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Factitious lesions of the hand()

The presence of a lesion with atypical presentation, obscure clinical history, which does not improve with classic treatments, shall raise the red flag of the medical team. In such cases, the hypothesis of a factitious lesion shall be considered. Many times the correct diagnosis on the initial asses...

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Detalles Bibliográficos
Autores principales: Oliveira, Ricardo Kaempf de, Bayer, Leohnard Roger, Lauxen, Daniel, Roth, Felipe, Serrano, Pedro Delgado, Ruschel, Paulo Henrique
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6565958/
https://www.ncbi.nlm.nih.gov/pubmed/31304138
http://dx.doi.org/10.1016/j.rboe.2012.09.008
Descripción
Sumario:The presence of a lesion with atypical presentation, obscure clinical history, which does not improve with classic treatments, shall raise the red flag of the medical team. In such cases, the hypothesis of a factitious lesion shall be considered. Many times the correct diagnosis on the initial assessment may avoid high-cost diagnostic tests, unnecessary treatments, and time consumption of the medical team. We present here two classic cases of factitious lesions that, similar to those described in the literature, is difficult to diagnose and difficult to treat.