Schade D S, Drumm D A, Eaton R P, Sterling W A
Am J Med. 1985 May;78(5):777-84. doi: 10.1016/0002-9343(85)90283-9.
Five patients are described in whom factitious disease was the cause of brittle type I diabetes mellitus. The patients were referred from throughout the United States because their physicians had been unable to establish the reason for recurrent hospitalizations for diabetic ketoacidosis or coma. In three of the patients, unexplainable signs, symptoms, and/or laboratory results lead to the diagnosis of factitious disease. In the two remaining patients, long-term follow-up was necessary before a factitious cause was established. These five patients exemplify the extraordinary measures that some patients will utilize to continue as a "patient" rather than return to a normal lifestyle.
本文描述了5例因人为性疾病导致脆性I型糖尿病的患者。这些患者来自美国各地，他们的医生无法确定其反复因糖尿病酮症酸中毒或昏迷住院的原因。其中3例患者，无法解释的体征、症状和/或实验室检查结果导致了人为性疾病的诊断。另外2例患者，在确定人为病因之前需要长期随访。这5例患者体现了一些患者会采取极端措施来继续充当“患者”，而不是回归正常生活方式。
