title: [Comorbid puffy hand syndrome and factitious disorders: an unusual association with poor prognosis].
abstract: The authors report an original clinical presentation of factitious disorders of the upper extremity in an ex-drug-addict patient with puffy hand syndrome. Chronic self-inflicted ulcerations appeared with sequential manner. The patient confessed deliberate self-harm and transfer of anxiety on his hands, the aspect of which had become intolerable. Association of puffy hand syndrome with comorbid psychosis and major depression explained immediate recurrence of ulcerations despite fitted medication and long-term psychotherapy.
authors.affiliation: Service de Chirurgie Orthopédique et Traumatologique, Hôpital D'instruction des Armées Desgenettes, 108 Boulevard Pinel, 69275 Lyon Cedex 03, France.
authors.forename: C
authors.initials: C
authors.lastname: Courtin
authors.forename: L
authors.initials: L
authors.lastname: Mathieu
authors.forename: F
authors.initials: F
authors.lastname: Rongiéras
authors.forename: A
authors.initials: A
authors.lastname: Bertani
authors.forename: F
authors.initials: F
authors.lastname: Chauvin
mesh_terms: D005162:Factitious Disorders / Q000150:complications*; D006225:Hand / Q000473:pathology; D006801:Humans; D008209:Lymphedema / Q000139:chemically induced / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000150:complications* / Q000209:etiology; D015819:Substance Abuse, Intravenous / Q000150:complications; D013577:Syndrome; D013997:Time Factors; D034941:Upper Extremity / Q000473:pathology
keywords: Depression; Drug addiction; Dépression; Factitious disorder; Psychose; Psychosis; Puffy hand syndrome; Syndrome des grosses mains; Toxicomanie; Troubles psychogènes