Courtin C, Mathieu L, Rongiéras F, Bertani A, Chauvin F
Service de Chirurgie Orthopédique et Traumatologique, Hôpital D'instruction des Armées Desgenettes, 108 Boulevard Pinel, 69275 Lyon Cedex 03, France.
Chir Main. 2013 Sep;32(4):251-4. doi: 10.1016/j.main.2013.05.001. Epub 2013 May 29.
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.
作者报告了一名患有手部肿胀综合征的前吸毒成瘾患者上肢做作性障碍的一种原始临床表现。慢性自我造成的溃疡呈相继出现。患者承认故意自我伤害并将焦虑转移到手上，手部外观已变得无法忍受。手部肿胀综合征与共病的精神病和重度抑郁症并存，这解释了尽管使用了合适的药物治疗和长期心理治疗，溃疡仍立即复发。
