PMID- 28979830
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 9
IP  - 6
DP  - 2017 Jun 13
TI  - A Case of Munchausen Syndrome Presenting with Hematemesis: A Case Report.
PG  - e1348
LID - 10.7759/cureus.1348 [doi]
LID - e1348
AB  - Munchausen syndrome (MS) was first reported in 1951 by Richard Alan John Asher as 
      a factitious disorder. It is a condition in which the patient intentionally 
      produces symptoms to assume a sick role and gain medical attention. 
      Underdiagnosis of this disorder results in the unnecessary use of medical 
      resources, i.e. unnecessary medical tests and evaluations. This makes it one of 
      the most challenging diagnosis in any medical set up. We present this rare case 
      of a patient with chronic factitious disorder who presented to the emergency with 
      hematemesis. The patient was successfully treated with psychotherapy with no 
      recurrence. It is the need of the hour to create awareness amongst the medical 
      and nonmedical population about factitious disorders so that they can easily be 
      diagnosed and treated with efficiency. Further research is needed to find the 
      risks leading to this syndrome and discover the cultural and social aspects of 
      this disease, which may help us explore treatment strategies and avoid 
      unnecessary tests and treatment.​.
FAU - Aadil, Muhammad
AU  - Aadil M
AD  - Department of Medicine, FMH College of Medicine and Dentistry.
FAU - Faraz, Aniqa
AU  - Faraz A
AD  - Department of Internal Medicine, King Edward Medical University Lahore, Pakistan.
FAU - Anwar, Muhammad Jahanzaib
AU  - Anwar MJ
AD  - Department of Internal Medicine, Rush University Medical Center.
FAU - Shoaib, Maria
AU  - Shoaib M
AD  - Department of Medicine, Dow Medical College, Karachi, Pakistan.
FAU - Nasir, Usama
AU  - Nasir U
AD  - Medicine, C.M.H Medical and Dental College.
FAU - Akhlaq, Anum
AU  - Akhlaq A
AD  - Department of Medicine, FMH College of Medicine and Dentistry.
LA  - eng
PT  - Case Reports
DEP - 20170613
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC5626170
OTO - NOTNLM
OT  - challenging diagnosis
OT  - factitious disorders
OT  - munchausen syndrome
COIS- The authors have declared that no competing interests exist.
EDAT- 2017/10/06 06:00
MHDA- 2017/10/06 06:01
PMCR- 2017/06/13
CRDT- 2017/10/06 06:00
PHST- 2017/10/06 06:00 [entrez]
PHST- 2017/10/06 06:00 [pubmed]
PHST- 2017/10/06 06:01 [medline]
PHST- 2017/06/13 00:00 [pmc-release]
AID - 10.7759/cureus.1348 [doi]
PST - epublish
SO  - Cureus. 2017 Jun 13;9(6):e1348. doi: 10.7759/cureus.1348.