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[Precocious and polymorphic factitious disorder].

F Limosin1, V Kesseler, J Adès

  • 1Service du Professeur Adès, Centre Hospitalo-Universitaire Louis Mourier, Colombes. frederic.limosin@wanadoo.fr

Presse Medicale (Paris, France : 1983)
|February 24, 2001
PubMed
Summary
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Pathomimia, a mental disorder in women, presents diverse symptoms and a chronic course. This case highlights the broad clinical spectrum of factitious disorders.

Area of Science:

  • Psychiatry
  • Psychosomatic Medicine

Background:

  • Pathomimia is a mental disorder often diagnosed in women, characterized by somatic or psychiatric symptoms and a chronic, complicated course.
  • Factitious disorders encompass a range of conditions where individuals feign or induce illness.

Observation:

  • A 22-year-old female presented with severe factitious disorders, including thermopathomimia, dermopathomimia, self-induced abscesses, and Lasthenie de Ferjol syndrome.
  • The patient exhibited a very early age of onset and a history of 37 surgical operations.

Findings:

  • This case illustrates the significant clinical heterogeneity and multiplicity of presentations within factitious disorders.
  • The co-occurrence of multiple specific factitious disorder subtypes (thermopathomimia, dermopathomimia) is notable.

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Implications:

  • Understanding the clinical multiplicity of factitious disorders is crucial for accurate diagnosis and effective management.
  • This case underscores the importance of considering factitious disorders in patients with complex, unexplained somatic and psychiatric symptoms and a history of extensive medical interventions.