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Letters   |    
Munchausen’s Syndrome With Rare Hematological Disorder, Systemic Mastocytosis: A Case Report
Raman Baweja, M.D.; Ritika Baweja, M.D.; Ahamad Hameed, M.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2013;25:E35-E38. doi:10.1176/appi.neuropsych.12070165
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Dept. of Psychiatry Penn State Hershey Medical Center Hershey, PA
Dept. of Psychiatry Penn State Hershey Medical Center Hershey, PA
Associate Professor Dept. of Psychiatry Penn State Hershey Medical Center Hershey, PA

Copyright © 2013 American Psychiatric Association

Extract

To the Editor: Munchausen’s syndrome is classified as a factitious disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). It is characterized by the intentional production or feigning of physical or psychological signs or symptoms, with a psychological need to assume the sick role.1 In 1951, Asher named this disorder “Munchausen’s syndrome” and proposed three common variants: presents with acute abdominal pain, with neurologic symptoms, and with self-inflicted blood loss.2 Since then, several case reports have been published describing Munchausen’s syndrome with all other systemic organs.35 Systemic mastocytosis (SM) is a persistent or progressive clonal disorder of mast cells and their progenitors.6

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TABLE 1.Clinical Profile of Munchausen’s Syndrome Patient
Table Footer Note

Presenting symptoms and work-up done in the Emergency Room.

Table Footer Note

DVT: deep vein thrombosis; MVP: mitral valve prolapse.

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References

American Psychiatric Association:  Diagnostic and Statistical Manual of Mental Disorders , 4th Edition, Revised.  Washington, DC,  American Psychiatric Association, 2000
 
Asher  R:  Munchausen’s syndrome.  Lancet 1951; 1:339–341
[CrossRef] | [PubMed]
 
Bhugra  D:  Psychiatric Munchausen’s syndrome: literature review with case reports.  Acta Psychiatr Scand 1988; 77:497–503
[CrossRef] | [PubMed]
 
Feldman  MD:  Munchausen by Internet: detecting factitious illness and crisis on the Internet.  South Med J 2000; 93:669–672
[PubMed]
 
Ifudu  O;  Kolasinski  SL;  Friedman  EA:  Brief report: kidney-related Munchausen’s syndrome.  N Engl J Med 1992; 327:388–389
[CrossRef] | [PubMed]
 
Valent  P;  Horny  H-P;  Escribano  L  et al:  Diagnostic criteria and classification of mastocytosis: a consensus proposal.  Leuk Res 2001; 25:603–625
[CrossRef] | [PubMed]
 
Kanaan  R:  Reformulating factitious disorders.  Psychosomatics 2006; 47:23–32
[CrossRef] | [PubMed]
 
Reich  P;  Gottfried  LA:  Factitious disorders in a teaching hospital.  Ann Intern Med 1983; 99:240–247
[CrossRef] | [PubMed]
 
Schlesinger  RD;  Daniel  DG;  Rabin  P  et al:  Factitious disorder with physical manifestations: pitfalls of diagnosis and management.  South Med J 1989; 82:210–214
[CrossRef] | [PubMed]
 
Caocci  G;  Pisu  S;  La Nasa  G:  A simulated case of chronic myeloid leukemia: the growing risk of Munchausen’s syndrome by internet.  Leuk Lymphoma 2008; 49:1826–1828
[CrossRef] | [PubMed]
 
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