Document Detail

The upper extremity and psychiatric illness.
MedLine Citation:
PMID:  4045149     Owner:  NLM     Status:  MEDLINE    
Thirty-three patients who had various conversion reactions manifested by signs and symptoms involving the upper extremities were seen over a 13-year period. Factitious lymphedema, factitious ulcers, clenched fists, as well as other dysfunctional postures of the hand and upper extremity, were the most frequently recognized patterns of illness. Denial of knowledge of the cause of the physical problem and a lack of insight into the illness are major parts of the disease process. Twenty-nine of the 33 patients in this study had work-related and therefore compensable injuries. The physical signs and symptoms resolved in four of the patients when compensation was withdrawn. The average follow-up in this study was 4 1/2 years. Unfortunately, the long-term follow-up of these patients revealed that this disease process was chronic and most frequently failed to resolve. Various efforts at treatment have been unsuccessful, including extensive psychotherapy. Confrontation with the patient is contraindicated.
D S Louis; M K Lamp; T L Greene
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  10     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1985 Sep 
Date Detail:
Created Date:  1985-11-12     Completed Date:  1985-11-12     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  687-93     Citation Subset:  IM    
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MeSH Terms
Conversion Disorder / diagnosis,  psychology*
Factitious Disorders / diagnosis,  psychology*
Middle Aged
Paralysis / psychology
Self Mutilation / diagnosis,  psychology
Skin Ulcer / psychology

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