Munchausen's syndrome simulating reflex sympathetic dystrophy
- PMID: 2270960
- PMCID: PMC1004300
- DOI: 10.1136/ard.49.12.1010
Munchausen's syndrome simulating reflex sympathetic dystrophy
Abstract
A 15 year old girl who had pain, oedema of her left hand, and fever of four months' duration is described. Marked demineralisation of her hand was shown by radiography, and increased articular uptake by technetium-99m bone scan. All these changes were indistinguishable from reflex sympathetic dystrophy. After two admissions to hospital and multiple explorations we discovered that she had induced her symptoms herself and a diagnosis of Munchausen's syndrome was made. As far as we know this presentation has not been previously reported and might help to explain the physiopathology of some signs of reflex sympathetic dystrophy.
Comment in
-
Munchausen's syndrome simulating reflex sympathetic dystrophy.Ann Rheum Dis. 1991 Jun;50(6):405-6. doi: 10.1136/ard.50.6.405-b. Ann Rheum Dis. 1991. PMID: 1898454 Free PMC article. No abstract available.
Similar articles
-
Munchausen's syndrome simulating reflex sympathetic dystrophy.Ann Rheum Dis. 1991 Jun;50(6):405-6. doi: 10.1136/ard.50.6.405-b. Ann Rheum Dis. 1991. PMID: 1898454 Free PMC article. No abstract available.
-
Münchausen's syndrome simulating reflex sympathetic dystrophy.J Rheumatol. 1996 Jun;23(6):1111-2. J Rheumatol. 1996. PMID: 8782150
-
Munchausen's syndrome and chronic pain.Hosp Med. 1998 Sep;59(9):738. Hosp Med. 1998. PMID: 9829091 No abstract available.
-
Munchausen's syndrome. A case of factitious hemoptysis.Panminerva Med. 1999 Mar;41(1):62-7. Panminerva Med. 1999. PMID: 10230261 Review.
-
[Reflex sympathetic dystrophy vs. a factitious disorder].Ned Tijdschr Geneeskd. 2000 Aug 19;144(34):1617-20. Ned Tijdschr Geneeskd. 2000. PMID: 10972049 Review. Dutch.
Cited by
-
Streamlined classification of psychopathological hand disorders: A literature review.Hand (N Y). 2008 Jun;3(2):118-28. doi: 10.1007/s11552-007-9072-0. Epub 2007 Sep 11. Hand (N Y). 2008. PMID: 18780087 Free PMC article.
-
Recognizing medical child abuse in children presenting with chronic pain.Br J Pain. 2022 Aug;16(4):433-438. doi: 10.1177/20494637221075186. Epub 2022 Feb 24. Br J Pain. 2022. PMID: 36032349 Free PMC article.
-
Munchausen's syndrome simulating reflex sympathetic dystrophy.Ann Rheum Dis. 1991 Jun;50(6):405-6. doi: 10.1136/ard.50.6.405-b. Ann Rheum Dis. 1991. PMID: 1898454 Free PMC article. No abstract available.
-
Neuropathic pain in children: Special considerations.Mayo Clin Proc. 2010 Mar;85(3 Suppl):S33-41. doi: 10.4065/mcp.2009.0647. Mayo Clin Proc. 2010. PMID: 20194147 Free PMC article. Review.
-
Neuropathic pain syndrome displayed by malingerers.J Neuropsychiatry Clin Neurosci. 2010 Summer;22(3):278-86. doi: 10.1176/jnp.2010.22.3.278. J Neuropsychiatry Clin Neurosci. 2010. PMID: 20686134 Free PMC article.