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Since 1986 there have been several case reports describing factitious HIV infection.1 We have seen two acute presentations where the patients claimed to have chronic HIV infection, were found to be HIV antibody negative but on closer evaluation were found to be seroconverting with primary HIV infection (PHI). We believe that the patients were motivated by the psychological need to assume the sick role, fulfilling the principal feature of a factitious disorder, rather than malingering.
A 40 year old homosexual man presented to HIV services with an acute diarrhoeal illness, claiming to have been diagnosed as …
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