Simulation of hemorrhagic syndrome

In 1951, for the first time, cases of simulated hemorrhagic syndrome were described, when patients deliberately caused themselves to bleed, either by taking medications or mechanically. Later in the literature, there were reports of similar cases that arose, as a rule, in young women with personality psychopathization. Clinical manifestations are polysymptomatic and can proceed as profuse bleeding of various localizations, hyperthermia, paresis, paralysis, etc. Such patients are under the supervision of specialists of various profiles, more often by rheumatologists for suspected hemorrhagic vasculitis, periarteritis nodosa, etc. they are characterized by a combination of various symptoms that do not fit into the picture of any of the known diseases and syndromes, a complete discrepancy between the subjective symptomatology and the data of objective and laboratory studies. Patients often give extensive false information about their lives.