Factitious disorders encountered in patients with the diagnosis of reflex sympathetic dystrophy.
Reflex sympathetic dystrophy (RSD) may be a misdiagnosis or at least not descriptive enough in patients with atypical hand posture and atypical edema. Seven patients with the previous diagnosis of RSD were investigated further because of inconsistent clinical picture with the underlying pathology and bizarre course of the disease. Four patients had clenched fist and three had factitious edema. These seven patients underwent psychological examination, and MMPI was applied to all. In two of these no psychological disorder was obtained according to DSM-IV. One patient could not adapt to MMPI. In two anxiety disorders, in one depression, and in one patient conversion disorder was diagnosed. We suggest that these patients are not motivated enough to improve their conditions and expectations of such patients may show some differences depending on the environment.
Taskaynatan
Mehmet Ali
MA
Department of Physical Medicine and Rehabilitation, Gulhane Military Medical Academy, 06018, Etlik-Ankara, Turkey. matask@gata.edu.tr
Balaban
Birol
B
Karlidere
Tunay
T
Ozgul
Ahmet
A
Tan
Arif Kenan
AK
Kalyon
Tunc Alp
TA
D000328:Adult; D005162:Factitious Disorders / Q000503:physiopathology*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000503:physiopathology; D008889:Military Personnel; D009483:Neuropsychological Tests; D012019:Reflex Sympathetic Dystrophy / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology / Q000523:psychology; D012652:Self Mutilation