Article

We report a case of a 29-year-old woman suffering from chronic factitious
disorder (FD) with torsion dystonia. For nearly five years, she traveled widely
over the country, going from one hospital to another, taking serious medical risk
in order to prolong her illness. After several admissions to Rehabilitation Units
and multiple explorations, we find convincing evidence for factitious origin and
the diagnosis of Munchausen syndrome was evoked. Such a clinical presentation is
infrequent in Munchausen's syndrome. Indeed, most often the clinical picture is
characterized by acute abdominal pain, fainting, hemoptysis, precordialgia,
hematemesis or dermatological lesions. Physicians should be aware of this rare
and potentially critical form of FD. Awareness in identifying these patients may
lead to prevent unnecessary medical and/or surgical interventions.

Langue : ANGLAIS

Tiré à part : OUI