Triparesis: an unusual presentation of factitious disorder

Abstract

Factitious disorder (FD) has diverse presentations but neurological presentation is unusual. In this report, we discuss a case of FD who presented with triparesis, that is, weakness of both lower limbs and right upper limb. Diagnosis of FD was made after detailed clinical evaluation, review of past medical records that revealed extensive evaluation to rule out physical illness, and inability to find any associated stressful event or material gain associated with illness. Management was largely supportive and was based on psychotherapy. Identification of FD depends on a high index of suspicion by the physician and the presence of atypical and medically unexplainable signs/symptoms.

Epistaxis: An Unusual Presentation of Factitious Disorder

“…In addition to clinical manifestations in this patient, i.e. epistaxis and fever as rare manifestations of factitious disorder, the disorder is manifested by symptoms such as neurological disorders, hypertension, skin rashes, hemoptysis, hematuria, and hypoglycemia (12)(13)(14)(15)(16)(17).…”