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CASE REPORT
Triparesis: an unusual presentation of factitious disorder
  1. Susanta Kumar Padhy,
  2. Prabhat Sapkota and
  3. Aditya Somani
  1. Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Aditya Somani, dr.adityasomani{at}gmail.com

Abstract

Factitious disorder (FD) has diverse presentations but neurological presentation is unusual. In this report, we discuss a case of FD who presented with triparesis, that is, weakness of both lower limbs and right upper limb. Diagnosis of FD was made after detailed clinical evaluation, review of past medical records that revealed extensive evaluation to rule out physical illness, and inability to find any associated stressful event or material gain associated with illness. Management was largely supportive and was based on psychotherapy. Identification of FD depends on a high index of suspicion by the physician and the presence of atypical and medically unexplainable signs/symptoms.

  • Movement disorders (other than Parkinsons)
  • Anxietydisorders (including OCD and PTSD)
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Footnotes

  • Contributors SKP, PS and AS assessed and managed the patient. PS and AS prepared the manuscript. SKP reviewed the manuscript and supervised final submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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