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Anadolu Psikiyatri Derg. 2016; 17(Supplement 3): 91-93


Munchausen syndrome in an adolescent case with type-1 diabetes referred with hypoglycemic attacks

Sevcan Karakoç Demirkaya, Süheyla Tağcı, Hatice Aksu.

Abstract
Munchausen syndrome is a factitious disorder characterized with intentional production or feigning of physical or psychological signs or symptoms, continuous hospital admissions and pathologic lying. Frequent and unnecessary testing and long hospital stays cause loss of investment and time both for individual himself and health care systems. Clinicians must bear in mind the diagnosis of Munchausen syndrome when unexplained clinical deterio-ration of patients occurs during course of a chronic physical disorder. In this case presentation, Munchausen syn-drome diagnosis given to an adolescent with diagnosis of type I diabetes mellitus and with hypoglycemia attacks leading to several admissions to emergency services, is discussed.

Key words: diabetes mellitus, factitious hypoglycemia, Munchausen syndrome



Hipoglisemi nöbetleri ile başvuran tip-1 diyabetes mellitus tanılı ergen olguda Munchausen sendromu

Özet
Munchausen sendromu, fiziksel veya ruhsal belirti ve bulguların istemli olarak oluşturulması, varmış gibi davranılması, sürekli hastane hastane dolaşma ve patolojik yalanlar söyleme ile karakterize bir yapay bozukluktur. Sık ve gereksiz tetkik yapılması, uzun yatış süreleri nedeniyle hem sağlık sistemi için, hem de birey için gelir ve zaman kayıplarına neden olmaktadır. Kronik fiziksel hastalık gidişinde klinikte açıklanamayan bozulmalar olduğunda hekimin aklına Munchausen sendromu gelmelidir. Bu olgu sunumunda, hipoglisemi nöbetleri ile birçok kez acil servise başvuran tip-1 diyabetes mellitus tanılı bir ergende rastlanan Munchausen sendromu tartışılmıştır.

Anahtar Kelimeler: Diyabetes mellitus, yapay hipoglisemi, Munchausen sendromu



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