A unique case presentation of recurrent self-inflicted chemical burns

  • Jennifer Kesey
  • Anceslo Idicula a resident in the Department of Surgery at Texas Tech University Health Sciences Center in Lubbock, TX.
  • Desirae Mckee
  • Sharmila Dissanaike
Keywords: chemical burn, hand, factitious disorders

Abstract

A 52-year-old man was admitted to multiple burn facilities five years after an initial work-related chemical burn to his hand, with the claim of a non-healing burn. Further investigation identified characteristics of self-inflicted burn for primary and secondary gain. A literature review of clinically relevant case studies is presented to aid in the identification and diagnosis of suspected factitious illness. Factitious disorders of the hand are frequently under-reported due to variability in presentation, difficulty in detection, and the need for repeat observations necessary for psychological diagnosis. This case serves to highlight key techniques in clinical approach and management for malingering disorders of the upper extremity.

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Author Biography

Anceslo Idicula, a resident in the Department of Surgery at Texas Tech University Health Sciences Center in Lubbock, TX.
MD, pulmonary infection, expertise- clinical projects, general pulmonary medicine
Published
2015-10-09
How to Cite
Kesey, J., Idicula, A., Mckee, D., & Dissanaike, S. (2015). A unique case presentation of recurrent self-inflicted chemical burns. The Southwest Respiratory and Critical Care Chronicles, 3(12), 26-31. Retrieved from https://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/232