title: The psychotic mummified hand: an unusual hand injury complication.
abstract: The authors report the case of a patient with psychotic symptoms secondary to a posttraumatic stress disorder following a work-related hand injury. The somatic presentation was a "mummified" hand neglected for several years in a splint without any care. The psychiatric analysis concluded that this was part of a delusion of persecution expressing a conflict against the patient's employer and insurance company. Surgical treatment was limited to a hand cleaning with hardware removal. Despite 3 years of antipsychotic medication the patient was still suffering from delusion and the hand remained neglected at the last follow-up.
authors.affiliation: Hand Surgery Unit, Orthopaedics and Trauma Department, Paris-Descartes University, Sorbonne Paris-Cité, Georges-Pompidou European Hospital (HEGP), AP-HP, 20, rue Leblanc, 75908 Paris cedex 15, France.
authors.forename: L
authors.initials: L
authors.lastname: Mathieu
authors.affiliation: Department of psychiatry, Paris-Descartes University, Sorbonne Paris-Cité, Georges-Pompidou European Hospital (HEGP), AP-HP, 20, rue Leblanc, 75908 Paris cedex 15, France.
authors.forename: E
authors.initials: E
authors.lastname: Guillibert
authors.affiliation: Hand Surgery Unit, Orthopaedics and Trauma Department, Paris-Descartes University, Sorbonne Paris-Cité, Georges-Pompidou European Hospital (HEGP), AP-HP, 20, rue Leblanc, 75908 Paris cedex 15, France.
authors.forename: W
authors.initials: W
authors.lastname: Mamane
authors.affiliation: Hand Surgery Unit, Orthopaedics and Trauma Department, Paris-Descartes University, Sorbonne Paris-Cité, Georges-Pompidou European Hospital (HEGP), AP-HP, 20, rue Leblanc, 75908 Paris cedex 15, France. Electronic address: emmanuel.masmejean@egp.aphp.fr.
authors.forename: E H
authors.initials: EH
authors.lastname: Masmejean
mesh_terms: D000328:Adult; D003865:Major Depressive Disorder / Q000209:etiology*; D006230:Hand Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D011618:Psychotic Disorders / Q000209:etiology*; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology*
keywords: Depression; Dépression; Hand injury; Posttraumatic stress disorder; Psychose; Psychosis; Syndrome de stress post-traumatique; Traumatisme de la main