Consideration of Factitious Disorder in Management of Patients With Autoinflammatory Disease

Author:

Reinfeld Samuel1,Sfreddo Hannah J.2,Yao Qingping3,Chacko Mason1

Affiliation:

1. Department of Psychiatry and Behavioral Health, Stony Brook University Hospital

2. Stony Brook University Renaissance School of Medicine

3. Department of Rheumatology, Stony Brook University Hospital, Stony Brook, New York.

Abstract

Abstract Factitious disorder, a disorder characterized by the falsification of symptoms to obtain primary gain, continues to be one of the more challenging cases that psychiatrists encounter. We describe a case of a woman we treated on the medical unit who falsified several of her symptoms but also was diagnosed with Yao syndrome, a disease that can also cause unexplained symptoms such as abdominal pain and fever. We navigate the difficulties in managing this type of patient and comanaging her with medicine and rheumatology. Although the prevalence of factitious disorder is anywhere from 1% to 2% of patients on the medical floor, they typically utilize a disproportionate number of resources. Despite this, the literature is still inconclusive when it comes to the management and treatment approaches. More study is warranted on this complex and burdensome illness.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Psychiatry and Mental health

Reference17 articles.

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3. A radical reexamination of the association between pathological lying and factitious disorder;J Am Acad Psychiatry Law,2020

4. Management of factitious disorders: A systematic review;Psychother Psychosom,2008

5. Classification criteria for autoinflammatory recurrent fevers;Ann Rheum Dis,2019

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