title: [Artifactual illness in plastic surgery].
abstract: The therapy of factitious disorders is a challenge for the treating surgeon. Only a clear understanding of the underlying causes and a good doctor-patient relationship make a successful outcome possible. Discussion about a confrontation of the patient with the diagnosis and the best made of treatment is still in progress. Early diagnosis and the cooperation between surgeons and psychiatrists are the most important parts of dealing with factitious disorders. This article gives an overview of symptoms and therapies. Six case reports demonstrate possibilities of the disorder's appearance.
authors.affiliation: Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Otto-von-Guericke Universität, Magdeburg.
authors.forename: O
authors.initials: O
authors.lastname: Frerichs
authors.forename: H
authors.initials: H
authors.lastname: Fansa
authors.forename: W
authors.initials: W
authors.lastname: Schneider
mesh_terms: D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D005162:Factitious Disorders / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D012008:Recurrence; D012086:Reoperation; D012652:Self Mutilation / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*; D016038:Skin Transplantation / Q000523:psychology; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*
vernacular_title: Die Artefaktkrankheit in der plastischen Chirurgie.