Abdul Wali Khan1, Asad Ali Khan2, Muhammad Ishaq2, Irfan Ullah3,4, Mohammed A Mamun4,5. 1. Department of Internal Medicine, Hayatabad Medical Complex, Peshawar, Pakistan. 2. Department of Internal Medicine, Khyber Teaching Hospital, Peshawar, Pakistan. 3. Kabir Medical College, Gandhara University, Peshawar, Pakistan. 4. Centre for Health Innovation, Networking, Training, Action and Research - Bangladesh, Dhaka, Bangladesh. 5. Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh.
Abstract
INTRODUCTION: It could be challenging for healthcare workers to diagnose patients with factitious disorder who present with rare ophthalmologic manifestations such as haemolacria, because of the unavailability of adequate literature and associated guidelines. The present case report aims to fulfill this knowledge gap. CASE PRESENTATION: A 20-year-old tribal illiterate married female patient with symptoms of bleeding episodes from her left eye was admitted to the hospital. An extensive workup was done for diagnosing possible bleeding disorders but all the parameters were normal. Later on, she was diagnosed with factitious disorder presenting haemolacria after sufficient evidence at the psychiatric unit observations. The patient was treated accordingly, counseled and discharged, but lost-out to follow-ups. PRACTICAL IMPLICATIONS: The present case is reported from a developing country, Pakistan, for the first-time may help in diagnosing patients suffering from factitious disorder with unusual ophthalmologic problems.
INTRODUCTION: It could be challenging for healthcare workers to diagnose patients with factitious disorder who present with rare ophthalmologic manifestations such as haemolacria, because of the unavailability of adequate literature and associated guidelines. The present case report aims to fulfill this knowledge gap. CASE PRESENTATION:A 20-year-old tribal illiterate married female patient with symptoms of bleeding episodes from her left eye was admitted to the hospital. An extensive workup was done for diagnosing possible bleeding disorders but all the parameters were normal. Later on, she was diagnosed with factitious disorder presenting haemolacria after sufficient evidence at the psychiatric unit observations. The patient was treated accordingly, counseled and discharged, but lost-out to follow-ups. PRACTICAL IMPLICATIONS: The present case is reported from a developing country, Pakistan, for the first-time may help in diagnosing patients suffering from factitious disorder with unusual ophthalmologic problems.
Authors: Diego Carrion-Alvarez; Alejandro I Trejo-Castro; Mauricio Salas-Garza; Oscar Raul Fajardo-Ramirez; Julio Cesar Salas-Alanis Journal: Skin Appendage Disord Date: 2022-01-03