Factitious Lymphedema of the Hand

To report the case of a 39- year old unmarried female withfactitious edema of the right hand two weeks after being struck by her brotherand following self injury of the right arm. A 39-year old unmarried female with severe edema of the right handand forearm diagnosed as factitious lymphedema was admitted to RoozbehPsychiatric Hospital. After hospitalization, with elevation of affected limb, theedema had lessened. Thereafter, she was observed at ward rounds with acloth bandage wrapped around her arm. The edema had recurred. PhysicalExamination as well as right upper extremity X ray was normal. In mentalstate examination, patient''s mood was dysphonic, rather anxious, and deniedtourniquet application; otherwise no prominent psychiatric symptoms weredetected. Patient underwent psychotherapy and 20 my fluoxetetine on dailybasis was administered. Patient''s symptoms relieved within eight weeks and dischargedwhile accepted to adjust herself with the situations. Factitious etiology may be presuming in any patient withunilateral limb lymphedema when venous or lymphatic Pathology weremissing. The patient may be suffering from emotional conflicts.