Maruyama Ayako, Noguchi Yoshihiro, Ito Taku, Narushima Kenji, Kitamura Ken
Department of Otorhinolaryngology, Tokyo Medical and Dental University Graduate School, Tokyo.
Ear Nose Throat J. 2015 Dec;94(12):E7-9.
Factitious disorders are characterized by intentionally abnormal physical and/or psychological behavior, and affected patients often make up their symptoms and clinical histories. The most serious and chronic type of factitious disorder is Munchausen syndrome. We report the case of a 24-year-old woman with a 2-year history of sensorineural hearing loss (SNHL) who later confessed to feigning her hearing loss. She was eventually diagnosed with a factitious disorder. During those 2 years, she was able to induce her SNHL by exposing herself to excessive noise or high doses of aspirin. To the best of our knowledge, this is the first report describing an association between a factitious disorder and SNHL.
做作性障碍的特征是故意表现出异常的身体和/或心理行为，受影响的患者常常编造自己的症状和临床病史。最严重且慢性的做作性障碍类型是孟乔森综合征。我们报告了一例24岁女性患者，她有2年感音神经性听力损失（SNHL）病史，后来承认听力损失是伪装的。她最终被诊断为做作性障碍。在那2年期间，她通过让自己暴露于过度噪音或高剂量阿司匹林来诱发感音神经性听力损失。据我们所知，这是第一份描述做作性障碍与感音神经性听力损失之间关联的报告。
