Munchausen syndrome mimicking psychiatric disease with concomitant genuine physical illness

Almeida, Jaime; Silva, Joaquim Alves da; Xavier, Miguel; Gusmão, Ricardo

doi:10.1136/bcr.07.2010.3142

Cited by 8 publications

(5 citation statements)

References 9 publications

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“…On the contrary, the lack of necessary examination and treatments, caused by his inability to follow a proper therapeutic plan, probably contributed to his early death, due to a cardiac complication. As in a previously described case, also in this case we believe a genuine organic illness probably coexisted with mimicked physical disorders, but our patient, due to the psychiatric disorder, did not permit us to correctly evaluate and treat it.…”

Section: Discussionmentioning

confidence: 46%

Early death in Munchausen syndrome: A case report

Lorenzo

Lannocca

Burattini

et al. 2019

Clinical Case Reports

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Section: Discussionmentioning

confidence: 46%

Early death in Munchausen syndrome: A case report

Lorenzo

Lannocca

Burattini

et al. 2019

Clinical Case Reports

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“…Therefore, in the management of FD, it is also essential to rule out other psychiatric differentials like malingering, monosymptomatic delusional disorders, illness anxiety behavior, psychotic disorders like schizophrenia, alexithymia, transient aphasia, and Broca's aphasia because they share some of the characteristic features of FD (3). Other similar diagnoses to consider during assessments are conversion disorder, somatization disorders, and true organic medical conditions (31). Managing patients with FD require a high index of suspicion especially if the signs and symptoms are not consistent with items of phenomenology documented in the recognized manuals vis-à-vis Diagnostic and statistical manual (DSM) and international classification of Disease (ICD).…”

Section: Discussionmentioning

confidence: 99%

“…The prognosis is poor when FD co-occurs with other psychiatric disorders like depression, anxiety, substance abuse, conversion symptoms, being in the medical profession, and malingering (30,31). It is worth mentioning that FD and depression may share the same aetiological factors (32), like childhood trauma or neglect (33,34), parental failures (35), marital difficulties (10), substance abuse (36), and stressful life events (37).…”

Section: The Prognosis Of Factitious Disordermentioning

confidence: 99%

Insights into the clinical profile and comorbidities of Factitious Disorder in a multispecialty setting in southwest Nigeria: A cases series and review

Fasesan

AWOKOYA

2022

Babcock Univ. Med. J.

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Background: Factitious disorder (FD) is an under-recognized and under-diagnosed mental condition. Healthcare professionals often have challenges to diagnose and treating the disorder. As a result, needless and endless medical resources are recommended to assess and evaluate those affected. FD may present as a physical condition, a psychological disorder, or maybe both depending on the prominent symptoms. However, there is a strong correlation between having FD and psychiatric symptoms. Main Text: FD occurs in early adulthood, with a mean age of onset of 25 years in both genders, although with differing demographic features. The lifetime prevalence of FD imposed on oneself in clinical settings is 1.0%, 0.1% in the overall population (ranging between 0.007% and 8.0%) and occurs more in female health care professionals. FD may make up 0.6%–3.0% of psychiatric referrals, and it accounts for 3-5% of doctor-patient contacts. In actuality, 1-2% of hospital admissions and an average of 6-8% of all psychiatric admissions have been underreported. The study aimed to highlight the signs and symptoms of FD identified in a psychiatry department of a multispecialty center and to increase the awareness of health practitioners. A critical review of the literature was done with an emphasis on psychological symptoms. PubMed, Mendeley, and Google Scholar were thoroughly searched and full-text publications of journals from 2010-2021 were included. Conclusion: FD is a diagnostic puzzle that necessitates adequate, prompt medical attention as well as social support because of the potentially fatal consequence. A stronger patient-therapist relationship can strengthen the patient's conscious self-control to minimize the symptoms; therefore the healthcare provider has to be open-minded. For the diagnostic enigma to be removed and for ease of treatment, additional research, increasing awareness among medical professionals and the general public, accurate evaluation, diagnosis, and psychotherapy should be encouraged. These case studies will contribute to the knowledge base of FD and improve the quality of care.

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“…The most important factors affecting the prognosis of these patients are early recognition of disease, psychiatric referral, and the presence of depression or personality disorder [ 7 ]. The management of Munchausen syndrome is also very challenging and includes a great deal of tolerance on the part of the physician and requires a strengthened patient-therapist alliance to develop the patient's conscious self control to minimize the feigned illness symptoms [ 8 ]. Reports of the successful treatment of such syndromes are limited and many emphasize the importance of the therapist-physician alliance.…”

Section: Discussionmentioning

confidence: 99%

A Case of Munchausen Syndrome Presenting with Hematemesis: A Case Report

Aadil¹,

Faraz²,

Anwar³

et al. 2017

Cureus

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Munchausen syndrome (MS) was first reported in 1951 by Richard Alan John Asher as a factitious disorder. It is a condition in which the patient intentionally produces symptoms to assume a sick role and gain medical attention. Underdiagnosis of this disorder results in the unnecessary use of medical resources, i.e. unnecessary medical tests and evaluations. This makes it one of the most challenging diagnosis in any medical set up. We present this rare case of a patient with chronic factitious disorder who presented to the emergency with hematemesis. The patient was successfully treated with psychotherapy with no recurrence. It is the need of the hour to create awareness amongst the medical and nonmedical population about factitious disorders so that they can easily be diagnosed and treated with efficiency. Further research is needed to find the risks leading to this syndrome and discover the cultural and social aspects of this disease, which may help us explore treatment strategies and avoid unnecessary tests and treatment.

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Munchausen syndrome mimicking psychiatric disease with concomitant genuine physical illness

Cited by 8 publications

References 9 publications

Early death in Munchausen syndrome: A case report

Early death in Munchausen syndrome: A case report

Insights into the clinical profile and comorbidities of Factitious Disorder in a multispecialty setting in southwest Nigeria: A cases series and review

A Case of Munchausen Syndrome Presenting with Hematemesis: A Case Report

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