Respir Case Rep. 2022; 11(2): 65-68 | DOI: 10.5505/respircase.2022.73383

Bir Mahkumda Hemoptizi Nedeni Olarak Munchausen Sendromu

Hulya Dirol¹, Fatma Deniz¹, Yaþar Gülnur Güdül^2
1Akdeniz Üniversitesi Týp Fakültesi Göðüs Hastalýklarý Anabilim Dalý, Antalya
²Akdeniz Üniversitesi Týp Fakültesi

Yapay hemoptizi oldukça nadirdir ve tanýsý doktorlarý zorlar. Kýrk yaþýndaki erkek mahkûmun dört yýldýr hemoptizisi vardý. Daha önce detaylý inceleme yapýlmýþ ancak hemoptizinin etiyolojisi belirlenememiþti. Son günlerde hemoptizi sýklýðý ve miktarý artmýþtý. Biz de radyolojik görüntüleme ve bronkoskopi dahil birçok tanýsal tetkikler yaptýk ancak kanamanýn lokalizasyonunu ve etiyolojisini belirleyemedik. Tam idyo-patik hemoptizi teþhisi koyacakken bazý þüpheli dav-ranýþlar ve çeliþkili ifadeler gördük. Psikiyatrik deðer-lendirmenin ardýndan hastaya ikinci eksen kiþilik bozukluðu ve yapay bozukluk tanýsý konuldu. Yapay hemoptizinin teþhisi zordur ve idiyopatik hemoptizi ile karýþtýrýlabilir. Detaylý bir muayene ile kanama yeri ve nedeni belirlenemeyen hemoptizi hastalarýnda düþünülmelidir.

Anahtar Kelimeler: Munchausen sendromu, Yapay hemoptizi, Yapay bozukluk.

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Munchausen's Syndrome as a Cause of Hemoptysis in a Prisoner

Hulya Dirol¹, Fatma Deniz¹, Yaþar Gülnur Güdül^2
1Department of Chest Diseases, Akdeniz University Faculty of Medicine, Antalya, Türkiye
²Akdeniz Üniversitesi Týp Fakültesi, Antalya

Factitious hemoptysis is fairly rare condition, the diagnosis of which can be challenging to physicians. A 40-year-old incarcerated male with hemoptysis for four years had previously undergone a detailed inves-tigation, but the etiology of the hemoptysis could not be determined. The hemoptysis has increased in frequency and quantity, however, numerous diagnos-tic tests, including radiological imaging and bron-choscopy, has been unable to reveal the localization and etiology of the bleeding. As we were about to diagnose idiopathic hemoptysis, some suspicious behaviors and contradictory statements led us to conduct a psychiatric evaluation, and the patient was subsequently diagnosed with axis two personality disorder and factitious disorder. Factitious hemoptysis is difficult to diagnose and may be confused with idiopathic hemoptysis, and should be considered in patients with hemoptysis in which the location and cause of bleeding cannot be determined after a de-tailed examination.

Keywords: Munchausen's syndrome, Factitious hemoptysis, Factitious disorder.

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ATIF KOPYALA