Casos Clínicos em Psiquiatria - Volume 01 - N º 01 - Janeiro/Junho 1999 - 09 - Síndrome de Munchausen: Um caso com início na infância e que mudou do tipo abdominal agudo para o neurológico

Síndrome de Munchausen: Um caso com início na infância e que mudou do tipo abdominal agudo para o neurológico. Munchausen's syndrome: A case beginning in early childhood and that changed from acute abdominal to neurological type. . Winfred Barnett *. . * Oberarzt at the Psychiatrische Universitätsklinik Heidelberg. . Summary. . A rare case of Munchausen's syndrome beginning in early childhood is described. The diagnosis of Munchausen's syndrome was made at the age of 29 years, after the symptoms had changed from acute abdominal to neurological complaints, with feigned loss of consciousness, first ascribed to an encephalitis. Insight into the psychopathology of this patient is given by his biography, by assessment of a psychotherapist, who had treated him some years before, and by his observed profile in some psychological tests.. . Key-words: Artefactual Disease - Factitious Disease - Self-induced Illness - Munchausen's Syndrome. . Since the description of Munchausen's syndrome in 1951, over 100 similar cases have been reported,1,2 The essential feature of this chronic disorder, now termed factitious disorder with predominantly physical signs and symptoms,3 is the intentional production of physical symptoms of a dramatic and emergency nature, leading to multiple hospitalizations and invasive medical procedures ...

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