Bensler J Mike, Paauw Douglas S
Division of General Internal Medicine, Department of Medicine, University of Washington Medical Center, Seattle, WA 98195-6420, USA.
South Med J. 2003 Jul;96(7):674-6. doi: 10.1097/01.SMJ.0000078367.94479.B9.
We report a case of apotemnophilia, or "love of amputation," in a man in his mid-20s. Apotemnophilia is defined as self-desired amputation driven by the patient's erotic fantasy of possessing an amputated limb and overachieving despite being handicapped. The desire of a patient with apotemnophilia for amputation is obsessive, and a history of repeated, unexplained injuries to the same segment of the body is common among these patients. Patients with apotemnophilia secretly harm themselves to necessitate amputation of an injured limb, which creates a diagnostic challenge for the health care provider because of the atypical presentation of self-inflicted medical morbidity caused by apotemnophilia.
我们报告了一例发生在一名25岁左右男性身上的截肢癖，即“对截肢的喜爱”。截肢癖的定义是，患者受拥有截肢肢体的性幻想驱使，渴望自我截肢，且尽管有残疾却渴望有非凡表现。截肢癖患者对截肢的渴望是强迫性的，这类患者身上常见反复出现、原因不明的身体同一部位受伤史。截肢癖患者会暗自伤害自己，以使受伤肢体不得不被截肢，这给医护人员带来了诊断难题，因为截肢癖导致的自我造成的医疗疾病表现并不典型。
