Factitious disease of the breast of a male due to injection of liquid plastic

International Journal of Dermatology
T Rosen, M Chen

Abstract

Factitious disease involving the breast is unusual. The rarely reported cases of this entity have been encountered in middle-aged women. In general, factitious disease can be distinguished on clinical and/or psychological grounds from self-induced disorders seen in malingerers and among those demonstrating Munchausen's syndrome. We report herein a male patient displaying factitious disease of the breast due to injection of a high viscosity liquid plastic material. Establishment of the proper diagnosis was greatly delayed due to a lack of suspicion of this entity. Only direct confrontation of the patient with the biopsy results (lipogranulomatosis) led to a reluctant and then only partial admission of the self-induced nature of this patient's illness. The clinician should remain vigilant for factitious disease when confronted with chronic or recurrent lesions of a bizarre or atypical morphology. Any body site can be involved, including the breast. Management is difficult and is best accomplished in conjunction with an appropriate mental health professional. Continued dramatic surgical interventions are contraindicated.

References

Jul 1, 1979·Plastic and Reconstructive Surgery·R C StewartC W Hayes
Nov 1, 1979·Journal of the American Academy of Dermatology·A Lyell
Oct 1, 1977·Journal of Pediatric Surgery·D L SchwartzJ M Becker
Feb 1, 1975·Postgraduate Medical Journal·D Sampson
Aug 30, 1975·British Medical Journal·I Sneddon, J Sneddon
Sep 1, 1992·General Hospital Psychiatry·J S McDanielK McDonell
Mar 1, 1987·General Hospital Psychiatry·D A SimmonsM E Weishaar
Feb 1, 1986·The British Journal of Surgery·E A Benson
Jul 1, 1985·The British Journal of Surgery·M W Rosenberg, L E Hughes
May 1, 1972·Scottish Medical Journal·A Lyell
Jul 1, 1972·Plastic and Reconstructive Surgery·F Ortiz-Monasterio, I Trigos
Jul 1, 1969·British Journal of Plastic Surgery·K Boo-Chai
Nov 1, 1981·The British Journal of Dermatology·W B Shelley
Oct 1, 1983·British Journal of Plastic Surgery·S P Kay, M N Saad
Mar 1, 1983·The British Journal of Medical Psychology·M W Carney, J P Brown
Aug 1, 1983·Annals of Internal Medicine·P Reich, L A Gottfried
Jun 1, 1980·The British Journal of Psychiatry : the Journal of Mental Science·M W Carney
Oct 26, 2000·Journal of the American Academy of Dermatology·D L Whitaker-WorthJ M Grant-Kels
Jul 1, 1965·Plastic and Reconstructive Surgery· KHOO BOO-CHAI

❮ Previous
Next ❯

Citations

Jul 12, 2008·AJNR. American Journal of Neuroradiology·S Kathuria, P-L Westesson
Sep 11, 2004·International Journal of Dermatology·Nawaf Al-MutairiArun Joshi
Jun 1, 2016·Indian Journal of Dermatology, Venereology and Leprology·Ilteris Oguz TopalYunus Topal
May 14, 2010·Anais Brasileiros De Dermatologia·Náiade Maria Rêgo e SilvaSamir de Figueiredo Azzouz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Archives of Dermatology
D J Fader, S Kang
Archives of Dermatology
R B ArmstrongM B Poh-Fitzpatrick
Archives of Dermatology
Ewa WierzbickaGérald Guillet
© 2022 Meta ULC. All rights reserved