Salgado Nevado V, Mendoza Torres L, Moriñigo Domínguez A, Manzanares Torné M L, Grilo Reina A, García-Bragado Dalmau F
Servicio de Medicina Interna, Hospital Universitario de Valme, Sevilla.
Med Clin (Barc). 1993 Feb 27;100(8):302-4.
Chronic factitious disorders are diseases diagnosed after the discarding of organic causes. There are determined diagnostic data which may be suspicious: multiple hospitalization, submission to many invasive techniques and personal situations motivating simulation. The case of a 34 year old woman presenting a factitious disorder with dermal ulcers, subcutaneous abscesses and simulation of hematuria is described. An analysis of the concept and classification of this clinical picture is made. Following diagnostic suspicion, a search for objects or substances with which the patient was able to make the lesions was required to determine the appropriate therapy.
慢性做作性障碍是在排除器质性病因后诊断出的疾病。存在一些可能令人怀疑的确定性诊断数据：多次住院、接受多种侵入性检查以及存在促使其伪装的个人情况。本文描述了一名34岁女性患有伴有皮肤溃疡、皮下脓肿和血尿伪装的做作性障碍的病例。对这一临床症状的概念和分类进行了分析。在诊断产生怀疑后，需要寻找患者用以制造损伤的物品或物质，以确定恰当的治疗方法。
