Factitious Disorders of the Hand

Abstract

Factitious hand disorders are highly challenging problems for the treating physician both diagnostically and in terms of their management. We have found that the most beneficial strategy for managing these disorders is through a clinically multidisciplinary team that provides both their appropriate diagnosis and treatment. Factitious disorders of the hand are major consumers of medical professional resources, and patients with these disorders often present with complaints that can be difficult to verify, diagnose, and treat. This review is based on the clinical presentations and features of five cases of commonly encountered factitious hand disorders. Each case includes both the physical presentation of the disorder and the psychological issues that underlie it, as well as strategies for its diagnosis and treatment. Each case demonstrates a clear and distinct association between a particular type of factitious hand disorder, the psychopathology underlying it, and its ultimate prognosis.

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