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Case report
peer-reviewed

A Case of Munchausen Syndrome Presenting with Hematemesis: A Case Report



Abstract

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.​



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Case report
peer-reviewed

A Case of Munchausen Syndrome Presenting with Hematemesis: A Case Report


Author Information

Muhammad Aadil

Department of Medicine, FMH College of Medicine and Dentistry

Aniqa Faraz

Department of Internal Medicine, King Edward Medical University Lahore, Pakistan

Muhammad Jahanzaib Anwar

Department of Internal Medicine, Rush University Medical Center

Department of Ophthalmology, Bahawal Victoria Hospital, Bahawalpur, Pakistan

Maria Shoaib Corresponding Author

Department of Medicine, Dow Medical College, Karachi, Pakistan

Department of Medicine, Dow Medical College, Karachi, Pakistan

Usama Nasir

Medicine, C.M.H Medical and Dental College

Anum Akhlaq

Department of Medicine, FMH College of Medicine and Dentistry


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


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Case report
peer-reviewed

A Case of Munchausen Syndrome Presenting with Hematemesis: A Case Report

Muhammad Aadil">Muhammad Aadil, Aniqa Faraz">Aniqa Faraz, Muhammad Jahanzaib Anwar">Muhammad Jahanzaib Anwar, Maria Shoaib">Maria Shoaib , Usama Nasir">Usama Nasir, Anum Akhlaq">Anum Akhlaq

  • Author Information
    Muhammad Aadil

    Department of Medicine, FMH College of Medicine and Dentistry

    Aniqa Faraz

    Department of Internal Medicine, King Edward Medical University Lahore, Pakistan

    Muhammad Jahanzaib Anwar

    Department of Internal Medicine, Rush University Medical Center

    Department of Ophthalmology, Bahawal Victoria Hospital, Bahawalpur, Pakistan

    Maria Shoaib Corresponding Author

    Department of Medicine, Dow Medical College, Karachi, Pakistan

    Department of Medicine, Dow Medical College, Karachi, Pakistan

    Usama Nasir

    Medicine, C.M.H Medical and Dental College

    Anum Akhlaq

    Department of Medicine, FMH College of Medicine and Dentistry


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: June 13, 2017

    DOI

    10.7759/cureus.1348

    Cite this article as:

    Aadil M, Faraz A, Anwar M, et al. (June 13, 2017) A Case of Munchausen Syndrome Presenting with Hematemesis: A Case Report. Cureus 9(6): e1348. doi:10.7759/cureus.1348

    Publication history

    Received by Cureus: May 14, 2017
    Peer review began: May 23, 2017
    Peer review concluded: June 01, 2017
    Published: June 13, 2017

    Copyright

    © Copyright 2017
    Aadil et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

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.​



Want to read more?

Create a free account to continue reading this article.

Already a member? Login.



Muhammad Aadil

Department of Medicine, FMH College of Medicine and Dentistry

Aniqa Faraz

Department of Internal Medicine, King Edward Medical University Lahore, Pakistan

Muhammad Jahanzaib Anwar

Department of Internal Medicine, Rush University Medical Center

Maria Shoaib

Department of Medicine, Dow Medical College, Karachi, Pakistan

For correspondence:
syedamariashoaib@gmail.com

Usama Nasir

Medicine, C.M.H Medical and Dental College

Anum Akhlaq

Department of Medicine, FMH College of Medicine and Dentistry

Muhammad Aadil

Department of Medicine, FMH College of Medicine and Dentistry

Aniqa Faraz

Department of Internal Medicine, King Edward Medical University Lahore, Pakistan

Muhammad Jahanzaib Anwar

Department of Internal Medicine, Rush University Medical Center

Maria Shoaib

Department of Medicine, Dow Medical College, Karachi, Pakistan

For correspondence:
syedamariashoaib@gmail.com

Usama Nasir

Medicine, C.M.H Medical and Dental College

Anum Akhlaq

Department of Medicine, FMH College of Medicine and Dentistry