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血泪:孟乔森综合征的罕见表现——病例报告及文献综述

Bloody tears: a rare presentation of munchausen syndrome case report and review.

作者信息

Karadsheh Mansour F

机构信息

Consultant Physician, Allergy and Immunology, Prince Hashem Hospital, Royal Medical Services, Amman-Jordan.

出版信息

J Family Med Prim Care. 2015 Jan-Mar;4(1):132-4. doi: 10.4103/2249-4863.152271.

DOI:10.4103/2249-4863.152271
PMID:25811005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4366986/
Abstract

We report a 16-year-old Jordanian female who presented with bleeding from both eyes of sudden onset. Her physical examination was remarkable for blood pouring from both eyes, and normal otherwise examination including eye and nose examination. During hospital stay, it was noted that "bleeding" occurred only when alone in the room. She later was seen to prick her finger tips of the left hand with her right hand using a hair clip. She denied any psychological problems, and later did not show for follow-up. Munchausen syndrome as a cause of bleeding is discussed.

摘要

我们报告了一名16岁的约旦女性,她突然双眼出血。她的体格检查显示双眼有血液涌出,其他检查包括眼部和鼻部检查均正常。住院期间,发现“出血”仅在她独自在病房时发生。后来发现她用发夹用右手刺破左手指尖。她否认有任何心理问题,后来也没有前来复诊。文中讨论了孟乔森综合征作为出血原因的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b370/4366986/cc0c43e776a4/JFMPC-4-132-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b370/4366986/cc0c43e776a4/JFMPC-4-132-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b370/4366986/cc0c43e776a4/JFMPC-4-132-g001.jpg

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本文引用的文献

1
Transitional cell carcinoma of the lacrimal sac presenting with bloody tears.以血性泪液为表现的泪囊移行细胞癌
JAMA Ophthalmol. 2013 May;131(5):689-90. doi: 10.1001/jamaophthalmol.2013.2907.
2
Hemolacria: case report.血泪症:病例报告。
Int J Pediatr Otorhinolaryngol. 2013 Jan;77(1):137-8. doi: 10.1016/j.ijporl.2012.09.020. Epub 2012 Oct 4.
3
Factitious disorder in saudi arabia: a report of two cases.沙特阿拉伯的做作性障碍:两例报告。
J Family Community Med. 1999 Jan;6(1):49-52.
4
Bilateral corneal perforations and autoproptosis as self-induced manifestations of ocular Munchausen's syndrome.
Orbit. 2012 Aug;31(4):252-5. doi: 10.3109/01676830.2012.669013. Epub 2012 May 9.
5
Child Maltreatment: Types and effects: Series of six cases from a university hospital in Oman.儿童虐待:类型与影响:阿曼一家大学医院的六例系列病例
Sultan Qaboos Univ Med J. 2012 Feb;12(1):97-102. doi: 10.12816/0003094. Epub 2012 Feb 7.
6
Persistent bloody tears as the initial manifestation of conjunctival chloroma associated with chronic myelogenous leukemia.
Graefes Arch Clin Exp Ophthalmol. 2013 Mar;251(3):991-92. doi: 10.1007/s00417-011-1924-1.
7
Preventing child abuse and neglect in Saudi Arabia: are we ready?在沙特阿拉伯预防虐待和忽视儿童:我们准备好了吗?
Ann Saudi Med. 2011 Nov-Dec;31(6):635-40. doi: 10.4103/0256-4947.87102.
8
Munchausen syndrome masquerading as bleeding disorder in a group of pediatric patients.一群儿科患者中伪装成出血性疾病的孟乔森综合征。
Indian J Psychol Med. 2011 Jan;33(1):86-8. doi: 10.4103/0253-7176.85404.
9
A case with unexplained bleeding from multiple sites: munchausen syndrome by proxy.
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10
Functional neuro-ophthalmology.功能性神经眼科学
Handb Clin Neurol. 2011;102:493-513. doi: 10.1016/B978-0-444-52903-9.00024-8.