MARK A. FIALK, M.D.; HENRY W. MURRAY, M.D.
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To the editor: We report a case considered a rather sophisticated "cardiac" example of Munchausen syndrome.
A 28-year-old white man was transferred to the New York Hospital (New York, New York) because of chest pain.
His history included rheumatic fever, at ages 3 and 6, and the later development of orthopnea, nocturnal dyspnea, pedal edema, and inability to keep up. Multiple episodes of palpitation and syncope during his teens led to a clinical diagnosis of mitral stenosis, and quinidine was given. At age 17 he developed angina pectoris. From 1963 to 1970, while a premedical student at Yale University, his
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FIALK MA, MURRAY HW. Cardiac Munchausen Syndrome. Ann Intern Med. 1974;81:562. doi: 10.7326/0003-4819-81-4-562_1
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Published: Ann Intern Med. 1974;81(4):562.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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