Citation

Mathieu L, Guillibert E, Mamane W, Masmejean EH. Chir. Main 2013; 32(6): 413-415.

Affiliation

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.

Copyright

(Copyright © 2013, Elsevier Publishing)

DOI

10.1016/j.main.2013.09.003

PMID

24145122

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 3years of antipsychotic medication the patient was still suffering from delusion and the hand remained neglected at the last follow-up.

Language: en