title: [Pathomimia and plastic surgery, a case report].
abstract: Pathomimia is defined as a dummy pathology self-induced deliberately and is neither associated with mental confusion nor disturbance of consciousness. This article reports a case of pathomimia in plastic surgery. One of our patients had intentionally injected physiological saline solution into her breast implants in order to increase their volume. Implants removal was necessary because of severe local inflammatory signs. Psychiatric assessment revealed body dysmorphic disorder (BDD) developed on an hysterical personality, which explained the self-induced injuries. This nosologic entity must be promptly identified because it's diagnosis remains problematic and a multidisciplinary medical management is essential.
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main, chirurgie maxillo-faciale, CHU Bocage Central, 14, rue Gaffarel, 21079 Dijon cedex, France. Electronic address: docteur.philippe.rizzi@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Rizzi
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main, chirurgie maxillo-faciale, CHU Bocage Central, 14, rue Gaffarel, 21079 Dijon cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Guillier
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main, chirurgie maxillo-faciale, CHU Bocage Central, 14, rue Gaffarel, 21079 Dijon cedex, France.
authors.forename: L A
authors.initials: LA
authors.lastname: See
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main, chirurgie maxillo-faciale, CHU Bocage Central, 14, rue Gaffarel, 21079 Dijon cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Roche
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main, chirurgie maxillo-faciale, CHU Bocage Central, 14, rue Gaffarel, 21079 Dijon cedex, France.
authors.forename: N
authors.initials: N
authors.lastname: Zwetyenga
mesh_terms: D057215:Body Dysmorphic Disorders / Q000523:psychology*; D018427:Breast Implants; D020878:Device Removal; D005260:Female; D006801:Humans; D007249:Inflammation / Q000139:chemically induced* / Q000601:surgery*; D007267:Injections / Q000009:adverse effects; D016728:Self-Injurious Behavior / Q000150:complications / Q000523:psychology*; D012965:Sodium Chloride / Q000008:administration & dosage / Q000009:adverse effects; D055815:Young Adult
chemical_list: D012965:Sodium Chloride
keywords: Automutilation; Breast implants; Chirurgie esthétique; Dysmorphophobia; Dysmorphophobie; Pathomimia; Pathomimie; Plastic surgery; Prothèses mammaires; Self mutilation