[ @entity308 in pathomimia: comorbidity or XXXX ?].

@entity1 @entity162 @entity308 @entity146 @entity167 @entity914 @entity1005 @entity12901 @entity1316 @entity13593 @entity74
BACKGROUND: The @entity13593 , more commonly known as pathomimia, are mainly expressed as organic symptoms voluntarily induced by the @entity1 . @entity1 suffering from these disorders do not seek to obtain immediate secondary benefits, contrary to simulation. They send the physician a challenge, sometimes by means of self-mutilation, or exposure to a vital risk. Their objective is to raise the interest and the mobilization of the medical community. The @entity1 will develop intense relationships with the medical staff, technically mobilized as well as emotionally, as far as the factitious @entity74 is uncovered. In some cases, @entity74 are conditions in which a @entity1 acts as if he or she has a @entity146 , by deliberately exhibiting @entity146 symptoms. Most often described are factitious acute @entity914 , @entity1316 and @entity1005 . Psychiatric @entity13593 are difficult to diagnose, but they share common diagnosis criteria with other pathomimias. These subjects may suffer from pathomimia because of the occurrence of other @entity146 symptoms, such as pathological personalities, adaptation disorders, abuse and/or dependence on @entity167 or other substances, or @entity308 . This paper describes three clinical cases of pathomimia, diagnosed after hospitalization in a @entity146 unit for @entity308 , as a correlate to their factitious or authentic character. METHOD: Three case reports, describing @entity1 with pathomimia hospitalized in a department of @entity308 . RESULTS: The first case was a 57 year-old @entity1 considered as suffering from a @entity162 hospitalized for a @entity308 . The symptoms described and reported are those of a @entity13593 . The @entity1 interrupted the medical care by asking to be discharged from the hospital. The second case was a young @entity1 hospitalized following a suicide attempt. She has a history of multiple somatic and @entity146 . On admission she had @entity308 , more likely linked with a pathological personality, rather than with a major @entity308 . The third case presented a @entity12901 . He was hospitalized for @entity308 . He had a comorbid major @entity308 . The prescription of antidepressants led to a significant clinical improvement. CONCLUSION: These three cases indicate that a real @entity308 may be observed with a @entity1 suffering from pathomimia. Therefore, a neutral and complete @entity146 evaluation is necessary so as to not deprive these @entity1 from the opportunity for an adapted treatment.
