PDF(Pubmed)
Abstract：
Factitious disorders represent deliberately fabricated dissimulation of physical and psychological signs and symptoms seeking medical attention by the patient. Usually, they are ignorant of conventional treatment and consistently change their version of signs and symptoms. Due to various changes in the version, they do not respond to the treatment. They describe their signs and symptoms as dissimulated, imaginative, and exasperated, involving any part of the body. Gingivitis artefacta is an unusual and dramatic presentation with self-inflicted physical injury to the gingival tissues. We present an extremely rare case of frontal lobe glioma causing abnormal psychology of factitious disorder resulting in self-inflected injury to gingiva in an adult male. This case also highlights the management of the dental condition of multiple recessions with coronally advanced flaps with orthodontic buttons.
摘要：
人为障碍是故意捏造的身体和心理体征以及患者寻求医疗护理的症状。通常,他们对常规治疗一无所知，并不断改变其体征和症状的版本。由于版本的各种变化，他们对治疗没有反应。他们把他们的体征和症状描述为不真实的，富有想象力,愤怒，涉及身体的任何部位。牙龈炎是一种不寻常且戏剧性的表现，对牙龈组织造成了身体伤害。我们介绍了一种极为罕见的额叶神经胶质瘤病例，该病例引起成年男性人为障碍的异常心理，从而导致牙龈自我损伤。此病例还强调了带正畸纽扣的冠状先进皮瓣对多次衰退的牙齿状况的管理。
