RESEARCH ARTICLE


When Pain is Beyond Biology - A Case of Fake Leprosy



Lazslo Antonio Avila*, Eurides Maria de Oliveira Pozetti, Gislaine Fusco Fares, Rosa Maria Cordeiro Soubhia, Marilia Capuco Oliveira, Andreia Yumi Tomiyasu
Medical School of Sao Jose do Rio Preto, Brazil


Article Metrics

CrossRef Citations:
0
Total Statistics:

Full-Text HTML Views: 1090
Abstract HTML Views: 1231
PDF Downloads: 430
ePub Downloads: 251
Total Views/Downloads: 3002
Unique Statistics:

Full-Text HTML Views: 551
Abstract HTML Views: 684
PDF Downloads: 286
ePub Downloads: 190
Total Views/Downloads: 1711



© 2017 Avila et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Av. Anisio Haddad, 8205, Bl. 4, apt 34, Sao Jose do Rio Preto, SP 15091-743, Brazil; Tel: 55-17-3232-4905; Fax: 55-17-3227-8133; E-mail: lazslo@terra.com.br


Abstract

Background:

Pain is a complex phenomenon that implies pathophysiological processes and psychosocial components. A 56-year-old female patient complaining of pain and presenting with multiple mild physical signs was examined by a multidisciplinary team from the Ear-Nose-Throat, Dermatology, Hematology, General Clinics, and Psychiatry and Psychology Departments.

Objective:

To present a significant case where pain is primarily caused by psychological conflicts.

Method:

A multidisciplinary approach, with medical and psychological interventions.

Results:

The patient was deeply convinced; she had been contaminated by leprosy. Her enrooted personal beliefs, including religion and moral conflicts, seem to be the primary cause for her putative ‘disease’, a condition that was not confirmed by exhaustive exams.

Conclusion:

Pain normally is related to several factors, including biological, psychological and cultural. Some complex cases should be investigated by a multidisciplinary team of specialists, in order to identify extra-physiological components.

Keywords: Biopsychosocial, Leprosy, Multidisciplinary, Pain, Psychosocial, Psychology.