Factitious Lymphedema of the Hand

Objective: To report the case of a 39- year old unmarried female with factitious edema of the right hand two weeks after being struck by her brother and following self injury of the right arm. Method: A 39-year old unmarried female with severe edema of the right hand and forearm diagnosed as factiti...

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Main Authors: S. Sina Ahmadi Abhari, Nooshin Alimalayeri, S. Ali Ahmadi Abhari, Khadijeh Omidi Nobijari
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2006-08-01
Series:Iranian Journal of Psychiatry
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/11026.pdf&manuscript_id=11026
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author S. Sina Ahmadi Abhari
Nooshin Alimalayeri
S. Ali Ahmadi Abhari
Khadijeh Omidi Nobijari
author_facet S. Sina Ahmadi Abhari
Nooshin Alimalayeri
S. Ali Ahmadi Abhari
Khadijeh Omidi Nobijari
author_sort S. Sina Ahmadi Abhari
collection DOAJ
description Objective: To report the case of a 39- year old unmarried female with factitious edema of the right hand two weeks after being struck by her brother and following self injury of the right arm. Method: A 39-year old unmarried female with severe edema of the right hand and forearm diagnosed as factitious lymphedema was admitted to Roozbeh Psychiatric Hospital. After hospitalization, with elevation of affected limb, the edema had lessened. Thereafter, she was observed at ward rounds with a cloth bandage wrapped around her arm. The edema had recurred. Physical Examination as well as right upper extremity X ray was normal. In mental state examination, patient's mood was dysphonic, rather anxious, and denied tourniquet application; otherwise no prominent psychiatric symptoms were detected. Patient underwent psychotherapy and 20 my fluoxetetine on daily basis was administered. Results: Patient's symptoms relieved within eight weeks and discharged while accepted to adjust herself with the situations. Conclusion: Factitious etiology may be presuming in any patient with unilateral limb lymphedema when venous or lymphatic Pathology were missing. The patient may be suffering from emotional conflicts.
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spelling doaj.art-8cd63cb8693b40aeb35fa07bbf2308a22022-12-22T01:17:02ZengTehran University of Medical SciencesIranian Journal of Psychiatry1735-45872008-22152006-08-0114166168Factitious Lymphedema of the HandS. Sina Ahmadi AbhariNooshin AlimalayeriS. Ali Ahmadi AbhariKhadijeh Omidi NobijariObjective: To report the case of a 39- year old unmarried female with factitious edema of the right hand two weeks after being struck by her brother and following self injury of the right arm. Method: A 39-year old unmarried female with severe edema of the right hand and forearm diagnosed as factitious lymphedema was admitted to Roozbeh Psychiatric Hospital. After hospitalization, with elevation of affected limb, the edema had lessened. Thereafter, she was observed at ward rounds with a cloth bandage wrapped around her arm. The edema had recurred. Physical Examination as well as right upper extremity X ray was normal. In mental state examination, patient's mood was dysphonic, rather anxious, and denied tourniquet application; otherwise no prominent psychiatric symptoms were detected. Patient underwent psychotherapy and 20 my fluoxetetine on daily basis was administered. Results: Patient's symptoms relieved within eight weeks and discharged while accepted to adjust herself with the situations. Conclusion: Factitious etiology may be presuming in any patient with unilateral limb lymphedema when venous or lymphatic Pathology were missing. The patient may be suffering from emotional conflicts.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/11026.pdf&manuscript_id=11026EtiologyFactitious disordersLymphedema
spellingShingle S. Sina Ahmadi Abhari
Nooshin Alimalayeri
S. Ali Ahmadi Abhari
Khadijeh Omidi Nobijari
Factitious Lymphedema of the Hand
Iranian Journal of Psychiatry
Etiology
Factitious disorders
Lymphedema
title Factitious Lymphedema of the Hand
title_full Factitious Lymphedema of the Hand
title_fullStr Factitious Lymphedema of the Hand
title_full_unstemmed Factitious Lymphedema of the Hand
title_short Factitious Lymphedema of the Hand
title_sort factitious lymphedema of the hand
topic Etiology
Factitious disorders
Lymphedema
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/11026.pdf&manuscript_id=11026
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AT nooshinalimalayeri factitiouslymphedemaofthehand
AT saliahmadiabhari factitiouslymphedemaofthehand
AT khadijehomidinobijari factitiouslymphedemaofthehand