Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/6864
Title: Raynaud's phenomenon - Or just skin with dye?
Authors: Serinken, Mustafa
Karcioglu, O.
Türkçüer, İbrahim
Bukiran, A.
Keywords: anticonvulsive agent
adult
anamnesis
article
case report
clinical feature
cyanosis
disease severity
emergency care
female
human
mental disease
Munchausen syndrome
pain
priority journal
pulse rate
Raynaud phenomenon
skin discoloration
Adult
Coloring Agents
Cyanosis
Diagnosis, Differential
Female
Fingers
Humans
Munchausen Syndrome
Raynaud Disease
Skin
Abstract: Munchausen's syndrome is a factitious disorder resulting in unnecessary investigations and operative treatments in a small and well-defined population. Autobiographical falsification is the characteristic of the entity. The case history is presented of a 28-year-old woman admitted to the emergency department with severe pain of acute onset in her fingers and discoloration while washing dishes. She had been diagnosed with Raynaud's phenomenon and had been on antiepileptic drugs. The fingertips of both hands looked cyanotic. Radial and ulnar pulses were intact. She had argued with the personnel obtaining vital signs and had a tendency to hide her right hand, which raised the suspicion that a psychiatric disorder was the primary cause of the visit to the emergency department. A blue piece of dirt on the left shoulder had also augmented these concerns. Munchausen's syndrome was suspected after careful handshaking with hands soaked in alcohol resulted in a blue discoloration on the doctor's palm and fingers. Emergency and primary care physicians should be alert to this type of situation, with a myriad possible scenarios to be differentiated from real conditions.
URI: https://hdl.handle.net/11499/6864
https://doi.org/10.1136/emj.2008.062562
ISSN: 1472-0205
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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