Article Text

PDF
Raynaud’s phenomenon – or just skin with dye?
  1. M Serinken1,
  2. O Karcioglu2,
  3. I Turkcuer1,
  4. A Bukiran3
  1. 1
    Department of Emergency Medicine, Pamukkale University, School of Medicine, Denizli, Turkey
  2. 2
    Department of Emergency Medicine, Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey
  3. 3
    Department of Emergency Medicine, Pamukkale University, School of Medicine, Denizli, Turkey
  1. Dr M Serinken, Pamukkale University Medical School, Department of Emergency Medicine, 20070 Denizli, Turkey; mserinken{at}hotmail.com

Abstract

Munchausen’s syndrome is a factitious disorder resulting in unnecessary investigations and operative treatments in a small and well-defined population. Autobiographical falsification is the characteristic of the entity. The case history is presented of a 28-year-old woman admitted to the emergency department with severe pain of acute onset in her fingers and discoloration while washing dishes. She had been diagnosed with Raynaud’s phenomenon and had been on antiepileptic drugs. The fingertips of both hands looked cyanotic. Radial and ulnar pulses were intact. She had argued with the personnel obtaining vital signs and had a tendency to hide her right hand, which raised the suspicion that a psychiatric disorder was the primary cause of the visit to the emergency department. A blue piece of dirt on the left shoulder had also augmented these concerns. Munchausen’s syndrome was suspected after careful handshaking with hands soaked in alcohol resulted in a blue discoloration on the doctor’s palm and fingers. Emergency and primary care physicians should be alert to this type of situation, with a myriad possible scenarios to be differentiated from real conditions.

Statistics from Altmetric.com

Footnotes

  • Funding: None.

  • Competing interests: None.

  • Patient consent: Obtained.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.