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Factitious disorder as a differential diagnosis for recurrent skin graft failure

Authors
Journal
Journal of Plastic Reconstructive & Aesthetic Surgery
1748-6815
Publisher
Elsevier
Publication Date
Volume
64
Issue
4
Identifiers
DOI: 10.1016/j.bjps.2010.11.004
Keywords
  • Factitious Disorder
  • Skin Graft Failure
  • Munchausen’S
Disciplines
  • Medicine

Abstract

Summary This case report presents the history of a 43-year-old man who sustained a relatively minor burn to his face but who subsequently suffered significant morbidity. Although the wound was grafted on a number of occasions, it failed to heal. Multiple investigations were carried out to determine the cause of recurrent wound breakdown. It had been suspected that the patient was interfering with the wound but this could not be proven initially. He was eventually diagnosed with factitious disorder and it was only when this was managed in the multi-disciplinary setting that his wound finally healed.

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