Bloody tears: A rare presentation of munchausen syndrome case report and review

Karadsheh, Mansour

doi:10.4103/2249-4863.152271

Cited by 14 publications

(10 citation statements)

References 17 publications

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“…[ 2 ] Literature review revealed many case reports with undetermined source of haemlacria[ 3 4 ] and a female preponderance. [ 5 6 7 8 ] A few patients with undetermined source of haemlacria have been diagnosed with Munchausen syndrome,[ 8 ] whereas nasolacrimal endometriosis has been implicated in a few studies. [ 5 6 ] Ottavay et al .…”

Section: Discussionmentioning

confidence: 99%

Haemlacria

Ambasta

Kusumesh

Kumari

et al. 2021

Journal of Family Medicine and Primary Care

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Haemlacria is a rare condition which is not widely mentioned in literature. In this mini case series, we describe two cases with this presentation. Both the patients were women with unilateral presentation of haemlacria in the right eye. Case one was diagnosed with photosensitivity, while case two was assumed to be due to an undiagnosed systemic illness which led to her mortality. Careful history, systemic examination, slit- lamp biomicroscopy, fundus examination, relevant haematological tests like coagulation profile, liver function test along with nasolacrimal duct probing with syringing and appropriate imaging may be needed to arrive at a diagno sis. Though many cases are idiopathic yet this can be a sign of an underlying life-threatening disease.

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Section: Discussionmentioning

confidence: 99%

Haemlacria

Ambasta

Kusumesh

Kumari

et al. 2021

Journal of Family Medicine and Primary Care

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“…The importance of early diagnosis of the Munchausen Syndrome in addition to the patient's benefit from psychotherapy and drug treatment include reduced hospital bed occupancy and prevention of wasting the cost of health care system (8). In this case, a patient with the history of depression is presented with features of Cushing syndrome and medical problems such as uncontrolled hypertension, hyperglycemia, and myopathy in the result of Munchausen Syndrome.…”

Section: Discussionmentioning

confidence: 99%

A Case of Munchausen Syndrome Presenting as a Cushing Syndrome in a Patient with Major Depressive Disorder

Erensoy¹,

Özkan²,

Niafar³

et al. 2017

Azerbaijan Med Assoc J

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's syndrome is a psychiatric problem in which patients inflict an illness on themselves with the aim of playing in the role of being sick. İn this paper a 38-yearold woman with a history of MDD (Major Depressive Disorder) is introduced with uncontrolled hypertension, high blood sugar and cushingoid appearance in the result of high dose exogenous steroids injections secretly and without a prescription. She was interested in hospitalization by inducing hypertension crisis and hyperglycemia. Exogenous Cushing Syndrome was diagnosed according to laboratory findings and patient history during admission. Finally, Cushing Syndrome gradually improved over the months by psychotherapy and treatment with antidepressant drugs.

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“…The DSM-IV-TR requires that the following three criteria be met for the diagnosis of factitious disorder: (1) intentional production or feigning of physical or psychological signs or symptoms, (2) motivation for the behavior is to assume the sick role, and (3) absence of external incentives for the behavior (such as economic gain, avoiding legal responsibility, or improving physical well-being, as in malingering) [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Factitious disorders are rare: less than 1% of patients [ 1 ]. The criteria for the diagnosis of factitious disorders are found in the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition, Text Revision (DSM-IV TR) [ 2 ]. Isolated subcutaneous limb emphysema secondary to Munchausen syndrome is a rare entity [ 3 , 4 ], and it may have adverse consequences on the limb and patient prognosis, leading to aggressive treatments.…”

Section: Introductionmentioning

confidence: 99%

Munchausen syndrome revealed by subcutaneous limb emphysema: a case report

et al. 2015

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IntroductionLimb subcutaneous emphysema secondary to a Munchausen syndrome represents a rare and severe entity because it involves the functional prognosis of the limb and vital prognosis of the patient.Case presentationWe report the case of an 18-year-old Moroccan woman patient who presented to our hospital with a subcutaneous emphysema of the shoulder girdle and the right arm, caused by our patient. Treatment was aggressive, with a wide surgical debridement, parenteral antibiotic therapy and hyperbaric oxygen therapy. The results have been favorable.ConclusionsThe correlation of anamnestic data and clinical and para-clinical exams were essential for the diagnosis of Munchausen syndrome in this case. In this regard, we report a rare case of subcutaneous limb emphysema secondary to Munchausen syndrome.

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Bloody tears: A rare presentation of munchausen syndrome case report and review

Cited by 14 publications

References 17 publications

Haemlacria

Haemlacria

A Case of Munchausen Syndrome Presenting as a Cushing Syndrome in a Patient with Major Depressive Disorder

Munchausen syndrome revealed by subcutaneous limb emphysema: a case report

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