Nine Years with Munchausen Syndrome: A Case of Psychogenic Dystonia.

BACKGROUND: Munchausen syndrome presenting with psychogenic dystonia is a rare condition. PHENOMENOLOGY SHOWN: A psychogenic dystonia case presenting with an acute onset of retrocollis, lower limb dystonia and bizarre gait was diagnosed as Munchausen syndrome. EDUCATIONAL VALUE: Recognizing psychogenic dystonia avoids unnecessary investigations and provides successful treatment.

Proinflammatory cytokine levels in patients with conversion disorder.

OBJECTIVE: It was aimed to evaluate the relationship between proinflammatory cytokine levels and conversion disorder both commonly known as stress regulated. METHOD: Baseline proinflammatory cytokine levels-[Tumour necrosis factor alpha (TNF-α), Interleukin-1 beta (IL-1ß), Interleukin-6 (IL-6)]-were evaluated with enzyme-linked immunosorbent assay in 35 conversion disorder patients and 30 healthy controls. Possible changes in proinflammatory cytokine levels were evaluated again, after their acute phase in conversion disorder patients. RESULTS: Statistically significant decreased serum TNF-α levels were obtained in acute phase of conversion disorder. Those levels increased after acute conversion phase. There were no statistically significant difference observed between groups in serum IL-1ß and (IL-6) levels. CONCLUSIONS: Stress associated with conversion disorder may suppress immune function in acute conversion phase and may have diagnostic and therapeutic value.