Munchausen syndrome: A differential diagnostic trap for hand surgeons.
A 24-year-old woman was referred with an extremely painful, stiff, swollen, and hypersensitive right upper extremity. She had history of four previous operations on the same extremity. The primary diagnosis was complex regional pain syndrome. During the next few days her symptoms worsened and she developed fever. It was discovered that the patient was preheating more than one thermometer and was intentionally injuring herself. The final diagnosis was Munchausen syndrome.
Zibis
Aristidis H
AH
Department of Orthopaedic Surgery, University of Thessalia, Larissa, Greece.
Dailiana
Zoe H
ZH
Papaliaga
Maria N
MN
Vrangalas
Vasileios A
VA
Mouzas
Odysseas D
OD
Malizos
Konstantinos N
KN
D003937:Diagnosis, Differential; D005260:Female; D005542:Forearm / Q000601:surgery*; D006225:Hand / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D009110:Munchausen Syndrome / Q000175:diagnosis*; D019637:Orthopedic Procedures / Q000379:methods / Q000706:statistics & numerical data*; D010148:Intractable Pain / Q000175:diagnosis* / Q000209:etiology; D012086:Reoperation; D018570:Risk Assessment; D016896:Treatment Outcome; D055815:Young Adult