INTRODUCTION Factitious cheilitis is a chronic condition characterized by crusting and ulceration that is probably secondary to chewing and sucking of the lips. Atopy, actinic damage, exfoliative cheilitis, cheilitis granulomatosa or glandularis, contact dermatitis, photosensitivity reactions and neoplasia should be considered in the differential diagnosis of crusted and ulcerated lesions of th...

The Munchausen's syndrome (MHS) is a rare psychiatric disorder classified among the self-manipulated diseases. Incidence of Munchausen syndrome peaks in young-to-middle-aged adults, but it has been reported in patients of all ages (ie, childhood through advanced age). Diagnosing Munchausen syndrome is very difficult, but early diagnosis could to a considerable extent prevent the iatrogenic risk...

Factitious disorders are defined as acts of self-harm that directly or indirectly result in clinically-relevant injury. They are typically performed in secret and without direct intention of suicide (1, 2). The patient’s initial goal is hospital admission and receiving medical treatment to confirm the severity of their state (3). Current prevalence ranges of factitious disorders is between 0.05...

this case report describes a 34-year-old female patient who suffered from chronic vomiting. different diagnostic and therapeutic procedures were noncontributory. ëventually, psychiatric interviews specified that she has a dependent, self-hurting and attention-seeking personality. she wanted to assume the “sick role”. malingering and conversion disorder were ruled out and münchausen’s syndrome w...