Factitious lesions of the hand

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 asses...

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Veröffentlicht in:Revista brasileira de ortopedia (English ed.) 2013-07, Vol.48 (4), p.381-386
Hauptverfasser: Oliveira, Ricardo Kaempf de, Bayer, Leohnard Roger, Lauxen, Daniel, Roth, Felipe, Serrano, Pedro Delgado, Ruschel, Paulo Henrique
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container_end_page 386
container_issue 4
container_start_page 381
container_title Revista brasileira de ortopedia (English ed.)
container_volume 48
creator Oliveira, Ricardo Kaempf de
Bayer, Leohnard Roger
Lauxen, Daniel
Roth, Felipe
Serrano, Pedro Delgado
Ruschel, Paulo Henrique
description 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. A presença de lesão com apresentação atípica, história clínica indefinida, que não melhora com tratamentos clássicos, deve colocar a equipe médica em alerta. Nesses casos, a hipótese de lesão factícia tem de ser levada em conta. Muitas vezes o diagnóstico correto na avaliação inicial pode evitar a realização de testes diagnósticos de alto custo, tratamentos desnecessários e desgaste da equipe médica. Por meio da apresentação de dois casos clássicos de lesão factícia na mão mostramos que, assim como descrito na literatura, tal patologia é de difícil diagnóstico e tratamento.
doi_str_mv 10.1016/j.rboe.2012.09.008
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subjects Case Report
Comportamento autodestrutivo
Factitious disorders/diagnosis
Factitious disorders/psychology
Hand injuries
Self-injurious behavior
Transtornos autoinduzidos/diagnóstico
Transtornos autoinduzidos/psicologia
Traumatismo da mão
title Factitious lesions of the hand
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