01967nas a2200265   4500000000100000008004100001653001700042653001500059653000900074653002200083653001200105653002000117100001300137700001600150700001300166700001600179700001600195700001600211245005700227856006700284300001000351490000700361520131900368022001401687       2017                            d10apsychosocial10aPsychology10aPain10amultidisciplinary10aleprosy10abiopsychosocial1 aAvila LA1 aPozetti EMO1 aFares GF1 aSoubhia RMC1 aOliveira MC1 aTomiyasu AY00aWhen Pain is Beyond Biology - A Case of Fake Leprosy  uhttps://benthamopen.com/contents/pdf/TOPAINJ/TOPAINJ-10-22.pdf  a22-280 v103 a<h3><strong>Background:</strong></h3>

<p>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.</p>

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<h3><strong>Objective:</strong></h3>

<p>To present a significant case where pain is primarily caused by psychological conflicts.</p>
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<h3><strong>Method:</strong></h3>

<p>A multidisciplinary approach, with medical and psychological interventions.</p>
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<h3><strong>Results:</strong></h3>

<p>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.</p>
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<h3><strong>Conclusion:</strong></h3>

<p>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.</p>
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