Prakash Jyoti, Das R C, Srivastava K, Patra P, Khan S A, Shashikumar R
Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India.
Department of Psychiatry, Base Hospital Delhi, Delhi, India.
Ind Psychiatry J. 2014 Jan;23(1):68-70. doi: 10.4103/0972-6748.144975.
Munchausen syndrome is rare factitious disorder which entails frequent hospitalization, pathological lying and intentional production of symptoms for sick role. Management requires collateral history taking, sound clinical approach, exclusion of organicity and addressing psychological issues. A case which presented with unusual symptoms of similar dimension is discussed here. The case brings out finer nuances in evaluation and management of this entity.
孟乔森综合征是一种罕见的做作性障碍,其特征包括频繁住院、病理性说谎以及故意制造症状以扮演患者角色。治疗需要获取旁证病史、采用合理的临床方法、排除器质性病变并解决心理问题。本文讨论了一个出现类似异常症状的病例。该病例揭示了对这一病症进行评估和治疗时更为细微的差别。