Factitious disorder in Crohn's disease: Recurrent pancytopenia caused by surreptitious ingestion of 6-mercaptopurine

Case Reports in Gastroenterology

Volumn 9, Issue , 2015, Pages 137-141

  Kahn, Allon ^a   Boroff, Erika S ^a   Martin, Kari A ^a   Northfelt, Donald W ^a   Heigh, Russell I ^a,b  

^a MAYO CLINIC   (United States)

^b Division of Gastroenterology and Hepatology   (United States)

Author keywords

Anemia; Complication; Dyserythropoiesis; Factitious disorder; Inflammatory bowel disease; Intentional; Leukopenia; Medication; Thrombocytopenia

Indexed keywords

ADALIMUMAB; BUDESONIDE; CERTOLIZUMAB PEGOL; COLONY STIMULATING FACTOR; FILGRASTIM; HEMOGLOBIN; INFLIXIMAB; MERCAPTOPURINE; MESALAZINE; METHYL MERCAPTOPURINE NUCLEOTIDE; PREDNISONE; THIOGUANINE NUCLEOTIDE; TIOGUANINE; TRIACYLGLYCEROL LIPASE; UNCLASSIFIED DRUG;

ABDOMINAL PAIN; ADULT; ARTICLE; BLOOD TRANSFUSION; BONE MARROW BIOPSY; CASE REPORT; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL EVALUATION; COLOSTOMY; CONSULTATION; CROHN DISEASE; CYTOGENETICS; DIPLOIDY; DRUG DOSE INCREASE; DRUG TREATMENT FAILURE; DRUG WITHDRAWAL; DYSERYTHROPOIESIS; EMERGENCY WARD; ERYTHEMA; FACTITIOUS DISEASE; FEMALE; FLOW CYTOMETRY; FOLLOW UP; HEADACHE; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HUMAN; HYPOPLASIA; INFECTION COMPLICATION; INGESTION; LABORATORY TEST; LEUKOCYTE COUNT; MEAN CORPUSCULAR VOLUME; MEDICAL HISTORY; MEDICATION THERAPY MANAGEMENT; MIDDLE AGED; MOUTH ULCER; MUSCLE FATIGUE; NEUTROPHIL COUNT; OSTEOPENIA; OUTCOME ASSESSMENT; OUTPATIENT DEPARTMENT; PANCREATITIS; PANCYTOPENIA; PERIANAL ABSCESS; PERIPHERAL NEUROPATHY; PRESCRIPTION; PRIORITY JOURNAL; RECURRENT DISEASE; STOMA; TELEPHONE INTERVIEW; THROMBOCYTE COUNT; TOBACCO USE; TREATMENT INDICATION; VITAMIN D DEFICIENCY;

EID: 84941945338     PISSN: None     EISSN: 16620631     Source Type: Journal    
DOI: 10.1159/000382073     Document Type: Article

References (15)

1. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, American Psychiatric Association, 2013
2. Sutherland AJ, Rodin GM: Factitious disorders in a general hospital setting: clinical features and a review of the literature. Psychosomatics 1990; 31: 392-399
3. Bass C, Halligan P: Factitious disorders and malingering: challenges for clinical assessment and management. Lancet 2014; 383: 1422-1432
4. Huffman JC, Stern TA: The diagnosis and treatment of Munchausens syndrome. Gen Hosp Psychiatry 2003; 25: 358-363
5. Savino AC, Fordtran JS: Factitious disease: clinical lessons from case studies at Baylor University Medical Center. Proc (Bayl Univ Med Cent) 2006; 19: 195-208
6. Asher R: Munchausens syndrome. Lancet 1951; 1: 339-341
7. Krahn LE, Li H, OConnor MK: Patients who strive to be ill: factitious disorder with physical symptoms. Am J Psychiatry 2003; 160: 1163-1168
8. Fliege H, Grimm A, Eckhardt-Henn A, Gieler U, Martin K, Klapp BF: Frequency of ICD-10 factitious disorder: survey of senior hospital consultants and physicians in private practice. Psychosomatics 2007; 48: 60-64
9. McIntyre AS, Kamm MA: A case of factitious colonic bleeding. J R Soc Med 1990; 83: 465-466
10. Bakkers JT, Crobach LF, Pauwels EK: Factitious gastrointestinal bleeding. J Nucl Med 1985; 26: 666-667
11. Barkin JA, Biagini TM, Barkin JS: Factitious disorder as a cause of gastrointestinal bleeding: use of a gastroenterologists secondary survey. Am J Gastroenterol 2013; 108: 456-458
12. Foga MM, Leslie WD: Gastrointestinal bleeding, Munchausen style. Clin Nucl Med 2003; 28: 330-331
13. Desir B, Seidman EG: Transitioning the paediatric IBD patient to adult care. Best Pract Res Clin Gastroenterol 2003; 17: 197-212
14. Engstrom I: Mental health and psychological functioning in children and adolescents with inflammatory bowel disease: a comparison with children having other chronic illnesses and with healthy children. J Child Psychol Psychiatry 1992; 33: 563-582
15. Mittermaier C, Dejaco C, Waldhoer T, Oefferlbauer-Ernst A, Miehsler W, Beier M, Tillinger W, Gangl A, Moser G: Impact of depressive mood on relapse in patients with inflammatory bowel disease: a prospective 18-month follow-up study. Psychosom Med 2004; 66: 79-84