Factitious disorder as a differential diagnosis for recurrent skin graft failure

Summary This case report presents the history of a 43-year-old man who sustained a relatively minor burn to his face but who subsequently suffered significant morbidity. Although the wound was grafted on a number of occasions, it failed to heal. Multiple investigations were carried out to determine...

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Published inJournal of plastic, reconstructive & aesthetic surgery Vol. 64; no. 4; pp. e89 - e91
Main Authors Seoighe, D.M, Dempsey, M, Lawlor, C, O’Dwyer, A.M
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.04.2011
Subjects
Adult
Burns - surgery
Diagnosis, Differential
Factitious disorder
Factitious Disorders - diagnosis
Factitious Disorders - psychology
Factitious Disorders - therapy
Humans
Male
Munchausen’s
Plastic Surgery
Skin graft failure
Surgical Flaps
Treatment Failure
Wound Healing
Factitious disorder
Skin graft failure
Munchausen’s
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Summary:Summary This case report presents the history of a 43-year-old man who sustained a relatively minor burn to his face but who subsequently suffered significant morbidity. Although the wound was grafted on a number of occasions, it failed to heal. Multiple investigations were carried out to determine the cause of recurrent wound breakdown. It had been suspected that the patient was interfering with the wound but this could not be proven initially. He was eventually diagnosed with factitious disorder and it was only when this was managed in the multi-disciplinary setting that his wound finally healed.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2010.11.004