Munchausen syndrome: Playing sick or sick player

Prakash, Jyoti; Das, Ratan; Srivastava, Kalpana; Patra, Priyadarshee; Khan, Sarah; Shashikumar, R

doi:10.4103/0972-6748.144975

Cited by 5 publications

(4 citation statements)

References 2 publications

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“…Thus, it is also sometimes known as hospital addiction syndrome, thick chart syndrome, or hospital hopper syndrome. (5) Consistent with the literature, this patient was also fearless about undergoing invasive medical procedures. Besides, it was obvious that she had no secondary gain.…”

Section: Discussionsupporting

confidence: 75%

A Case of Factitious Bleeding: Munchausen’s Syndrome

Oner¹,

Ünlü²,

Solgun³

et al. 2015

jemds

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Munchausen's syndrome is a psychiatric disorder in which patients inflict on themselves an illness or injury for the primary purpose of assuming the sick role. These patients can present with many different complaints and clinical symptoms including self-inflicted bleeding. This report describes a case of lately diagnosed Munchausen's syndrome who presented with hemoptysis and developed hematochezia and hematuria during the hospitalization period. Physicians should always consider this rare disorder in cases presented with bleeding symptoms of unknown origin.

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Section: Discussionsupporting

confidence: 75%

A Case of Factitious Bleeding: Munchausen’s Syndrome

Oner¹,

Ünlü²,

Solgun³

et al. 2015

jemds

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“…[6] Munchausen's syndrome is an uncommon factitious disorder, with patients often lying, intentionally reporting symptoms and frequently being hospitalised with the intent of playing a "sick" role. [2,3] The condition appears to be perpetuated by psychological rather than any quantifiable material gain resulting from the "sick" role and requires early recognition, exclusion of organicity and an empathetic approach to treatment [3] .…”

Section: Discussionmentioning

confidence: 99%

Biochemical munchausen’s - a “baffling” case of recurrent hypokalemia and lactic acidosis - secondary to surreptitious salbutamol abuse in a 36-year-old female

Chen

Ray

Jacobson

et al. 2016

CRIM

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Factitious medical disorders with the well-known eponym of Munchausen's syndrome represent a challenge in both diagnosis and management for the clinician. Here, we report a case of "Biochemical Munchausen's" in a 36-year-old female, characterised by recurrent and multiple presentations with symptomatic hypokalaemia, supraventricular tachycardia and lactic acidosis that required the use of biochemical laboratory expertise and liquid chromatography/mass spectrophotometry to unravel and break the cycle of costly investigations and hopefully contain the risk of potential harm. We also highlight the evolution of various stages of generating factitious illness in this 36-year-old female with the crucial breakthrough being made only by proof of the biochemical exposure through the close collaboration of biochemist and clinicians.

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“…Factitious disorder is challenging for clinicians to diagnose. 3 The following case shows a patient who exhibited a change in his somatic symptoms, which were present for years, to psychiatric symptoms after he was diagnosed with Munchausen's syndrome.…”

Section: Introductionmentioning

confidence: 99%

Changing focus of symptoms: A rare case report of Munchhausen's syndrome

et al. 2017

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Factitious disorder, commonly called Munchhausen's syndrome, is a rare disorder that lacks evidence-based guidelines. Reporting clinical cases is important for sharing clinical experiences and treatment strategies. The symptoms and progression of the following case have not been previously reported in the literature. Here, we report a case involving a 41-year-old Caucasian with a suspected psychosomatic disorder. After intensive multi-professional diagnostics, we concluded that the patient had factitious disorder. The symptoms in this case changed rapidly during treatment, which posed a challenge. For factitious disorder, establishing interdisciplinary exchange is important. Symptoms that are normally treated by internists are most commonly described in the literature. This case demonstrates that psychiatrists are challenged by this diagnosis and should consider the possibility of factitious disorder when seeing patients diagnosed with somatoform disorders. The most important clinical conclusion was the importance of involving the patients' relatives in the treatment of patients with factitious disorder.

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Munchausen syndrome: Playing sick or sick player

Cited by 5 publications

References 2 publications

A Case of Factitious Bleeding: Munchausen’s Syndrome

A Case of Factitious Bleeding: Munchausen’s Syndrome

Biochemical munchausen’s - a “baffling” case of recurrent hypokalemia and lactic acidosis - secondary to surreptitious salbutamol abuse in a 36-year-old female

Changing focus of symptoms: A rare case report of Munchhausen's syndrome

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