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An unusual case of factitious arthritis

N Samaniah1, J Horowitz, D Buskila

  • 1Department of Medicine A, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

The Journal of Rheumatology
|September 1, 1991
PubMed

Insights

Factitious arthritis, a rare condition, can arise from self-inflicted injuries. This case highlights Munchausen's syndrome presenting as joint inflammation due to inserted foreign objects.

Area of Science:

  • Medicine
  • Psychiatry

Background:

  • Factitious illness is a condition where individuals feign or induce illness for psychological reasons.
  • Factitious arthritis is a rare manifestation of factitious illness, presenting diagnostic challenges.

Observation:

  • A case of factitious arthritis is presented following the self-insertion of needles and metallic paper clip fragments into the knee joint.
  • The patient's presentation mimicked genuine joint pathology, necessitating a thorough investigation.

Findings:

  • The investigation revealed self-inflicted trauma as the cause of the knee joint inflammation.
  • This case exemplifies an unusual presentation of Munchausen's syndrome, a factitious disorder characterized by the intentional production or feigning of physical or psychological symptoms.

Implications:

  • This case underscores the importance of considering factitious disorders in the differential diagnosis of unexplained joint inflammation.
  • Recognizing unusual presentations of Munchausen's syndrome is crucial for appropriate patient management and psychological support.

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