Reich E, Kajosh H, Verbanck P, Kornreich C
Service de Psychiatrie, C.H.U. Brugmann.
Rev Med Brux. 2013 Nov-Dec;34(6):485-90.
Munchausen's syndrome is classified as a chronic factitious disorder with predominant physical signs and symptoms. Several symptoms are specific to this disorder, such as travelling and pseudologia fantastica. Others symptoms, such as multiple physical complaints with no organic substrate, are shared with somatoform disorders. We report a case showing how difficult it is to diagnose a Munchausen syndrome. We discuss also the opportunity to classify such a syndrome as a factitious disorder. Indeed, several authors suggest classifying Munchausen syndrome as a subtype of somatoform disorders, as those two disorders share a lot of characteristics.
孟乔森综合征被归类为一种以主要身体体征和症状为主的慢性做作性障碍。该障碍有几种特定症状，如四处游历和虚构症。其他症状，如无器质性病变基础的多种身体不适，则与躯体形式障碍相同。我们报告一例病例，展示了孟乔森综合征诊断的困难程度。我们还讨论了将该综合征归类为做作性障碍的可能性。的确，一些作者建议将孟乔森综合征归类为躯体形式障碍的一个亚型，因为这两种障碍有许多共同特征。
