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- Title
Kronik Ağrı Yakınması Olan ve Osteomiyelit Belirtileriyle Kendini Gösteren Bir Yapay Bozukluk Olgusu.
- Authors
Şahin, Selda; Kaya, Burhanettin
- Abstract
Factitious Disorder (FD) is characterized by physical or psychological symptoms that are intentionally produced or feigned in order to assume the sick role. External incentives for the behaviour are absent. The patients with this syndrome may visit several hospitals feigning acute, usually spectacular illnesses. They may undergo multiple dangerous operations for diagnostic and therapeutic reasons. Because FD's secretive nature thwarts traditional epidemiological research, the incidence and prevalence of FD with predominantly physical symptoms are unknown and case series are an invaluable data source for it. In the presenting case presence of the following factors raised the possibility that the patient has factitious disorder with physical symptoms according to DSM IV-TR criteria: no change or fluctuation of the course of the "illness" despite treatment, to be disposed to get medical help, prone to explain the symptoms, long medical record with multiple admissions at various hospitals, willing to undergo painful or risky tests and operations. The goal of the physician is early recognition of the psychiatric condition. A high index of suspicion is needed for correct diagnosis and care. Early detection and treatment of the cases is essential to prevent the risk of harm. However, when FD is missed or untreated, it can become a chronic syndrome that is expensive and potentially dangerous. In literature, no clearly effective treatments are present and it is emphasized that the prognosis is bad.
- Subjects
FACTITIOUS disorders; OSTEOMYELITIS; CHRONIC pain; PSYCHOLOGY of the sick
- Publication
Klinik Psikiyatri Dergisi, 2009, Vol 12, Issue 3, p147
- ISSN
1302-0099
- Publication type
Case Study