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Metabolic MalingeringFactitious Hyperinsulinism
Gerry L. Maddoux, MS;
John L. Townsend, MD;
James L. Males, MD
Arch Intern Med. 1973;132(2):252-255.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Factitious illness has long been the source of much frustration to the medical profession. It is the appropriate diagnosis in those patients who knowingly distort their medical history, feign or accentuate physical findings, or surreptitiously alter laboratory values by various means. This diagnosis is one of the most difficult to establish but should be considered in the differential diagnosis in every patient who has bizarre symptoms or persistent disparity between physical findings and laboratory values. Malingering is not an infrequent clinical presentation throughout the medical profession. Without an acute awareness of the protean presentations of the factitious illness syndrome, many instances will be missed. These patients deserve the proper diagnosis— not for the purpose of presenting them with the diagnosis as a punitive measure, but rather to establish the proper setting for psychotherapy of an underlying personality disorder of long standing.
It is the purpose of this report to present
. . . [Full Text PDF of this Article]
Author Affiliations
Oklahoma City
From the Section of Endocrinology, Department of Medicine, University of Oklahoma College of Medicine, Oklahoma City. Dr. Townsend is now at the Department of Medicine, Howard University College of Medicine, Washington, DC.
Footnotes
Received for publication Feb 22, 1972; accepted May 25.
Reprint requests to Department of Medicine, Howard University College of Medicine, Washington, DC 20001 (Dr. Townsend).
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