ABSTRACT
We present a detailed case report that shows a woman patient who has Factitious Disorder manifested by the coexistence both of: A) typical/direct Munchausen and B) Munchausen by proxy or indirect: being the frst one (A) about the own person and the second one (B) about other people (most cases about their own young children). Furthermore, in the reported case we observed that the patient shown the particularity of having positive biological markers for Myasthenia Gravis (serology markers), and having inconsistent clinical manifestations that are typically observed in the exacerbation phase when she still continued in remission phase. In our own bibliographic research we couldn`t fnd anything about this case of "Mixed Munchausen Syndrome with organic comorbidity". In the same way as we tried to get information about the diagnostic algorithms and the possible therapeutic treatment strategies we found nothing like this reported before. Finally, this clinical presentation constitutes a blind spot for the scientifc community generating a lack of recognition for this diagnostic category and above all of the confusion that this mental disorder can generate in: a) the inadequate use of therapeutic resources, b) the irrational use of drugs, c) the distortion of institutional instances, and d) the medical behaviors that occurred in this case.
Subject(s)
Munchausen Syndrome/diagnosis , Female , Humans , Middle Aged , Munchausen Syndrome/complicationsABSTRACT
Factitial dermatitis is a condition in which skin lesions are self-inflicted as the result of a psychiatric disorder. The lesions may be presented in various forms and produced by a wide variety of means. This report refers to the case of a patient with factitial dermatitis triggered by Munchausen syndrome, which refers to individuals who intentionally provoke physical symptoms in themselves in order to satisfy a need to receive frequent medical attention.
Subject(s)
Dermatitis/etiology , Munchausen Syndrome/complications , Adult , Female , HumansABSTRACT
Dermatite factícia refere-se à condição em que as lesões cutâneas são autoinduzidas e resultam de algum distúrbio psiquiátrico. As lesões podem se apresentar de diversas formas e ser produzidas por grande variedade de meios. Apresenta-se um caso raro de paciente com dermatite factícia desencadeada pela síndrome de Münchausen, que se refere a indivíduos que intencionalmente produzem sintomas físicos com o intuito de atender a uma necessidade de receber atendimento médico frequente.
Factitial dermatitis is a condition in which skin lesions are self-inflicted as the result of a psychiatric disorder. The lesions may be presented in various forms and produced by a wide variety of means. This report refers to the case of a patient with factitial dermatitis triggered by Munchausen syndrome, which refers to individuals who intentionally provoke physical symptoms in themselves in order to satisfy a need to receive frequent medical attention.