Pathomimies endocrinométaboliques : à propos de deux cas

Despite being recognised as a psychiatric disease, pathomimia is often encountered in the professional life of physicians. It is a factitious disorder with important diagnostic stakes: first, it needs to be diagnosed quickly because physical damage can be horrendous; furthermore, this concept is a mix of many entities (mythomania, self-mutilation, hypochondria, conversion, simulation, psychosis…) which complicate differential diagnosis. Through two clinical cases, we will go through the different clinical aspects of pathomimia, then we will cover the diagnostical approach and finally we will conclude on psychopathological thoughts about these observations.