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A Simple Non-invasive Method for Temporary Knockdown of Upper Limb Proprioception
Published on: March 3, 2018
[Pathomimia in upper limb]
Riadh Maalla1, Hichem Bensalma, Lamia Hamdi
1Service de chirurgie de Monastir, SOS Main Hopital Fattouma Bourguiba, Monastir.
Abstract:
Pathomimia, or factitious disorders, are characterized by producing symptoms voluntarily with the intention of playing the role of the patient. Inspite of being considerd as a psychatric disorder, pathomimuia is often encountered in the daily professional life of doctors without being recognized or diagnosed. There are various clinical aspects of pathomimia. The items that decide the orientation of the diagnosis are essentially the uncommon and odd expression of the reported symptoms, A capricious evolution as well as the multiplicity of the past medical cases. We report a group of five patients who were followed and treated between the years 2000 and 2003. This group was composed of three men and two women with an average age of 30 years. In three cases, we found the notion of skin injury. In one case, we noted a median nerve lesion in the elbow and once in the right upper member. The evolution was performed towards recidives of the initial symptomatology with more or less long periods of improvements.
Insights
Pathomimia, or factitious disorders, involves intentionally producing symptoms to assume the patient role. This psychiatric disorder is often overlooked in daily medical practice, despite its distinct diagnostic indicators.
Area of Science:
- Psychiatry
- Psychosomatic Medicine
Background:
- Factitious disorders, known as pathomimia, involve the voluntary production of physical or psychological symptoms.
- Despite being a recognized psychiatric condition, pathomimia is frequently misdiagnosed or overlooked in clinical settings.
Observation:
- The study observed five patients (3 males, 2 females, average age 30) between 2000-2003.
- Key diagnostic indicators included unusual symptom presentation, fluctuating disease course, and a history of multiple medical issues.
- Three cases involved self-inflicted skin injuries, and two presented with median nerve lesions.
Findings:
- Patients with pathomimia often exhibit complex and atypical symptoms.
- The condition is characterized by recurrent episodes, with periods of remission and relapse.
- Diagnostic challenges arise from the intentional simulation of illness and varied clinical manifestations.
Implications:
- Increased awareness and recognition of pathomimia are crucial for accurate diagnosis.
- Understanding the unique clinical features can improve patient management and reduce unnecessary medical interventions.
- Further research is needed to develop effective therapeutic strategies for factitious disorders.
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