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[Factitious disorder and self-mutilation in hand and plastic surgery]
J Sproedt1, A von Campe, M Bonaccio
1Kantonsspital Winterthur, Klinik für Hand- und Plastische Chirurgie, Winterthur, Schweiz. julia.sproedt@ksw.ch
Abstract:
Self-mutilation in the context of factitious disorder can lead to prolonged and complicated treatment in every medical field. Because of a prevalence of 1-5% in hospitalised patients, it is important to be aware of this disorder to protect patients from self- and foreign-induced harm. Often the patient history gives important hints. The different manifestations of this disorder, the specific doctor-patient relationship, several techniques of confrontation and current treatment are presented. Clinical cases from the fields of hand and plastic surgery are presented.
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