Induced vomiting for attention seeking and secondary gain: An unusual cause of pseudo-resistant hypertension

K Zakka, M Bitar, B Lakkis, SH Koubar - JRSM open, 2017 - journals.sagepub.com
K Zakka, M Bitar, B Lakkis, SH Koubar
JRSM open, 2017journals.sagepub.com
… We report a case where self-induced vomiting as a means of attention-seeking behaviour
resulted in dangerously high blood pressure with subsequent prolonged hospitalisation and
unnecessary investigations. Increased vigilance in patients with psychiatric illnesses for
deception and falsified illness should not be underestimated. … Along with our psychiatrist, we
diagnosed the patient as having attention-seeking behaviour which made her induce vomiting in
order to keep her blood pressure elevated and remain under the care of hospital staff members …
In patients with complex psychosocial history presenting with resistant hypertension, observed therapy should be implemented early on to avoid unnecessary investigations and delayed diagnosis.
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