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Factitious lymphoedema as a psychiatric condition mimicking reflex sympathetic dystrophy: a case report

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Factitious lymphoedema as a psychiatric condition mimicking reflex sympathetic dystrophy: a case report

Auteurs : Nnamdi Nwaejike [Royaume-Uni] ; Hap Archbold [Royaume-Uni] ; Darrin S. Wilson [Royaume-Uni]

Source :

Journal of Medical Case Reports [ 1752-1947 ] ; 2008.

RBID : PMC:2474643

Abstract

Introduction

Reflex sympathetic dystrophy can result in severe disability with only one in five patients able to fully resume prior activities. Therefore, it is important to diagnose this condition early and begin appropriate treatment. Factitious lymphoedema can mimic reflex sympathetic dystrophy and is caused by self-inflicted tourniquets, blows to the arm or repeated skin irritation. Patients with factitious lymphoedema have an underlying psychiatric disorder but usually present to emergency or orthopaedics departments. Factitious lymphoedema can then be misdiagnosed as reflex sympathetic dystrophy. The treatment for factitious lymphoedema is dealing with the underlying psychiatric condition.

Case presentation

We share our experience of treating a 33-year-old man, who presented with factitious lymphoedema, initially diagnosed as reflex sympathetic dystrophy.

Conclusion

Awareness of this very similar differential diagnosis allows early appropriate treatment to be administered.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2474643

DOI: 10.1186/1752-1947-2-216
PubMed: 18577230
PubMed Central: 2474643

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PMC:2474643

Le document en format XML

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<p>Reflex sympathetic dystrophy can result in severe disability with only one in five patients able to fully resume prior activities. Therefore, it is important to diagnose this condition early and begin appropriate treatment. Factitious lymphoedema can mimic reflex sympathetic dystrophy and is caused by self-inflicted tourniquets, blows to the arm or repeated skin irritation. Patients with factitious lymphoedema have an underlying psychiatric disorder but usually present to emergency or orthopaedics departments. Factitious lymphoedema can then be misdiagnosed as reflex sympathetic dystrophy. The treatment for factitious lymphoedema is dealing with the underlying psychiatric condition.</p>
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<sec><title>Case presentation</title>
<p>We share our experience of treating a 33-year-old man, who presented with factitious lymphoedema, initially diagnosed as reflex sympathetic dystrophy.</p>
</sec>
<sec><title>Conclusion</title>
<p>Awareness of this very similar differential diagnosis allows early appropriate treatment to be administered.</p>
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<contrib-group><contrib id="A1" corresp="yes" contrib-type="author"><name><surname>Nwaejike</surname>
<given-names>Nnamdi</given-names>
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<email>justnnamdi@aol.com</email>
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<aff id="I1"><label>1</label>
Department of Vascular and Endovascular Surgery, Barts and The London NHS Trust, The Royal London Hospital, London, E1 1BB, UK</aff>
<aff id="I2"><label>2</label>
Department of Fractures and Orthopaedics, The Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 BA, UK</aff>
<pub-date pub-type="collection"><year>2008</year>
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<pub-date pub-type="epub"><day>24</day>
<month>6</month>
<year>2008</year>
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<volume>2</volume>
<fpage>216</fpage>
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<history><date date-type="received"><day>9</day>
<month>9</month>
<year>2007</year>
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<date date-type="accepted"><day>24</day>
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<permissions><copyright-statement>Copyright © 2008 Nwaejike et al; licensee BioMed Central Ltd.</copyright-statement>
<copyright-year>2008</copyright-year>
<copyright-holder>Nwaejike et al; licensee BioMed Central Ltd.</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0"></ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p>
<pmc-comment> 
 Nwaejike 
 Nnamdi 
  
 justnnamdi@aol.com 
  
 Factitious lymphoedema as a psychiatric condition mimicking reflex sympathetic dystrophy: a case report 
 2008Journal of Medical Case Reports 2(1): 216-. (2008)1752-1947(2008)2:1<216>urn:ISSN:1752-1947</pmc-comment>
        </license>
</permissions>
<abstract><sec><title>Introduction</title>
<p>Reflex sympathetic dystrophy can result in severe disability with only one in five patients able to fully resume prior activities. Therefore, it is important to diagnose this condition early and begin appropriate treatment. Factitious lymphoedema can mimic reflex sympathetic dystrophy and is caused by self-inflicted tourniquets, blows to the arm or repeated skin irritation. Patients with factitious lymphoedema have an underlying psychiatric disorder but usually present to emergency or orthopaedics departments. Factitious lymphoedema can then be misdiagnosed as reflex sympathetic dystrophy. The treatment for factitious lymphoedema is dealing with the underlying psychiatric condition.</p>
</sec>
<sec><title>Case presentation</title>
<p>We share our experience of treating a 33-year-old man, who presented with factitious lymphoedema, initially diagnosed as reflex sympathetic dystrophy.</p>
</sec>
<sec><title>Conclusion</title>
<p>Awareness of this very similar differential diagnosis allows early appropriate treatment to be administered.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
</record>

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Factitious lymphoedema as a psychiatric condition mimicking reflex sympathetic dystrophy: a case report

Factitious lymphoedema as a psychiatric condition mimicking reflex sympathetic dystrophy: a case report

Source :

Abstract

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