This is then a chronic regional pain syndrome or (shoulder-arm-) hand-finger syndrome. These patients should...
|
PMID: 20205065
PDF is available here.
Abstract
We describe a patient with a background of immigration, who, after an objectively minor work-related head injury, developed severe and persistent psychiatric symptoms, with features of Ganser syndrome....
|
PMID: 19499385
PDF is available here.
Abstract
We present the case of a 49-year-old single man complaining of a 4- month history of ulceration on the dorsal surface of the glans penis. In view of the unusual appearance of the lesion and the negative findings from clinical investigations, a diagnosis of dermatitis artefacta was made and the patie...
|
PMID: 19588064
PDF is available here.
Abstract
The cases of 7 patients (4 female, 3 male) between the ages of 8 and 15 years were analyzed. Four had been referred by the child psychiatry department. The initial diagnosis was erroneous in all but 1 case. Pain intensity and associated disability were severe in 5 patients and 4 expressed intense fe...
|
PMID: 19408782
PDF is available here.
Abstract
Our patient is a 29 year old male, who was referred to our hospital from a state general hospital with a diagnosis of Conversion Disorder. He was hospitalized and preliminary diagnoses of Facititous Disorder, Conversion Disorder, Psychiatric Disorder due to a General Medical Condition and Antisocial...
|
PMID: 19757228
PDF is available here.
Abstract
We discuss recognition of pseudologia fantastica based on 2 patients who presented with suicidal ideations at the casualty department following a traumatic event. Early recognition is important in order to break the pattern of lying, to restrict the use of medical resources and, finally, to act in a...
|
PMID: 20051176
PDF is available here.
Abstract
With regard to cognitive plasticity, depressed old adults do not differ from those without depression. On the other hand, old adults with cognitive impairment present less cognitive plasticity than those without cognitive impairment. CONCLUSION: Cognitive plasticity appears to be a relevant variable...
|
PMID: 19864045
PDF is available here.
Abstract
We describe a right-handed patient with Ganser's syndrome after a large left-hemispheric middle cerebral artery infarction. Detailed neuropsychological examination showed atypical lateralisation of cognitive functions with so-called crossed nonaphasia and pronounced frontal-executive dysfunctions. R...
|
PMID: 18274720
PDF is available here.
Abstract
A 44-year-old woman with a history of borderline personality disorder, Hepatitis C, and multiple hospital admissions for cellulitis and cutaneous abscesses presented with pain of several days duration in her left upper extremity following getting her left arm "stuck" in a subway turnstile. The pain...
|
PMID: 19292308
PDF is available here.
Abstract
A 23-year-old woman was admitted to the department of rheumatology for detailed diagnostic tests for a suspected immune deficiency. Over the past 3 years, she has had repeated unexplained febrile episodes and impaired wound healing, which required permanent antibiotic treatment. INVESTIGATIONS AND D...
|
PMID: 18446676
PDF is available here.
Abstract
We report a case of factitious renal colic which was definitively proven to be so using sample biochemistry to confirm a tap water sample contaminated with blood. This is diagnostically useful if tap water or normal saline is used to produce an alleged urine sample....
|
PMID: 18251733
PDF is available here.
Abstract
This is the first report of a case series of patients diagnosed as CRPS with self-induced symptoms. We discuss in detail limitations of the study, factors that contribute to the index of suspicion, and the complex nature of the behavior including the overlap between factitious disorder, somatoform d...
|
PMID: 18209524
PDF is available here.
Abstract
We have never been able to confirm this suspicion. Once we had established the suspicion criteria for factitious disorder with psychological symptoms, we discovered that 8% of the patients admitted to an inpatient psychiatric unit had factitious symptoms. The patients were mostly women with a mean a...
|
PMID: 18568455
PDF is available here.
Abstract
The presence of air in the subcutaneous tissue of an extremity constitutes a fearful finding because of the potential devastating consequences for both the extremity and life of the patient. The authors present herein a rare case of self-induced subcutaneous emphysema of the thigh in a young patient...
|
PMID: 17904889
PDF is available here.
Abstract
We present 2 new cases of factitious binocular blindness, which has rarely been reported but readily illustrates the dramatic range of factitious illness behaviors. Psychiatric and behavioral correlates culled from these cases include extravagant claims about the impairment and ludicrous claims for...
|
PMID: 18243888
PDF is available here.
Abstract
We propose reclassifying factitious disorder as a subtype within the somatoform-spectrum disorders or the proposed physical-symptom disorder, premised on our belief that deliberate deceptions serve primarily to portray to treaters the sense of being ill....
|
PMID: 18621932
PDF is available here.
Abstract
There is an absence of sufficient robust research to determine the effectiveness of any management technique for FD. The establishment of a central reporting register to facilitate the development of evidence-based guidelines is recommended.
(c) 2008 S. Karger AG, Basel....
|
PMID: 18418027
PDF is available here.
Abstract
Self-destructive behaviour is prevalent in a variety of different psychiatric disorders. Most common manifestations are self-inflicted cuts to the skin, especially the skin of the forearms. Manifestations of self-destructive behaviour involving the nasal area are rather rare. A series of cases is pr...
|
PMID: 18085024
PDF is available here.
Abstract
Unilateral weakness in established conversion disorder is associated with a distinctive pattern of activation, which overlaps with but is different from the activation pattern associated with simulated weakness. The overall pattern suggests more complex mental activity in patients with conversion di...
|
PMID: 17991812
PDF is available here.
Abstract
We report the case of a 71-year-old women who had had a thyroidectomy 10 years earlier and had since been hospitalized repeatedly for profound hypothyroidism. Despite her consistent claims of good adherence to her treatment regimen, we considered the diagnosis of L-thyroxine pseudomalabsorption and...
|
PMID: 17446037
PDF is available here.
Abstract
Factitious disorder by proxy remains one of the least known and most controversial disorders in psychiatry. The following review refers to the contemporary approach to the disorder, its prevalence, risk factors, diagnostic problems, treatment and coping.
|
PMID: 17969307
PDF is available here.
Abstract
The purpose of this study was to obtain comparative data concerning the percentage contribution of segmental cervical vertebral motion to the cervical range of motion (ROM) in healthy volunteers under two conditions: (1) normal, voluntary neck flexion and extension and (2) feigned restriction of nec...
|
PMID: 16847699
PDF is available here.
Abstract
Reversible cognitive impairment in late-life moderate to severe depression appears to be a strong predictor of dementia. Inpatients and day hospital outpatients with depressive pseudodementia should probably have a full dementia screening, comprehensive cognitive testing and ongoing monitoring of th...
|
PMID: 17184844
PDF is available here.
Abstract
In neuropsychological practice, individuals often present with evidence of excessive cognitive complaints or invalid test performances indicative of symptom exaggeration; however, clinicians often struggle with how to diagnose these cases once they have been identified. Difficulties in subsuming the...
|
PMID: 17485192
PDF is available here.
Abstract
I know of few cases where soldiers today have gone to such determined efforts to simulate a disease. All of us have encountered malingerers in the course of our work but the extent and array to which they extend in their attempts is greatly surpassed by the tales of effort and guile reported by Gavi...
|
PMID: 17896535
PDF is available here.
Abstract
We report an original clinical observation of an amnesic factitious disorder in a patient with progressive multiple sclerosis. This patient, who was seen for a routine comprehensive neuropsychological evaluation, demonstrated a severe memory encoding deficit in a classical standard episodic memory t...
|
PMID: 17607207
PDF is available here.
Abstract
We report a case of a young woman who presented with unilateral bullous and ulcerative oral and erythematous facial lesions that were initially diagnosed as pemphigus vulgaris but was later determined to be secondary to self-inflicted injuries. To the best of the authors knowledge, this clinical sce...
|
PMID: 17468715
PDF is available here.
Abstract
Our aim is to lead a reflection on this controversial theme on the basis of a clinical illustration....
|
PMID: 17514932
PDF is available here.
Abstract
We present the case of a 40-year-old woman with long lasting self-inflicted excoriations and ulcerations of the skin located within easy reach of her hands. We discuss the reasons for such behavior and the possibilities of dermatological and general interventions....
|
PMID: 17992454
PDF is available here.
Abstract
We question the validity of factitious disorder as a meaningful psychiatric diagnosis. When the diagnosis is used there is often the assumption that the person engaging in the 'deception' is not lying in the traditional sense of being deliberately misleading. Moreover, little is known about the aeti...
|
PMID: 17277280
PDF is available here.
Abstract
We discuss a 20-year-old girl who was under follow-up because of recurrent subcutaneous emphysema of the face and periorbital area.After 2 years of work-ups, including a period of close observation in the intensive care unit, self air injection by syringe was found as the cause of recurrent subcutan...
|
PMID: 17251871
PDF is available here.
Abstract
The phenomenology of factitious disorders from the Arab part of the world has been lacking in the medical literature and few reports have emerged from otolaryngology. Using an observational prospective case series study (n = 19) with long-term follow-up (two to six years), the present study reports...
|
PMID: 17953239
PDF is available here.
Abstract
BACKGROUND: In the current literature and in clinical practice a very wide range of terms is used to describe medically unexplained somatic symptoms; this gives rise to a number of problems. AIM: To propose an unambiguous multidisciplinary terminology which can solve a number of problems. METHOD: A...
|
PMID: 17994502
PDF is available here.
Abstract
We give the differential diagnosis of the Ganser syndrome. The causes seem to be largely organic....
|
PMID: 17492585
PDF is available here.