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2000
Volume 25, Issue 4
  • ISSN: 1871-5303
  • E-ISSN: 2212-3873

Abstract

Hypoglycaemia in individuals with diabetes is defined as the presence of signs or symptoms in addition to potentially occurring abnormal plasma glucose levels in the patient. Munchausen Syndrome (MS) is characterized by the deliberate induction of physical or psychological symptoms or the act of pretending to have symptoms. Patient reports of this factitious disease pattern are limited in the literature. The diagnosis and treatment of this syndrome, which is among factitious disorders, is very difficult. Endocrinological complaints are very common among those admitted to the hospitals.

Background

Unnecessary and numerous examinations cause financial losses and loss of time for both the individual and the healthcare system. In this case report, we aimed to discuss the management of a patient who tried to gain secondary gain by creating artificial hypoglycemia attacks.

Case Report

In this case report, the diagnosis of Munchausen syndrome given to a 28-year-old female patient who was diagnosed with type I diabetes and repeatedly admitted to the hospital due to hypoglycemia attacks is discussed.

Conclusion

Munchausen syndrome is an important and often overlooked diagnosis that should be kept in mind due to the possibility of individuals harming themselves unpredictably, as well as causing disruptions in the healthcare system and wasting time due to numerous and unnecessary examinations and evaluations. For this reason, it is a diagnosis that should be kept in mind in cases of unexplained hypoglycemia attacks.

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2024-06-25
2025-05-20
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References

  1. GuznerA. HeinzeE. SadasivamL. New and delayed artifactual hypoglycemia following septic shock in two scleroderma patients.Cureus2023157e4190010.7759/cureus.41900 37583724
    [Google Scholar]
  2. RemartínezS.G. ValdepérezM.T. HerranzJ.F. BouB.M. Diabetological emergencies: Ketoacidosis, hyperosmolar hyperglycemic syndrome and hypoglycemia.Medicine - Accredited Continuing Medical Training Program202313905326533910.1016/j.med.2023.11.003
    [Google Scholar]
  3. AwadD.H. GokarakondaS.B. IlahiM. Factitious Hypoglycemia.StatPearls.StatPearls Publishing2023
    [Google Scholar]
  4. MertensJ. HaddadM. Artifactual hypoglycemia in a patient with systemic sclerosis.Acta Clin. Belg.202277240040510.1080/17843286.2020.1837575 33074796
    [Google Scholar]
  5. CiobanuR-P. Munchausen syndrome and post-traumatic stress disorder-a correlation.Bulletin of Integrative Psychiatry2022213714310.36219/BPI.2022.2.13
    [Google Scholar]
  6. SharifzadehA. Hypoglycemia and factitious disorders: A case report and review.Cureus2022146e2628710.7759/cureus.26287 35898373
    [Google Scholar]
  7. SinghS. Munchausen syndrome presenting with hematemesis and school refusal: A rare case report.Eur. Psychiatry202366S1S971S972
    [Google Scholar]
  8. SaeedK. HaiderM. SiddiqueF. Munchausen syndrome-a case series at Camp Jail Lahore, Pakistan.Khyber Med. Univ. J.2023153187189
    [Google Scholar]
  9. WeberB. GokarakondaS.B. DoyleM.Q. Munchausen syndrome.StatPearls.StatPearls Publishing2024
    [Google Scholar]
  10. AbdurrachidN. Gama MarquesJ. Munchausen syndrome by proxy (MSBP): A review regarding perpetrators of factitious disorder imposed on another (FDIA).CNS Spectr.2022271162610.1017/S1092852920001741 32772954
    [Google Scholar]
  11. CarnahanK.T. JhaA. Factitious disorder.StatPearls.StatPearls Publishing2023
    [Google Scholar]
  12. BérarA. BalussonF. AllainJ.S. Factitious disorder imposed on self: A retrospective study of 2232 cases from health insurance databases.Gen. Hosp. Psychiatry20238511411910.1016/j.genhosppsych.2023.10.007 37862960
    [Google Scholar]
  13. ZeerA.M.M. NomanM. ZeerZ.M.M. AttawnehA. BairmaniZ.A. AlfroukhK.M.A. OweinaL. Factitious cushing’s syndrome with unusual presentation: A case report and literature review.Ann. Med. Surg.20238584161416610.1097/MS9.0000000000001050 37554867
    [Google Scholar]
  14. PersaniL. Factitious thyrotoxicosis and thyroid hormone misuse or abuse.Annales d’Endocrinologie.Elsevier202310.1016/j.ando.2023.03.008
    [Google Scholar]
  15. YukinaM. KatsobashviliI. PlatonovaN. TroshinaE. Mel’nichenkoG. Munchausen syndrome with factitious hypoglycemia due to deliberate insulin analog administration and factitious hyperglycemia in a patient with hypothyroidism.Clin. Diabetes Endocrinol.202281810.1186/s40842‑022‑00145‑y 36376919
    [Google Scholar]
  16. KhouchafH. Factitious thyrotoxicosis: A case report.Endocrine Abstracts.Bioscientifica202210.1530/endoabs.81.EP1118
    [Google Scholar]
  17. TaylorP.N. CollinsK.S. LamA. KarpenS.R. GreenoB. WalkerF. LozanoA. AtabakhshE. AhmedS.T. MarinacM. LatresE. SeniorP.A. RigbyM. GottliebP.A. DayanC.M. GreenbaumC. KrisherJ. SkylerJ. WherrettD. HanneliusU. LindqvistA. NowakC. BebuI. BraffettB. NapolitanoA. Jan MohamedS. WeirG. NepomG. BeckR. RichardC. HedrickJ. LudvigssonJ. Von HerrathM. LeonF. RamosE. NarendranP. GitelmanS. DabeleaD. AndrewsR. HallerM. JensenE. HaroldK. DutzJ. C-peptide and metabolic outcomes in trials of disease modifying therapy in new-onset type 1 diabetes: An individual participant meta-analysis.Lancet Diabetes Endocrinol.2023111291592510.1016/S2213‑8587(23)00267‑X 37931637
    [Google Scholar]
  18. DickermanA.L. JiménezX.F. Psychosocial and psychodynamic considerations informing factitious disorder.Psychodyn. Psychiatry20235119811310.1521/pdps.2023.51.1.98 36867181
    [Google Scholar]
  19. MargolisM. Consultation-liaison case conference: A case of factitious disorder imposed on self.J. Acad. Consult. Liaison Psychiatry2023646562570
    [Google Scholar]
  20. OnofrjM. AjdinajP. DigiovanniA. MalekN. MartinottiG. FerroF.M. RussoM. ThomasA. SensiS.L. Functional neurologic disorders, disorders to be managed by neurologists, or are neurologists wandering in a dangerous field with inadequate resources?Front. Psychiatry202314112098110.3389/fpsyt.2023.1120981 37009111
    [Google Scholar]
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