Transtorno factício: um desafio para as diversas especialidades / Factitious disease: a challenge to several specialities

RESUMO

O transtorno factício caracteriza-se por produção de sintomas por parte do paciente de forma intencional, com o intuito de assumir o papel de paciente. É uma doença de gravesimplicações clínicas e que gera elevados gastos para o sistema de saúde público. O caso da paciente DLK, ilustrado nesse relato, exemplifica bem esse transtorno. A paciente iniciou suas queixas clínicas com alucinações visuais e um quadro delirante. Com o tempo surgiram queixasde dores abdominais, retenção urinária, fraqueza muscular e um quadro psicótico de difícil resolução...

ABSTRACT

In factitious disease there is an intentional production of symptoms by the patient, with the intent of being sick in front of others. It is a disease with serious clinical implications and these patients represent a enormous waste of money to public health. The case of DLKexemplifies it. The complaints of the patient began with delusions and visual hallucinations. She developed abdominal pains, urinary retention, weakness and psychotic symptoms of difficultmanagement. She had gone to several hospitals, submitted to many exams and a laparoscopy, all with frustrating results. There was a progressive and important improvement by theestablishment of a positive relation with the patient and reduction of her medications...