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Nwaejike N, Archbold H, Wilson DS. Factitious lymphoedema as a psychiatric condition mimicking reflex sympathetic dystrophy: a case report. J Med Case Rep. 2008;2:216doi: 10.1186/1752-1947-2-216.
Nwaejike, N., Archbold, H., & Wilson, D. S. (2008). Factitious lymphoedema as a psychiatric condition mimicking reflex sympathetic dystrophy: a case report. Journal of medical case reports, 2216. https://doi.org/10.1186/1752-1947-2-216
Nwaejike, Nnamdi, et al. "Factitious lymphoedema as a psychiatric condition mimicking reflex sympathetic dystrophy: a case report." Journal of medical case reports vol. 2 (2008): 216. doi: https://doi.org/10.1186/1752-1947-2-216
Nwaejike N, Archbold H, Wilson DS. Factitious lymphoedema as a psychiatric condition mimicking reflex sympathetic dystrophy: a case report. J Med Case Rep. 2008 Jun 24;2:216. doi: 10.1186/1752-1947-2-216. PMID: 18577230; PMCID: PMC2474643.
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J Med Case Rep. 2008 Jun 24;2:216. doi: 10.1186/1752-1947-2-216.

Factitious lymphoedema as a psychiatric condition mimicking reflex sympathetic dystrophy: a case report.

Journal of medical case reports

Nnamdi Nwaejike, Hap Archbold, Darrin S Wilson

Affiliations

  1. Department of Vascular and Endovascular Surgery, Barts and The London NHS Trust, The Royal London Hospital, London, UK. [email protected]

PMID: 18577230 PMCID: PMC2474643 DOI: 10.1186/1752-1947-2-216

Abstract

INTRODUCTION: Reflex sympathetic dystrophy can result in severe disability with only one in five patients able to fully resume prior activities. Therefore, it is important to diagnose this condition early and begin appropriate treatment. Factitious lymphoedema can mimic reflex sympathetic dystrophy and is caused by self-inflicted tourniquets, blows to the arm or repeated skin irritation. Patients with factitious lymphoedema have an underlying psychiatric disorder but usually present to emergency or orthopaedics departments. Factitious lymphoedema can then be misdiagnosed as reflex sympathetic dystrophy. The treatment for factitious lymphoedema is dealing with the underlying psychiatric condition.

CASE PRESENTATION: We share our experience of treating a 33-year-old man, who presented with factitious lymphoedema, initially diagnosed as reflex sympathetic dystrophy.

CONCLUSION: Awareness of this very similar differential diagnosis allows early appropriate treatment to be administered.

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