Article

The authors report an original clinical presentation of factitious disorders of
the upper extremity in an ex-drug-addict patient with puffy hand syndrome.
Chronic self-inflicted ulcerations appeared with sequential manner. The patient
confessed deliberate self-harm and transfer of anxiety on his hands, the aspect
of which had become intolerable. Association of puffy hand syndrome with comorbid
psychosis and major depression explained immediate recurrence of ulcerations
despite fitted medication and long-term psychotherapy.
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Langue : FRANCAIS