Abstract：
:Every doctor can be confronted, during his career, with patients presenting symptoms they created themselves. Because it is easily accessible, the hand is a favored target organ for these self-inflicted injuries. The diagnosis of factitious disorder of the hand is very difficult, rarely suggested and widely under-estimated. The real issue is detecting it early on to develop a cohesive diagnostic and therapeutic approach. The three clinical cases reported in this article illustrate the difficulty of caring for this pathology at all stages, from diagnosis to treatment. These disorders must be distinguished from malingering. A psychiatrist must be part of the treatment team. The prognosis of factitious disorders is poor. It is vital to maintain contact with the patient once the diagnosis is established. The risk is that the patient consults with other professionals, restarting a new cycle. The featured clinical cases were chosen to remind surgeons that factitious disorders of the hand are a recognized psychiatric disease. It must be evoked in the context of an unusual injury with a vague history. Everything possible must be done to confirm the diagnosis and avoid surgery.
journal_name
Hand Surg Rehabiljournal_title
Hand surgery & rehabilitationauthors
Bachy M,Moncany AH,Tournier C,Lievain L,Fitoussi F,Vialle R,Auquit-Auckbur Idoi
10.1016/j.hansur.2017.10.237subject
Has Abstractpub_date
2018-04-01 00:00:00pages
110-113issue
2eissn
2468-1229issn
2468-1210pii
S2468-1229(17)30437-1journal_volume
37pub_type
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journal_title：Hand surgery & rehabilitation
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journal_title：Hand surgery & rehabilitation
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doi：10.1016/j.hansur.2020.10.005
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journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.hansur.2017.02.005
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journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.08.013
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journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,评审
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journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.12.001
更新日期：2019-04-01 00:00:00
