Munchausen's Syndrome as a Cause of Hemoptysis in a Prisoner

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Dirol H., Deniz F., Güdül Y. G.

Respiratory Case Reports, cilt.11, sa.2, ss.65-68, 2022 (Hakemli Dergi)

  • Yayın Türü: Makale / Vaka Takdimi
  • Cilt numarası: 11 Sayı: 2
  • Basım Tarihi: 2022
  • Doi Numarası: 10.5505/respircase.2022.73383
  • Dergi Adı: Respiratory Case Reports
  • Derginin Tarandığı İndeksler: TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.65-68
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Factitious hemoptysis is fairly rare condition, the diagnosis of which can be challenging to physicians. A 40-year-old incarcerated male with hemoptysis for four years had previously undergone a detailed investigation, but the etiology of the hemoptysis could not be determined. The hemoptysis has increased in frequency and quantity, however, numerous diagnostic tests, including radiological imaging and bronchoscopy, has been unable to reveal the localization and etiology of the bleeding. As we were about to diagnose idiopathic hemoptysis, some suspicious behaviors and contradictory statements led us to conduct a psychiatric evaluation, and the patient was subsequently diagnosed with axis two personality disorder and factitious disorder. Factitious hemoptysis is difficult to diagnose and may be confused with idiopathic hemoptysis, and should be considered in patients with hemoptysis in which the location and cause of bleeding cannot be determined after a detailed examination.