Unexplained bleeding as a presentation of Munchausen syndrome: A case report
DOI:
https://doi.org/10.3329/bsmmuj.v17i1.70450Keywords:
Factitious disorder, Unexplained bleeding, Munchausen SyndromeAbstract
Physicians sometimes face difficulty identifying underlying diseases of some signs and symptoms created by individuals intentionally but without any apparent practical gain. This case report presents the clinical profile of a woman aged 22 years with a history of recurrent bleeding from the oral cavity since childhood, which has recently been worsened and now involves bleeding from the nose, eye, ear, and umbilicus. However, no physical or laboratory abnormalities could be identified. She had mental trauma in her childhood. After a comprehensive assessment that included a medical history, observation, physical examination, and psychiatric evaluation, she was diagnosed with Munchausen syndrome, which is a psychological condition where people pretend to be ill or deliberately produce symptoms of illness in themselves. She was treated with pharmacotherapy and psychotherapy and discharged from the hospital bleeding-free, which persisted till several follow-up visits.
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References
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. 5th ed. Washington, DC: American Psychiatric Association; 2013, DOI: https://doi.org/10.1176/appi.books.9780890425596.
Gomes RR. A Rare Case of Factitious Bleeding from Multiple Sites: Munchausen’s Syndrome. Austin J Psychiatry Behav Sci. 2022; 8(1): 1085, DOI: https://doi.org/https://doi.org/10.26420/austinjpsychiatrybehavsci.2022.1085.
Asher R. Munchausen's syndrome. Lancet. 1951 Feb 10;1(6650):339-41. DOI: https://doi.org/10.1016/S0140-6736(51)92313-6.
Koufagued K, Chafry B, Benyass Y, Abissegue Y, Benchebba D, Bouabid S, Belkacem C. Munchausen syndrome revealed by subcutaneous limb emphysema: a case report. J Med Case Rep. 2015 Aug 18;9:172. DOI: https://doi.org/10.1186/s13256-015-0649-x.
Hay GG. Feigned psychosis--a review of the simulation of mental illness. Br J Psychiatry. 1983 Jul;143:8-10. DOI: https://doi.org/10.1192/bjp.143.1.8.
Weber B, Gokarakonda SB, Doyle MQ. Munchausen Syndrome. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 [cited 2023 Dec 18]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK518999/
Doughty K, Rood C, Patel A, Thackeray JD, Brink FW. Neurological Manifestations of Medical Child Abuse. Pediatr Neurol. 2016 Jan;54:22-28. DOI: https://doi.org/10.1016/j.pediatrneurol.2015.09.010.
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