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Chirurgie de la main · Sep 2013
Case Reports[Comorbid puffy hand syndrome and factitious disorders: an unusual association with poor prognosis].
- C Courtin, L Mathieu, F Rongiéras, A Bertani, and F Chauvin.
- Service de Chirurgie Orthopédique et Traumatologique, Hôpital D'instruction des Armées Desgenettes, 108 Boulevard Pinel, 69275 Lyon Cedex 03, France.
- Chir Main. 2013 Sep 1; 32 (4): 251-4.
AbstractThe authors report an original clinical presentation of factitious disorders of the upper extremity in an ex-drug-addict patient with puffy hand syndrome. Chronic self-inflicted ulcerations appeared with sequential manner. The patient confessed deliberate self-harm and transfer of anxiety on his hands, the aspect of which had become intolerable. Association of puffy hand syndrome with comorbid psychosis and major depression explained immediate recurrence of ulcerations despite fitted medication and long-term psychotherapy. Copyright © 2013 Elsevier Masson SAS. All rights reserved.
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