Despite the difficulty in diagnosis, several important clues should lead physicians to suspect factitious disease (15, 23, 24, 26, 36-39).
We never learn, and the patient presumably doesn't know, what deep secrets are being protected by the factitious disease (11).
Regardless of the validity of the pathogenic hypothesis shown in Figure 2, it is generally believed that patients with factitious disease are fully aware of what they are doing and that they know right from wrong.
The distinction between factitious disease, which we are discussing here, and some related disorders is depicted in Table 4.
Thus, "the factitious disease patient's partner in illness is the doctor.
This analysis emphasizes the importance of recognizing patients with factitious disease so that medical mistakes and iatrogenic disease are avoided.
Even though factitious disease patients don't play by the rules of being a patient, doctors at BUMC must play by the rules our hospital and medical board have promised we will obey.
If the patient agrees to the search, and if it reveals evidence of factitious disease, the suspicion would be confirmed.