factitious disease


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The repeated simulation of severe organic disease, leading to numerous medical and/or surgical consultations, hospitalisations and unnecessary operations. This pseudodisease affects individuals who create bizarre lesions or fabricate symptoms to enjoy the perceived benefits of hospitalisation, as well as the attention and sympathy of others
Statistics Male:female ratio, 1:2; 74% develop the condition by age 24; the average patient is diagnosed by age 32.

factitious disease

Factitious disorder, illness Psychiatry Any of a number of self-produced lesions or biochemical changes seen in persons with neuroses to gratify various self-motivated needs–eg, sympathy and narcotics; these conditions share the same raison d'etre, differing only in the site of injury and agent used to produce the lesions. See Munchausen syndrome, Psychosomatic disorder, Self-mutilation.
References in periodicals archive ?
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.