![]() The pregnancy was terminated after a medical panel concluded that there were both organic and mental conditions that placed the patient's health at risk. The patient expressed her desire to terminate the pregnancy at week 21. Various different diagnoses were considered and pathologies such as acute intermittent porphyria, narcotic bowel syndrome, abdominal epilepsy, and esophageal spasm were discarded. The case of a 30-year-old woman six weeks pregnant who consults on multiple occasions with emesis and abdominal pain is discussed. To present a case of factitious disorder during pregnancy. ![]() However, its clinical presentation during pregnancy is rare and literature on the subject is scarce. Munchhausen's syndrome is the best-studied type of factitious disorder with predominantly physical signs and symptoms. Molano, Juan Carlos Cortés, Natalia Noguera, EfraÃn The authors also discuss the diagnostic criteria and treatment strategies of factitious disorder, both of which are of considerable debate within the psychiatric community. ![]() In doing so, the authors illustrate how a patient with factitious disorder might fulfill unmet, presumably unrealized needs. This particular case is dissected in order to portray the underlying psychopathology. In this article, the authors present a case of factitious diabetic ketoacidosis resulting from the deliberate withholding of exogenous insulin. The diagnostic criteria are simple, yet making the diagnosis is often complicated and can be delayed by focusing on the urgent or readily observable diagnosis. The clinical presentation is variable in feigned symptoms and spans virtually all organ systems. ![]() Factitious Disorder as Repeated Diabetic Ketoacidosisįactitious disorder is a challenging entity, both in diagnosis and treatment. ![]()
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