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Related Experiment Videos

[Subcutaneous emphysema in a borderline patient].

P Brasseur1, R Peché, F Sukkarieh

  • 1Service d'Imagerie Médicale, CHU André-Vésale, B-6110 Montigny-le-Tilleul, Belgique. pierre.brasseur@chu-charleroi.be

Revue De Pneumologie Clinique
|September 18, 2003
PubMed
Summary

This case report details a 31-year-old woman with self-induced pneumoparotitis and emphysema, who simulated asthma attacks. The patient

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Area of Science:

  • Medical Case Reports
  • Pulmonology
  • Psychiatry

Background:

  • Pneumoparotitis, or air in the salivary glands, is rare.
  • Self-induced conditions can present complex diagnostic challenges.
  • Factitious disorders, like Munchausen's syndrome, involve intentional symptom production.

Observation:

  • A 31-year-old woman presented with bilateral pneumoparotitis, cervical and facial subcutaneous emphysema, and limited pneumomediastinum.
  • The patient exhibited symptoms mimicking asthma attacks.
  • She had a history of multiple hospitalizations and automutilations.

Findings:

  • The clinical presentation was consistent with Munchausen's syndrome.
  • The patient intentionally produced physical symptoms, including self-induced pneumoparotitis.

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  • Diagnosis involved differentiating simulated symptoms from genuine medical conditions.

    • Implications:

    • Highlights the importance of considering factitious disorders in complex presentations.
    • Emphasizes the need for thorough diagnostic evaluation to identify intentional self-harm.
    • Discusses management strategies for patients with Munchausen's syndrome and associated physical symptoms.