Diagnosing deception: How doctors solved a woman’s dramatically faked condition

Enlarge / A health care worker in a medical intensive care unit.Getty | BSIP

Diagnosing medical conditions is not easy. Patients can have nondescript symptoms that could point to common problems as easily as rare or poorly understood ones. They can sprinkle in irrelevant details while forgetting crucial ones. And they can have complex medical histories and multiple conditions that can muddy the diagnostic waters.

But then, there are the rare cases of pure deception. Such was the case of a woman seen at Massachusetts General Hospital for intense pain and jerking movements. The woman’s case record, published this week

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