[Secretan's syndrome: myth or pathomimia?]

Area of Science:

• Vascular Medicine
• Dermatology
• Psychiatry

Background:

• Secretan's syndrome is a rare condition characterized by hard edema on the dorsal hand, typically following trauma.
• The etiology is poorly understood, with factitious trauma frequently suspected.

Observation:

• A case report details a 42-year-old woman with unexplained hand edema and pain, unresponsive to extensive imaging.
• Diagnostic challenges arise from the atypical presentation and the exclusion of organic causes.

Findings:

• The diagnosis of Secretan's syndrome was established based on clinical presentation and the exclusion of other conditions.
• Three forms—benign, hyperplastic, and mixed—have been described, with pathomimia suggested as a cause.

Implications:

• Secretan's syndrome may be underdiagnosed due to its rarity and complex diagnosis.
• Increased physician awareness, particularly in vascular medicine, is crucial for timely diagnosis and management.
• Treatment may involve physiotherapy and psychological support.