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Chir Main. 2013 Dec;32(6):413-5. doi: 10.1016/j.main.2013.09.003. Epub 2013 Oct 1.

The psychotic mummified hand: an unusual hand injury complication.

Author information

1
Hand Surgery Unit, Orthopaedics and Trauma Department, Paris-Descartes University, Sorbonne Paris-Cité, Georges-Pompidou European Hospital (HEGP), AP-HP, 20, rue Leblanc, 75908 Paris cedex 15, France.
2
Department of psychiatry, Paris-Descartes University, Sorbonne Paris-Cité, Georges-Pompidou European Hospital (HEGP), AP-HP, 20, rue Leblanc, 75908 Paris cedex 15, France.
3
Hand Surgery Unit, Orthopaedics and Trauma Department, Paris-Descartes University, Sorbonne Paris-Cité, Georges-Pompidou European Hospital (HEGP), AP-HP, 20, rue Leblanc, 75908 Paris cedex 15, France. Electronic address: emmanuel.masmejean@egp.aphp.fr.

Abstract

The authors report the case of a patient with psychotic symptoms secondary to a posttraumatic stress disorder following a work-related hand injury. The somatic presentation was a "mummified" hand neglected for several years in a splint without any care. The psychiatric analysis concluded that this was part of a delusion of persecution expressing a conflict against the patient's employer and insurance company. Surgical treatment was limited to a hand cleaning with hardware removal. Despite 3 years of antipsychotic medication the patient was still suffering from delusion and the hand remained neglected at the last follow-up.

KEYWORDS:

Depression; Dépression; Hand injury; Posttraumatic stress disorder; Psychose; Psychosis; Syndrome de stress post-traumatique; Traumatisme de la main

PMID:
24145122
DOI:
10.1016/j.main.2013.09.003
[Indexed for MEDLINE]
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