Factitious ulcers are characterized by self-inflicted lesions with multifactorial origin. These lesions are frequently found in head, neck, and hands. This report shows a 6-year-old boy diagnosed with factitious oral ulcers that occurred after the self-biting of buccal vestibule and nail-scratching of gingival tissue. Clinically, a significant swelling was observed, hard on palpation, located a...

The management of Munchausen syndrome is fraught with complexities related to legality, ethics, and its inherent nature. An illustrative case of factitious aortic dissection is presented as well as a review of the literature for the management Munchausen syndrome, which includes strategies reported to be effective. Management of Munchausen syndrome requires a high index of suspicion, a good his...

Clinical history and inappropriate insulin secretion during hypoglycemic episodes permit the diagnosis of hyperinsulinism. We report 2 cases of factitious hyperinsulinism leading to partial pancreatectomy. Case 1 was an 8-year-old girl who presented with severe hypoglycemia and elevated insulin and C-peptide levels. Catheterization of pancreatic veins was performed to localize the excess insuli...

Hypoglycaemia presents important diagnostic and therapeutic problems. Severe and repetitive hypoglycaemic episodes without treatment may be difficult to explain. Failure to identify factitious hypoglycaemia may lead to laparotomy or pancreatectomy [1, 2]. To estimate the prevalence of factitious hypoglycaemia due to sulphonylurea drugs in patients with unexplained severe hypoglycaemia, we condu...

Dissociative disorders (DD) are described and defined both in the diagnostic system of the American Psychiatric Association (DSM IV-R) and in the World Health Organization (ICD 10). Regarding the particular case of cognitive processes related to memory, it is possible that memories are not integrated properly, resulting in a condition called "dissociative amnesia" (DA). This illness has been de...

Fourteen children from seven families are reported for whom false allegations of abuse were made by the mother. Twelve children were alleged to have incurred sexual abuse, one both sexual and physical abuse, and one physical abuse alone. Thirteen of the children had incurred, or were currently victims of, factitious illness abuse invented by the mother. The one child with no history of factitio...