| _version_ | 1866902310167248896 |
|---|---|
| author | Ahmed, Syed ayaan Jilani, Abdurrahman Asadullah, Abdullah |
| author_facet | Ahmed, Syed ayaan Jilani, Abdurrahman Asadullah, Abdullah |
| contents | <p>Background: Neuropsychiatric symptoms are frequently encountered in dementia and may include<br>delusions, hallucinations, and behavioral disturbances. However, the coexistence of factitious disorder<br>(previously termed Munchausen syndrome) in elderly patients with dementia is exceedingly rare. The<br>presence of uncontrolled diabetes mellitus further complicates the clinical course, influencing both<br>cognitive decline and therapeutic decisions.<br>Case Presentation: We report the case of a 68-year-old man with uncontrolled type 2 diabetes mellitus who<br>presented with persecutory delusions, fluctuating cognitive impairment, and repeated fabrication of<br>seizure-like episodes. Clinical findings were incongruent with reported symptoms. Laboratory<br>investigations revealed poor glycemic control, while neuroimaging demonstrated only mild cerebral<br>atrophy. The inconsistency between subjective reports and objective findings raised suspicion of factitious<br>disorder, which coexisted with underlying dementia and psychosis. A multimodal treatment plan including<br>strict glycemic control, cautious use of antipsychotics, and caregiver psychoeducation was implemented.<br>Conclusion: This case underscores the diagnostic complexity when factitious disorder co-occurs with<br>dementia and psychosis in an elderly patient with uncontrolled diabetes. It highlights the importance of<br>integrating metabolic, neurological, and psychiatric perspectives for accurate diagnosis and effective<br>management. Clinicians should remain vigilant for factitious presentations in older adults, particularly<br>when inconsistencies arise between patient reports and objective findings.</p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_17976017 |
| institution | Zenodo |
| language | |
| publishDate | 2025 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | The Psychiatric Masquerade of a Frontal Lobe Lesion: Lessons from a Late-Onset Case Ahmed, Syed ayaan Jilani, Abdurrahman Asadullah, Abdullah <p>Background: Neuropsychiatric symptoms are frequently encountered in dementia and may include<br>delusions, hallucinations, and behavioral disturbances. However, the coexistence of factitious disorder<br>(previously termed Munchausen syndrome) in elderly patients with dementia is exceedingly rare. The<br>presence of uncontrolled diabetes mellitus further complicates the clinical course, influencing both<br>cognitive decline and therapeutic decisions.<br>Case Presentation: We report the case of a 68-year-old man with uncontrolled type 2 diabetes mellitus who<br>presented with persecutory delusions, fluctuating cognitive impairment, and repeated fabrication of<br>seizure-like episodes. Clinical findings were incongruent with reported symptoms. Laboratory<br>investigations revealed poor glycemic control, while neuroimaging demonstrated only mild cerebral<br>atrophy. The inconsistency between subjective reports and objective findings raised suspicion of factitious<br>disorder, which coexisted with underlying dementia and psychosis. A multimodal treatment plan including<br>strict glycemic control, cautious use of antipsychotics, and caregiver psychoeducation was implemented.<br>Conclusion: This case underscores the diagnostic complexity when factitious disorder co-occurs with<br>dementia and psychosis in an elderly patient with uncontrolled diabetes. It highlights the importance of<br>integrating metabolic, neurological, and psychiatric perspectives for accurate diagnosis and effective<br>management. Clinicians should remain vigilant for factitious presentations in older adults, particularly<br>when inconsistencies arise between patient reports and objective findings.</p> |
| title | The Psychiatric Masquerade of a Frontal Lobe Lesion: Lessons from a Late-Onset Case |
| url | https://doi.org/10.5281/zenodo.17976017 |