[Recurrent metabolic encephalopathy, self-administered gastric lavage and Munchausen syndrome].
A case report of recurrent metabolic encephalopathy with disorders of hydro-electrolytic balance, predominantly severe hypochloremic alkalosis, resulting from self-induced vomiting and self-administered gastric tubage and lavage. Munchausen syndrome was diagnosed. Some established characteristics of this syndrome as well as some atypical features concerning patient-doctor relationship and natural history are discussed.
Strobel
M
M
Service de médecine B, CHGI, Basse-Terre, France.
Chevallier
J
J
de la Vareille
B
B
Lacave
J
J
Real
J L
JL
D001928:Brain Diseases, Metabolic / Q000209:etiology*; D005751:Gastric Lavage; D006801:Humans; D008297:Male; D008875:Middle Aged; D009110:Munchausen Syndrome / Q000175:diagnosis*; D012008:Recurrence; D012646:Self Administration; D014839:Vomiting / Q000209:etiology; D014883:Water-Electrolyte Imbalance / Q000209:etiology
Encéphalopathie métabolique à rechutes, autolavages gastriques et syndrome de Munchausen.