%0 Case Reports
%T Hymenoptera Venom Immunotherapy Meets Factitious Disorder.
%A Stratopoulos E
%A Leonardou A
%A Pitsios C
%J Cureus
%V 16
%N 3
%D 2024 Mar
%M 38586777
暂无%R 10.7759/cureus.55769
%X 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.