Progressive vision loss as part of Munchausen’s syndrom on the example of the clinical case

Svetlana V. Kuzmina , Azat R. Galimov , Nadezhda A. Pozdeeva , Valeriya N. Ovchinnikova , Kseniya A. Aleksandrova

Neurology Bulletin ›› 2023, Vol. LV ›› Issue (3) : 55 -67.

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Neurology Bulletin ›› 2023, Vol. LV ›› Issue (3) :55 -67. DOI: 10.17816/nb546008
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Progressive vision loss as part of Munchausen’s syndrom on the example of the clinical case

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Abstract

The article presents a case of Munchausen’s syndrome featuring complaints of progressive vision loss not previously reported in Russian literature. Within the research scope, we performed psychopathological enquiry, analysed the medical examination records of the involved specialists, as well as review of modern literature. Existing obstacles in the diagnostics of the syndrome in question were investigated including particularities of ophthalmological practice and it is concluded that alertness of doctors of all specialties in respect of feigned symptoms cases should be increased to properly manage such patients and prevent prescription of unnecessary potentially harmful medical interventions.

Keywords

Munchausen’s syndrome / factitious disorder / functional visual loss / nonorganic visual loss / interdisciplinary diagnostics

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Svetlana V. Kuzmina, Azat R. Galimov, Nadezhda A. Pozdeeva, Valeriya N. Ovchinnikova, Kseniya A. Aleksandrova. Progressive vision loss as part of Munchausen’s syndrom on the example of the clinical case. Neurology Bulletin, 2023, LV(3): 55-67 DOI:10.17816/nb546008

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References

[1]

Asher R. Munchausen’s syndrome. Lancet. 1951;1(6650):339–341. DOI: 10.1016/s0140-6736(51)92313-6.

[2]

Asher R. Munchausen’s syndrome // Lancet. 1951. Vol. 1. N. 6650. P. 339–341. DOI: 10.1016/s0140-6736(51)92313-6.

[3]

MKB-11. Glava 06. Psihicheskie i povedencheskie rasstrojstvai narusheniya nejropsihicheskogo razvitiya. Statisticheskaya klassifikaciya. 2-e izdanie, pererabotannoe i dopolnennoe. M.: KDU, Universitetskaya kniga; 2022. 432 р. (In Russ.) DOI: 10.31453/kdu.ru.91304.0172.

[4]

МКБ-11. Глава 06. Психические и поведенческие расстройства и нарушения нейропсихического развития. Статистическая классификация. 2-е издание, переработанное и дополненное. М.: КДУ, Университетская книга; 2022. 432 с. DOI: 10.31453/kdu.ru.91304.0172.

[5]

Burnel A. Recognition and management of factitious disorder. Prescriber. 2015;26(21):37–39. DOI: 10.1002/psb.1411.

[6]

Burnel A. Recognition and management of factitious disorder // Prescriber. 2015. Vol. 26. N. 21. P. 37–39. DOI: 10.1002/psb.1411.

[7]

Carnahan KT, Jha A. Factitious disorder. Treasure Island (FL): StatPearls Publishing; 2023. https://www.ncbi.nlm.nih.gov/books/NBK557547/ (access date: 07.07.2023).

[8]

Carnahan K.T., Jha A. Factitious disorder. Treasure Island (FL): StatPearls Publishing; 2023. https://www.ncbi.nlm.nih.gov/books/NBK557547/ (access date: 07.07.2023).

[9]

Levenson JL. Factitious disorders. BMJ Best Practice. 2023. https://bestpractice.bmj.com/topics/en-us/695 (access date: 07.07.2023).

[10]

Levenson J.L. Factitious disorders // BMJ Best Practice. https://bestpractice.bmj.com/topics/en-us/695 (access date: 07.07.2023).

[11]

Yates GP, Feldman MD. Factitious disorder: A systematic review of 455 cases in the professional literature. Gen Hosp Psychiatry. 2016;41:20–28. DOI: 10.1016/j.genhosppsych.2016.05.002.

[12]

Yates G.P., Feldman M.D. Factitious disorder: A systematic review of 455 cases in the professional literature // Gen. Hosp. Psychiatry. 2016. Vol. 41. P. 20–28. DOI: 10.1016/j.genhosppsych.2016.05.002.

[13]

Gregory RJ, Jindal S. Factitious disorder on an inpatient psychiatry ward. Am J Orthopsychiatry. 2006;76(1):31–36. DOI: 10.1037/0002-9432.76.1.31.

[14]

Gregory R.J., Jindal S. Factitious disorder on an inpatient psychiatry ward // Am. J. Orthopsychiatry. 2006. Vol. 76. N. 1. P. 31–36. DOI: 10.1037/0002-9432.76.1.31.

[15]

Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington: VA, American Psychiatric Publishing; 2013. DOI: 10.1176/appi.books.9780890425596.

[16]

Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013. DOI: 10.1176/appi.books.9780890425596.

[17]

Bass C, Halligan P. Factitious disorders and malingering: challenges for clinical assessment and management. Lancet. 2014;383(9926):1422–1432. DOI: 10.1016/S0140-6736(13)62186-8.

[18]

Bass C., Halligan P. Factitious disorders and malingering: challenges for clinical assessment and management // Lancet. 2014. Vol. 383. N. 9926. P. 1422–1432. DOI: 10.1016/S0140-6736(13)62186-8.

[19]

Fliege H, Grimm A, Eckhardt-Henn A et al. Frequency of ICD-10 factitious disorder: Survey of senior hospital consultants and physicians in private practice. Psychosomatics. 2007;48(1):60–64. DOI: 10.1176/appi.psy.48.1.60.

[20]

Fliege H., Grimm A., Eckhardt-Henn A. et al. Frequency of ICD-10 factitious disorder: Survey of senior hospital consultants and physicians in private practice // Psychosomatics. 2007. Vol. 48. N. 1. P. 60–64. DOI: 10.1176/appi.psy.48.1.60.

[21]

Caselli I, Poloni N, Ielmini M et al. Epidemiology and evolution of the diagnostic classification of factitious disorders in DSM-5. Psychol Res Behav Manag. 2017;10:387–394. DOI: 10.2147/PRBM.S153377.

[22]

Caselli I., Poloni N., Ielmini M. et al. Epidemiology and evolution of the diagnostic classification of factitious disorders in DSM-5 // Psychol. Res. Behav. Manag. 2017. Vol. 10. P. 387–394. DOI: 10.2147/PRBM.S153377.

[23]

Caselli L, Poloni N, Ceccon F et al. A systematic review on factitious disorders: Psychopathology and diagnostic classification. Neuropsychiatry. 2018;8(1):281–92. DOI: 10.4172/Neuropsychiatry.1000349.

[24]

Caselli L., Poloni N., Ceccon F. et al. A systematic review on factitious disorders: Psychopathology and diagnostic classification // Neuropsychiatry. 2018. Vol. 8. N. 1. P. 281–292. DOI: 10.4172/ Neuropsychiatry.1000349.

[25]

Raviskanthan S, Wendt S, Ugoh PM et al. Functional vision disorders in adults: A paradigm and nomenclature shift for ophthalmology. Surv Ophthalmol. 2022;67(1):8–18. DOI: 10.1016/j.survophthal.2021.03.002.

[26]

Raviskanthan S., Wendt S., Ugoh P.M. et al. Functional vision disorders in adults: A paradigm and nomenclature shift for ophthalmology // Surv. Ophthalmol. 2022. Vol. 67. N. 1. P. 8–18. DOI: 10.1016/j.survophthal.2021.03.002.

[27]

Feldman MD, Eisendrath SJ, Tyerman M. Psychiatric and behavioral correlates of factitious blindness. Compr Psychiatry. 2008;49(2):159–162. DOI: 10.1016/j.comppsych.2007.08.010.

[28]

Feldman M.D., Eisendrath S.J., Tyerman M. Psychiatric and behavioral correlates of factitious blindness // Compr. Psychiatry. 2008. Vol. 49. N. 2. P. 159–162. DOI: 10.1016/j.comppsych.2007.08.010.

[29]

Mark JR, Kulinich AG, Scher LM, Mannis MJ. Vision loss and psychopathology. Pan Am J Ophthalmol. 2021;3:7. DOI: 10.4103/pajo.pajo_65_20.

[30]

Mark J.R., Kulinich A.G., Scher L.M., Mannis M.J. Vision loss and psychopathology // Pan. Am. J. Ophthalmol. 2021. Vol. 3. Р. 7. DOI: 10.4103/pajo.pajo_65_20.

[31]

Sharma DK, Thakur PK, Chauhan A et al. Hysterical visual loss and malingering — diagnostic dilemma for an ophthalmologist. J Evolution Med Dent Sci. 2021;10(38):3449–3453. DOI: 10.14260/jemds/2021/698.

[32]

Sharma D.K., Thakur P.K., Chauhan A. et al. Hysterical visual loss and malingering — diagnostic dilemma for an ophthalmologist // J. Evolution Med. Dent. Sci. 2021. Vol. 10. N. 38. P. 3449–3453. DOI: 10.14260/jemds/2021/698.

[33]

Beatty S. Non-organic visual loss. Postgrad Med J. 1999;75(882):201–207. DOI: 10.1136/pgmj.75.882.201.

[34]

Beatty S. Non-organic visual loss // Postgrad. Med. J. 1999. Vol. 75. N. 882. P. 201–207. DOI: 10.1136/pgmj.75.882.201.

[35]

Bruce BB, Newman NJ. Functional visual loss. Neurol Clin. 2010;28(3):789–802. DOI: 10.1016/j.ncl.2010.03.012.

[36]

Bruce B.B., Newman N.J. Functional visual loss // Neurol. Clin. 2010. Vol. 28. N. 3. P. 789–802. DOI: 10.1016/j.ncl.2010.03.012.

[37]

Somers A, Casteels K, Van Roie E et al. Non-organic visual loss in children: prospective and retrospective analysis of associated psychosocial problems and stress factors. Acta Ophthalmol. 2016;94(5):312–316. DOI: 10.1111/aos.12848.

[38]

Somers A., Casteels K., Van Roie E. et al. Non-organic visual loss in children: prospective and retrospective analysis of associated psychosocial problems and stress factors // Acta Ophthalmol. 2016. Vol. 94. N. 5. P. 312–316. DOI: 10.1111/aos.12848.

[39]

Eastwood S, Bisson JI. Management of factitious disorders: A systematic review. Psychother Psychosom. 2008;77(4):209–218. DOI: 10.1159/000126072.

[40]

Eastwood S., Bisson J.I. Management of factitious disorders: A systematic review // Psychother. Psychosom. 2008. Vol. 77. N. 4. P. 209–218. DOI: 10.1159/000126072.

[41]

Khalil AA, Torbey J, Akoury-Dirani L, Alameddine RM. Difficult diagnosis of factitious disorder. BMJ Case Rep. 2022;15(7):e244699. DOI: 10.1136/bcr-2021-244699.

[42]

Khalil A.A., Torbey J., Akoury-Dirani L., Alameddine R.M. Difficult diagnosis of factitious disorder // BMJ Case Rep. 2022. Vol. 15. N. 7. Р. e244699. DOI: 10.1136/bcr-2021-244699.

[43]

Al Ghadeer H, Al Othaimeen S, Al Amry M. Ocular Munchausen’s syndrome induced by introduction of ant’s particles into the conjunctival fornices. Saudi J Ophthalmol. 2018;32(4):353–354. DOI: 10.1016/j.sjopt.2018.09.005.

[44]

Al Ghadeer H., Al Othaimeen S., Al Amry M. Ocular Munchausen’s syndrome induced by introduction of ant’s particles into the conjunctival fornices // Saudi J. Ophthalmol. 2018. Vol. 32. N. 4. P. 353–354. DOI: 10.1016/j.sjopt.2018.09.005.

[45]

Chokrani H, Bengarai W, Tabet Aouel S et al. Ocular Munchhausen’s syndrome: Self-inflicted conjunctivitis. J Fr Ophtalmol. 2018;41(6):e285–e286. DOI: 10.1016/j.jfo.2017.08.028.

[46]

Chokrani H., Bengarai W., Tabet Aouel S. et al. Ocular Munchhausen’s syndrome: Self-inflicted conjunctivitis // J. Fr. Ophtalmol. 2018. Vol. 41. N. 6. P. 285–286. DOI: 10.1016/j.jfo.2017.08.028.

[47]

Kaviyapriya K, Chavhan P, Behera G et al. Munchausen syndrome presenting as recurrent ocular infection in a child. Indian J Ophthalmol Case Rep. 2021;1(4):622–624. DOI: 10.4103/ijo.IJO_507_21.

[48]

Kaviyapriya K., Chavhan P., Behera G. et al. Munchausen syndrome presenting as recurrent ocular infection in a child // Indian J. Ophthalmol. Case Rep. 2021. Vol. 1. N. 4. P. 622–624. DOI: 10.4103/ijo.IJO_507_21.

[49]

Karadsheh MF. Bloody tears: a rare presentation of munchausen syndrome case report and review. J Family Med Prim Care. 2015;4(1):132–134. DOI: 10.4103/2249-4863.15227.

[50]

Karadsheh M.F. Bloody tears: a rare presentation of munchausen syndrome case report and review // J. Family Med. Prim. Care. 2015. Vol. 4. N. 1. P. 132–134. DOI: 10.4103/2249-4863.15227.

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