Resumo

ESPINOSA BRITO, Alfredo D; FIGUEIRAS RAMOS, Benigno; MENDILAHAXON LOPEZ, Juan B  e  ESPINOSA ROCA, Alfredo A. Síndrome de munchausen: Un reto para el clínico. Rev cubana med [online]. 2000, vol.39, n.4, pp.228-237. ISSN 0034-7523.

It was affirmed that, in the last few decades, the occurrence of patients with fictitious "complex" diseases that have been seen in a various medical institutions for years , demand a great deal of resources and even insult health professionals for not being able to solve their complaints and diseases has been described in literature. It is not possible to prove in such patients the presence of many entities that are eagerly searched for by most physicians who do not dear to completely ignore them for a number of reasons. These patients are not hysterical persons or pretenders as it is commonly understood, they are aware of their deeds, but it seems that they do it as if they were forced by a number of reasons that they do not understand quite well. The term Munchansen syndrome has been introduced for such patients. A brief review of the diagnosis criteria, risk groups, clinical picture,modus operandi, adverse effects, treatment and prognosis of this modern challenge that test the clinical knowledge of the contemporary physician is presented

Palavras-chave : MUNCHAUSEN SYNDROME [diagnosis]; MUNCHAUSEN SYNDROME [therapy]; PROGNOSIS; PSYCHOSOMATIC MEDICINE.

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