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Related Experiment Videos

Munchausen's syndrome simulating reflex sympathetic dystrophy.

J Rodriguez-Moreno1, J M Ruiz-Martin, L Mateo-Soria

  • 1Rheumatology Service, Hospital de Bellvitge, Barcelona, Spain.

Annals of the Rheumatic Diseases
|December 1, 1990
PubMed
Summary

A rare case of Munchausen's syndrome mimicked reflex sympathetic dystrophy in a 15-year-old girl. Self-induced symptoms presented as hand pain, swelling, and fever, highlighting diagnostic challenges.

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Area of Science:

  • Pediatric Medicine
  • Psychosomatic Medicine
  • Radiology

Background:

  • Reflex sympathetic dystrophy (RSD) presents with pain, swelling, and bone changes.
  • Diagnostic challenges arise when symptoms are atypical or unexplained.

Observation:

  • A 15-year-old girl presented with four months of left hand pain, edema, and fever.
  • Radiography showed marked demineralization, and bone scans revealed increased articular uptake, mimicking RSD.

Findings:

  • Extensive investigations and surgical explorations were performed.
  • The patient was diagnosed with Munchausen's syndrome after self-induction of symptoms was discovered.

Implications:

  • This case highlights the importance of considering factitious disorders in complex presentations.

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  • Understanding this presentation may offer insights into the pathophysiology of reflex sympathetic dystrophy signs.