Recurrent diabetic ketoacidosis-like symptoms and factitious hyperglycemia as a Munchausen syndrome in diabetes mellitus type 1: a case report
Recurrent diabetic ketoacidosis-like symptoms and factitious hyperglycemia as a Munchausen syndrome in diabetes mellitus type 1: a case report
نویسندگان: میترا نیافر , سپیده تحسینی تکانتپه
کلمات کلیدی: brittle diabetes mellitus, factitious hyperglycemia, Munchausen’s syndrome
نشریه: 1953 , 18 , 1 , 2017
| نویسنده ثبت کننده مقاله |
میترا نیافر |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
مرکز تحقیقات غدد درون ریز |
| کد مقاله |
60008 |
| عنوان فارسی مقاله |
Recurrent diabetic ketoacidosis-like symptoms and factitious hyperglycemia as a Munchausen syndrome in diabetes mellitus type 1: a case report |
| عنوان لاتین مقاله |
Recurrent diabetic ketoacidosis-like symptoms and factitious hyperglycemia as a Munchausen syndrome in diabetes mellitus type 1: a case report |
| ناشر |
3 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
خیر |
| عنوان نشریه (خارج از لیست فوق) |
|
| نوع مقاله |
Case Report |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح یک – ISI - Web of Science |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
http://www.scopemed.org/fulltextpdf.php?mno=251246 |
| ABSTRACT
Factitious disorder is a psychologic problem which may cause symptoms of a disease which is non-compliance with patient physical exam. Some cases of brittle diabetes are because of underlying psychologic disorder such as factitious disorder or Munchausen syndrome. In this paper a 17-years old female is presented with factitious hyper-glycemia and DKA-like symptoms such as nausea, vomiting and severe abdominal pain. Finally with subtle moni-toring it was found that the cause of patient’s hyperglycemia despite high dose insulin prescription was impregnating her finger into the date palm in the context of the factitious disorder. The patient had different deceptive behaviors depending on the method of treatment. She used every trick to mislead the medical team. In Munchausen syn-drome, patient is unaware of his problem that mimic an episode of diabetic ketoacidosis. Thus psychotherapy is the main treatment of this factitious hyperglycemia. The main aim of this report is consideration of factitious hyper-glycemia in patients with brittle diabetes mellitus. |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| apd_18_11_08.pdf | 1395/11/20 | 210561 | دانلود |