Munchausen's syndrome simulating reflex sympathetic dystrophy.

Abstract:

:A 15 year old girl who had pain, oedema of her left hand, and fever of four months' duration is described. Marked demineralisation of her hand was shown by radiography, and increased articular uptake by technetium-99m bone scan. All these changes were indistinguishable from reflex sympathetic dystrophy. After two admissions to hospital and multiple explorations we discovered that she had induced her symptoms herself and a diagnosis of Munchausen's syndrome was made. As far as we know this presentation has not been previously reported and might help to explain the physiopathology of some signs of reflex sympathetic dystrophy.

journal_name

Ann Rheum Dis

authors

Rodriguez-Moreno J,Ruiz-Martin JM,Mateo-Soria L,Rozadilla A,Roig-Escofet D

doi

10.1136/ard.49.12.1010

subject

Has Abstract

pub_date

1990-12-01 00:00:00

pages

1010-2

issue

12

eissn

0003-4967

issn

1468-2060

journal_volume

49

pub_type

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