[A case of secret self-mutilation--artificial hand edema by hand self-constriction].
Identifieur interne : 005288 ( PubMed/Corpus ); précédent : 005287; suivant : 005289[A case of secret self-mutilation--artificial hand edema by hand self-constriction].
Auteurs : W. SchneiderSource :
- Zeitschrift fur Lymphologie. Journal of lymphology [ 0343-8554 ] ; 1995.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Hand Injuries, Lymphedema, Self Mutilation.
- psychology : Hand Injuries, Lymphedema, Self Mutilation.
- Adult, Diagnosis, Differential, Female, Humans, Patient Care Team.
Abstract
Edema caused by surreptitious self-mutilation leads to special diagnostic and therapeutic problems because the causal psychic illness is not immediately obvious or appears insignificant due to the diagnosis of edema and the frequent desire of the patients for invasive measures. The quickest clarification is achieved by contacting an experienced lymphologist, who can often classify the swelling as artificial edema at a glance. In order to avoid any secondary damage arising from the edema, it should be reduced as quickly as possible by referring the patient to a lymphological clinic for therapy. Thus, invasive diagnostics would certainly be avoided, and the patient's desire for invasive procedures circumvented by conservative therapy. A psychiatric/psychosomatic specialist must be consulted. Cooperation between patient, physicians in practice and hospital should be established as early as possible. In difficult cases, the patient should be referred to a psychiatric hospital. Even for the experienced lymphologist, cases in which Sudeck's disease in the congested extremity has to be taken into account and the compliance of the patient is restricted present particular problems.
PubMed: 8659206
Links to Exploration step
pubmed:8659206Le document en format XML
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Schneider</name><affiliation><nlm:affiliation>Seeklinik Zechlin, Fachklinik für Lymphologie und Odemkrankheiten.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1995">1995</date><idno type="RBID">pubmed:8659206</idno><idno type="pmid">8659206</idno><idno type="wicri:Area/PubMed/Corpus">005288</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005288</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[A case of secret self-mutilation--artificial hand edema by hand self-constriction].</title><author><name sortKey="Schneider, W" sort="Schneider, W" uniqKey="Schneider W" first="W" last="Schneider">W. Schneider</name><affiliation><nlm:affiliation>Seeklinik Zechlin, Fachklinik für Lymphologie und Odemkrankheiten.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Zeitschrift fur Lymphologie. Journal of lymphology</title><idno type="ISSN">0343-8554</idno><imprint><date when="1995" type="published">1995</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Diagnosis, Differential</term><term>Female</term><term>Hand Injuries (diagnosis)</term><term>Hand Injuries (psychology)</term><term>Humans</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (psychology)</term><term>Patient Care Team</term><term>Self Mutilation (diagnosis)</term><term>Self Mutilation (psychology)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hand Injuries</term><term>Lymphedema</term><term>Self Mutilation</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Hand Injuries</term><term>Lymphedema</term><term>Self Mutilation</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Diagnosis, Differential</term><term>Female</term><term>Humans</term><term>Patient Care Team</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Edema caused by surreptitious self-mutilation leads to special diagnostic and therapeutic problems because the causal psychic illness is not immediately obvious or appears insignificant due to the diagnosis of edema and the frequent desire of the patients for invasive measures. The quickest clarification is achieved by contacting an experienced lymphologist, who can often classify the swelling as artificial edema at a glance. In order to avoid any secondary damage arising from the edema, it should be reduced as quickly as possible by referring the patient to a lymphological clinic for therapy. Thus, invasive diagnostics would certainly be avoided, and the patient's desire for invasive procedures circumvented by conservative therapy. A psychiatric/psychosomatic specialist must be consulted. Cooperation between patient, physicians in practice and hospital should be established as early as possible. In difficult cases, the patient should be referred to a psychiatric hospital. Even for the experienced lymphologist, cases in which Sudeck's disease in the congested extremity has to be taken into account and the compliance of the patient is restricted present particular problems.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8659206</PMID><DateCreated><Year>1996</Year><Month>08</Month><Day>01</Day></DateCreated><DateCompleted><Year>1996</Year><Month>08</Month><Day>01</Day></DateCompleted><DateRevised><Year>2008</Year><Month>02</Month><Day>26</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0343-8554</ISSN><JournalIssue CitedMedium="Print"><Volume>19</Volume><Issue>2</Issue><PubDate><Year>1995</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Zeitschrift fur Lymphologie. Journal of lymphology</Title><ISOAbbreviation>Z Lymphol</ISOAbbreviation></Journal><ArticleTitle>[A case of secret self-mutilation--artificial hand edema by hand self-constriction].</ArticleTitle><Pagination><MedlinePgn>51-4</MedlinePgn></Pagination><Abstract><AbstractText>Edema caused by surreptitious self-mutilation leads to special diagnostic and therapeutic problems because the causal psychic illness is not immediately obvious or appears insignificant due to the diagnosis of edema and the frequent desire of the patients for invasive measures. The quickest clarification is achieved by contacting an experienced lymphologist, who can often classify the swelling as artificial edema at a glance. In order to avoid any secondary damage arising from the edema, it should be reduced as quickly as possible by referring the patient to a lymphological clinic for therapy. Thus, invasive diagnostics would certainly be avoided, and the patient's desire for invasive procedures circumvented by conservative therapy. A psychiatric/psychosomatic specialist must be consulted. Cooperation between patient, physicians in practice and hospital should be established as early as possible. In difficult cases, the patient should be referred to a psychiatric hospital. Even for the experienced lymphologist, cases in which Sudeck's disease in the congested extremity has to be taken into account and the compliance of the patient is restricted present particular problems.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schneider</LastName><ForeName>W</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Seeklinik Zechlin, Fachklinik für Lymphologie und Odemkrankheiten.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ger</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Ein Fall von heimlicher Selbstbeschädigung--artefizielles Handödem durch Selbstabschnürung.</VernacularTitle></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Z Lymphol</MedlineTA><NlmUniqueID>7805527</NlmUniqueID><ISSNLinking>0343-8554</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006230" MajorTopicYN="N">Hand Injuries</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010348" MajorTopicYN="Y">Patient Care Team</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012652" MajorTopicYN="N">Self Mutilation</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1995</Year><Month>12</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1995</Year><Month>12</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1995</Year><Month>12</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8659206</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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