Journal ArticleDOI
Self-induced hypoglycemia: a review of psychiatric aspects and report of three cases.
TLDR
Review of published reports and study of three cases newly presented have revealed characteristics with enough consistency for proposal of a psychiatric syndrome in hypoglycemia.Abstract:
Unauthorized self-administration of hypoglycemic agents produces a unique clinical situation. Because the symptoms and laboratory findings are consistent with a functioning adenoma of the pancreas, there is a significant hazard of unnecessary surgery. By appropriate laboratory tests, however, the alert physician may be able to justify suspicion that the disorder is self-induced.Accurate diagnosis may be further facilitated by recognizing certain similarities in these patients. Review of published reports and study of three cases newly presented have revealed these characteristics with enough consistency for proposal of a psychiatric syndrome. In hypoglycemia, factitial causation is suggested by the combination of female sex, single status, medical knowledge derived from experience as a diabetic or from vocational or family contacts, and features of the hysterical personality.read more
Citations
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Journal ArticleDOI
Factitious hypoglycemia. Diagnosis by measurement of serum C-peptide immunoreactivity and insulin-binding antibodies.
John A. Scarlett,Mary E. Mako,Arthur H. Rubenstein,Petra M. Blix,Jose Goldman,David L. Horwitz,Howard S. Tager,Jonathan B. Jaspan,Melvin R. Stjernholm,Jerrold M. Olefsky +9 more
TL;DR: Determination of plasma free C-peptide and free insulin permitted patients with high titers of insulin antibodies, including those with a history of insulin-treated diabetes, to be studied and diagnosed in a way similar to that in subjects who had no circulating insulin antibodies.
Journal ArticleDOI
The munchausen spectrum: Borderline character features
TL;DR: A continuum of disease simulation that ranges from hysteria to malingering, with a range of relative unawareness to awareness of producing such deception is presented, taking a somewhat different approach to Munchausen Syndrome.
Journal ArticleDOI
Factitious Hypoglycemia Due to Surreptitious Administration of Insulin: Diagnosis, Treatment, and Long-Term Follow-Up
TL;DR: In this paper, factitious hypoglycemia due to surreptitious insulin injections was diagnosed and were followed for up to 15 years (median, 5 years; range, 2 months and 15 years).
Journal Article
Factitious Hypoglycemia Due to Surreptitious Administration of Insulin
TL;DR: Only three of ten patients made a successful transition into productive life after the diagnosis of factitious hypoglycemia was established and two patients eventually committed suicide despite the best efforts at therapy.
References
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Journal ArticleDOI
Chronic factitious illness. Munchausen's syndrome.
TL;DR: "Munchausen's syndrome" represents a special pattern within the group of factitious illnesses, characterized by marked chronicity and the tendency of these patients to wander from hospital to hospital and city to city.
Journal ArticleDOI
Munchausen's syndrome. Review and report of an additional case.
TL;DR: Evidence in support of four possible underlying psychopathological entities—(1) antisocial behavior, (2) character neurosis, (3) brain damage and (4) a primitive, presuperego self-aggression)—is presented, but the essential psychopathology remains to be elucidated.
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Polysurgery and Polysurgical Addiction
TL;DR: The Psychoanalytic Quarterly: Vol.
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Munchausen syndrome. Its relationship to malingering, hysteria, and the physician-patient relationship.
TL;DR: Four long-term pathomimes show certain common characteristics in their present patterns of behavior, their psychodynamics, and their past histories and it is important to diagnose these patients early to avoid unnecessary medical intervention and to introduce psychiatric treatment.
Journal ArticleDOI
Diagnosis of conversion reactions. Predictive value of psychiatric criteria.
TL;DR: Eight psychiatric criteria can serve as additional data for the diagnosis of conversion reaction, and are useful in ruling out conversion reactions thus reopening the search for organic illness.