Case number 31: Nodular panniculitis as expression of Munchausen's syndrome (panniculitis artefacta)
| Autor: | Hänsel S, H. E. Schröder, Pietsch J, S. Unger, Tausche K, Anne-Kathrin Tausche |
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| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Immunology Elbow Munchausen Syndrome Physical examination General Biochemistry Genetics and Molecular Biology Nodular panniculitis Rheumatology Munchausen s syndrome Internal medicine Humans Immunology and Allergy Medicine medicine.diagnostic_test business.industry Unusual and Memorable Middle Aged medicine.disease Surgery Panniculitis Nodular Nonsuppurative medicine.anatomical_structure Female Munchausen syndrome business Panniculitis Subcutaneous tissue |
| Zdroj: | Annals of the Rheumatic Diseases. 63:1195-1196 |
| ISSN: | 0003-4967 |
| DOI: | 10.1136/ard.2004.024539 |
| Popis: | A 45 year old woman presented with a 4 year history of fever attacks, generalised fatigue, arthralgias, and recurring painful nodules of the subcutaneous tissue in different localisations. Extensive diagnostic procedures had been carried out in several rheumatological and dermatological departments of university hospitals (13 admissions). Under the diagnosis of nodular panniculitis and because of the deep infiltration, incisions and surgical debridement were often necessary. At the physical examination she had a temperature over 39°C, an approximately plum sized painful nodule in the subcutaneous tissue of the left shoulder, and ulcerations of the left hand and elbow (after surgical debridement) (fig 1). Figure 1 Painful deep nodule—left shoulder. Laboratory tests showed a raised white cell count of 11.6×109 … |
| Databáze: | OpenAIRE |
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