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. 2015 Jun 3;2(3):368–378. doi: 10.1080/23328940.2015.1056907

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© 2015 The Author(s). Published with license by Taylor & Francis Group, LLC

This is an Open Access article distributed under the terms of the Creative Commons Attribution-Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. The moral rights of the named author(s) have been asserted.

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Figure 1. — Prominent psychogenic fever observed in a 15-year-old schoolgirl. She was referred from a pediatrician to my outpatient clinic because she repeatedly developed antipyretic drug-resistant fever of unknown causes. I asked the patient to record her axillary temperature (Ta) using an electrothermometer 4 times a day (8 a.m., 12 a.m., 4 p.m., and 8 p.m.) and the events of the day in a “fever diary” to better understand mind (stressor)-body (temperature) relationships. I also asked her mother and school nurse to make sure the temperature she recorded was accurate. The fever diary demonstrated that she developed a high Ta up to 39°C only on the days when she went to school (underlined black bar). (Unpublished observation.)