title: [Factitious disorder and self-mutilation in hand and plastic surgery].
abstract: Self-mutilation in the context of factitious disorder can lead to prolonged and complicated treatment in every medical field. Because of a prevalence of 1-5% in hospitalised patients, it is important to be aware of this disorder to protect patients from self- and foreign-induced harm. Often the patient history gives important hints. The different manifestations of this disorder, the specific doctor-patient relationship, several techniques of confrontation and current treatment are presented. Clinical cases from the fields of hand and plastic surgery are presented.
authors.affiliation: Kantonsspital Winterthur, Klinik für Hand- und Plastische Chirurgie, Winterthur, Schweiz. julia.sproedt@ksw.ch
authors.forename: J
authors.initials: J
authors.lastname: Sproedt
authors.forename: A
authors.initials: A
authors.lastname: von Campe
authors.forename: M
authors.initials: M
authors.lastname: Bonaccio
authors.forename: J G
authors.initials: JG
authors.lastname: Grünert
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005162:Factitious Disorders / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology; D005260:Female; D006225:Hand / Q000601:surgery*; D006230:Hand Injuries / Q000523:psychology / Q000601:surgery*; D006801:Humans; D009110:Munchausen Syndrome / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology / Q000601:surgery*; D016735:Munchausen Syndrome by Proxy; D010348:Patient Care Team; D010817:Physician-Patient Relations; D011183:Postoperative Complications / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology; D019651:Plastic Surgery Procedures; D012019:Reflex Sympathetic Dystrophy / Q000175:diagnosis* / Q000523:psychology / Q000601:surgery*; D012652:Self Mutilation / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology / Q000601:surgery*; D055815:Young Adult