Factitious lesions of the hand.

作者信息

Oliveira Ricardo Kaempf de, Bayer Leohnard Roger, Lauxen Daniel, Roth Felipe, Serrano Pedro Delgado, Ruschel Paulo Henrique

机构信息

Orthopedist in the Hand Group, Hospital Santa Casa and Hospital Mãe de Deus, Porto Alegre, RS, Brazil.

Hand Surgeon at Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS, Brazil.

出版信息

Rev Bras Ortop. 2013 Sep 27;48(4):381-386. doi: 10.1016/j.rboe.2012.09.008. eCollection 2013 Jul-Aug.

DOI:10.1016/j.rboe.2012.09.008

PMID:31304138

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6565958/

Abstract

The presence of a lesion with atypical presentation, obscure clinical history, which does not improve with classic treatments, shall raise the red flag of the medical team. In such cases, the hypothesis of a factitious lesion shall be considered. Many times the correct diagnosis on the initial assessment may avoid high-cost diagnostic tests, unnecessary treatments, and time consumption of the medical team. We present here two classic cases of factitious lesions that, similar to those described in the literature, is difficult to diagnose and difficult to treat.

摘要