Munchausen syndrome with foreign-body granuloma mimicking rheumatic diseases.

Munchausen syndrome with foreign-body granuloma mimicking rheumatic diseases. Research Abstract Details 

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Munchausen syndrome with foreign-body granuloma mimicking rheumatic diseases. Abstract Text:

Masashi Kohno,Hitoshi Hasegawa,Hironari Niiya,Eiji Sada,Masao Ono,Masato Nose,Shigeru Fujita,

A 37-year-old man was admitted to our hospital because of fever, polyarthralgia, and subcutaneous tumors. There was swelling of the bilateral wrists and ankles, and subcutaneous tumors over the bilateral elbow joints. Despite his complaints of multiple symptoms, clinical investigations failed to reveal any abnormality. Although laboratory parameters improved rapidly after steroid therapy, the symptoms remained unchanged, and there was an enormous discrepancy between the laboratory data and his symptoms. A biopsy specimen from one of the subcutaneous tumors revealed foreign-body granuloma associated with a foreign body fragment. Because the nursing staff later discovered that the patient had been carrying out self-injection, a diagnosis of Munchausen syndrome was made. Munchausen syndrome should be included in the differential diagnosis of rheumatic diseases.

Munchausen syndrome with foreign-body granuloma mimicking rheumatic diseases. Publishing Authors By Initials

M Kohno,H Hasegawa,H Niiya,E Sada,M Ono,M Nose,S Fujita,

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Munchausen syndrome with foreign-body granuloma mimicking rheumatic diseases. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Modern rheumatology / the Japan Rheumatism Associa

VOLUME: 14

Page Numbers: 66-9

Journal Abbreviation: Mod Rheumatol

ISSN: 1439-7595

DAY: 9

MONTH: 10

YEAR: 2004

Munchausen syndrome with foreign-body granuloma mimicking rheumatic diseases. Information

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LANGUAGE: eng

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AFFILIATION: First Department of Internal Medicine, Ehime University School of Medicine, Shigenobu, Onsen-gun, Ehime, 791-0295, Japan, konoma@m.ehime-u.ac.jp.

Country: Japan

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MEDLINETA: Mod Rheumatol

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