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Case Reports in Psychiatry
Volume 2017, Article ID 8961256, 5 pages
Case Report

Pseudologia Fantastica in the Emergency Department: A Case Report and Review of the Literature

Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, USA

Correspondence should be addressed to Robyn Thom; ude.dravrah.cmdib@mohtr

Received 23 January 2017; Revised 10 March 2017; Accepted 9 April 2017; Published 10 May 2017

Academic Editor: Douglas L. Noordsy

Copyright © 2017 Robyn Thom et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Psychiatrists commonly encounter deception in the emergency department. This article presents the case of a patient who presents to the emergency department with an unusual and elaborate web of deceptions along multiple themes including feigning medical illness, multiple losses, and grandiose academic and athletic achievements. We review the clinical characteristics of pseudologia fantastica and discuss how this patient’s constellation of malingering, factitious disorder, and personality disorder suggests this diagnosis.