We report a case of factitious dermatitis in a 17 year female student who presented with recurrent pain .swelling and subcutaneous crepitations of the forearm. A thorough investigation was done. Full blood count, erythrocyte sedimentation rate was normal. Plain radiographs revealed the presence of subcutaneous emphysema. MRI showed similar findings and revealed normal muscles. Colonoscopy and O...

Children with cerebral palsy are at greater risk of a whole range of oral conditions than their peers. These include bruxism (tooth grinding), oral skill dysfunction, gross malocclusion due to effects of the abnormal orofacial muscle tone on tooth eruption, drooling of saliva, and poor oral hygiene. A challenging case of a painful buccal lesion in a 2 year old girl with cerebral palsy (CP) that...

OBJECTIVES Some patients attempt to conceal human bites with factitious mechanisms of injury. Follow up questioning allows patients to modify their histories. This practice was prospectively audited. METHODS Patients with cutaneous wounds who did not present with a history of human bite were asked a follow up question. Those who then gave a history of human bite were noted. RESULTS Certain ...

BACKGROUND We describe the first case of a patient with factitious disorder who closely simulated a primary immune deficiency disorder - Common Variable Immune Deficiency (CVID), by surreptitiously ingesting non-steroidal anti-inflammatory agents. CASE DESCRIPTION He was treated with several expensive and potentially dangerous drugs before the diagnosis was established through collateral info...

This article examines the practice of producing factitious gems as described in Nityanātha’s Jewel Mine Mercury (Rasaratnākara), a thirteenth to fifteenth-century alchemical work written Sanskrit. It queries how this fits within Indian discipline and explores its possible connections with other artisinal crafts.

sensitive as to resent the slightest irritation, appears, perhaps, more surprising than that the gastric mucous membrane should occasionally be subject to intense excitement at the presence of various articles of food. We seem to expect the skin to resist pressure and irritation as one of its functions, and are therefore surprised when the phenomena of factitious urticaria occur. There is no do...

The authors surveyed physicians for frequency estimates of factitious disorder among their patients. Twenty-six physicians in independent practice and 83 senior hospital consultants in internal medicine, surgery, neurology, and dermatology participated. They completed a questionnaire including the estimated 1-year prevalence of factitious disorder among their patients. Frequency estimates avera...

Few phenomena in medicine are more confounding than the diagnoses involving deception: malingering, Munchausen syndrome, Munchausen by proxy (MBP), and factitious disorder (Table 1). Physicians rely on patient reports of symptoms as a starting point for evaluation and treatment planning. They expect to be able to trust their patients' reports. When they are misled, deliberately or inadvertently...

Factitious Disorder Imposed on Another (FDIA), termed a psychiatric “Factitious disorder by proxy”, compels individuals to solicit unnecessary medical interventions or commit abuses another, almost always child in their care. A recent phenomenon is that of with FDIA using social media such as blogs and online support groups perpetuate abuse, while garnering sympathy from others who access these...