PETER R. BERGETHON, M.D.
To the editor: Facticious etiologies of disease syndromes or signs are considered frequently in the differential diagnosis of patients with paradoxical histories and findings. As medicine has developed an ever-increasing "high-tech" sophistication, so have patients who present with facticious disease.
A 33-year-old man presented to our hospital wth epigastric pain, hematemesis, melanotic stools, and dizziness for 2 days. He reported recent discharge from an Arkansas hospital after undergoing treatment for a bleeding ulcer that required transfusion. On physical examination he was orthostatic to both blood pressure and pulse. Except for epigastric discomfort on deep palpation his examination was normal. Rectal
BERGETHON PR. Facticious Ventricular Tachycardia. Ann Intern Med. ;107:593–594. doi: 10.7326/0003-4819-107-4-593
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Published: Ann Intern Med. 1987;107(4):593-594.
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