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The psychotic mummified hand : an unusual hand injury complication

MATHIEU L; GUILLIBERT E; MAMANE W; MASMEJEAN EH
CHIR MAIN , 2013, vol. 32, n° 6, p. 413-415
Doc n°: 169606
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.main.2013.09.003
Descripteurs : DD84 - TRAUMATISMES - MAIN-DOIGTS, LA - PSYCHOLOGIE

The authors report the case of a patient with psychotic symptoms secondary to a
posttraumatic stress disorder following a work-related hand injury. The somatic
presentation was a "mummified" hand neglected for several years in a splint
without any care. The psychiatric analysis concluded that this was part of a
delusion of persecution expressing a conflict against the patient's employer and
insurance company. Surgical treatment was limited to a hand cleaning with
hardware removal. Despite 3 years of antipsychotic medication the patient was
still suffering from delusion and the hand remained neglected at the last follow-up.
CI - Copyright (c) 2013 Elsevier Masson SAS. All rights reserved.
- Syndrome de stress post traumatique

Langue : ANGLAIS

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