PDF(Pubmed)
Abstract：
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.
摘要：
自感障碍是一种精神病，其中个体制造或诱发疾病的体征或症状。过敏性反应,有威胁生命的过敏反应的症状,极为罕见。已经报道了在针对空气传播的过敏原的过敏原免疫疗法期间发生人为紊乱反应的几例。我们报告了一名年轻女性患者的病例，该患者在对蛇毒提取物进行蛇毒免疫疗法期间表现出人为的过敏反应。喘鸣的症状,呼吸困难,在毒液免疫疗法的累积阶段观察到咳嗽和意识丧失，模仿对毒液提取物的过敏反应。人为障碍的诊断促使毒液免疫疗法停止。
