[Factitious torpid skin ulcers. New concepts and classification of chronic factitious disorders].
Chronic factitious disorders are diseases diagnosed after the discarding of organic causes. There are determined diagnostic data which may be suspicious: multiple hospitalization, submission to many invasive techniques and personal situations motivating simulation. The case of a 34 year old woman presenting a factitious disorder with dermal ulcers, subcutaneous abscesses and simulation of hematuria is described. An analysis of the concept and classification of this clinical picture is made. Following diagnostic suspicion, a search for objects or substances with which the patient was able to make the lesions was required to determine the appropriate therapy.
Salgado Nevado
V
V
Servicio de Medicina Interna, Hospital Universitario de Valme, Sevilla.
Mendoza Torres
L
L
Moriñigo Domínguez
A
A
Manzanares Torné
M L
ML
Grilo Reina
A
A
García-Bragado Dalmau
F
F
D000328:Adult; D002908:Chronic Disease; D005162:Factitious Disorders / Q000523:psychology*; D005260:Female; D006801:Humans; D012883:Skin Ulcer / Q000523:psychology*
Ulceras cutáneas tórpidas facticias. Nuevos conceptos y clasificación de los trastornos facticios crónicos.