Hymenoptera Venom Immunotherapy Meets Factitious Disorder
CUREUS JOURNAL OF MEDICAL SCIENCE(2024)
摘要
Factitious disorder on self is a psychiatric disorder in which individuals fabricate or induce signs or symptoms of a disease. Factitious anaphylaxis, with symptoms suggestive of a life -threatening allergic reaction, is extremely rare. Several cases of factitious disorder reactions during allergen immunotherapy for airborne allergens have been reported. We report the case of a young female patient who presented factitious anaphylaxis during venom immunotherapy to vespid venom extract. Symptoms of stridor, dyspnea, coughing and loss of consciousness were observed during the built-up phase of venom immunotherapy, mimicking allergic reactions to the venom extracts. Diagnosis of factitious disorder prompted the discontinuation of venom immunotherapy.
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关键词
placebo mechanism,allergic asthma,venom immunotherapy,allergen-specific immunotherapy (ait),factitious disorder,insect venom allergy
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