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December 21, 1957

SELF-INDUCED BLEEDING

Author Affiliations

401 W. 118th St. New York 27.

JAMA. 1957;165(16):2108. doi:10.1001/jama.1957.02980340074022

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Abstract

To the Editor:—  Dr. Chapman's interesting and revealing article on Munchausen's syndrome (J. A. M. A.165:927 [Oct. 26] 1957) called to my mind a similar patient I saw when I was a house officer at Bellevue Hospital in 1940. The patient, a derelict of the type well known to municipal hospitals, had had numerous admissions to Bellevue for recurrent hemoptysis, which bore a direct relationship to unfavorable changes in the weather. He had been subjected to enough x-ray examinations to render his cumulative exposure close to the dangerous range. He patiently submitted to bronchograms and bronchoscopies, and only became sullen when there was talk of his discharge. At such a time there would always be a fresh hemoptysis, usually in the presence of a doctor. We were convinced he was faking, but there was the blood; where was it coming from? The charge nurse, a wise old Bellevue

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