A unique case presentation of recurrent self-inflicted chemical burns

• Main Authors: Jennifer Kesey, Anceslo Idicula, Desirae Mckee, Sharmila Dissanaike
• Format: Article
• Language: English
• Published: Southwest Respiratory and Critical Care Chronicles 2015-10-01
• Series: Southwest Respiratory and Critical Care Chronicles
• Subjects: chemical burn; hand; factitious disorders
• Online Access: http://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/232

A 52-year-old man was admitted to multiple burn facilities five years after an initial work-related chemical burn to his hand, with the claim of a non-healing burn. Further investigation identified characteristics of self-inflicted burn for primary and secondary gain. A literature review of clinically relevant case studies is presented to aid in the identification and diagnosis of suspected factitious illness. Factitious disorders of the hand are frequently under-reported due to variability in presentation, difficulty in detection, and the need for repeat observations necessary for psychological diagnosis. This case serves to highlight key techniques in clinical approach and management for malingering disorders of the upper extremity.