Psiquiatria Biologica最新文献_第9页

Terapia electroconvulsiva de mantenimiento y recuperación de la disfunción cognitiva: a propósito de un caso de trastorno depresivo recurrente 认知功能障碍维持与恢复的电休克疗法:以复发性抑郁症为例

Psiquiatria Biologica Pub Date : 2021-09-01 DOI: 10.1016/j.psiq.2021.100332

Jorge López-Álvarez , Montserrat Caballero González , Luis F. Agüera Ortiz

引用次数: 0

¿Mantenimiento o retirada? Pericarditis en un paciente en tratamiento con clozapina: a propósito de un caso 维护还是移除?氯氮平治疗患者心包炎:关于一个病例

Psiquiatria Biologica Pub Date : 2021-09-01 DOI: 10.1016/j.psiq.2021.100334

Rocío Paricio del Castillo, Pablo del Sol Calderón, Inmaculada Palanca Maresca

{"title":"¿Mantenimiento o retirada? Pericarditis en un paciente en tratamiento con clozapina: a propósito de un caso","authors":"Rocío Paricio del Castillo, Pablo del Sol Calderón, Inmaculada Palanca Maresca","doi":"10.1016/j.psiq.2021.100334","DOIUrl":"https://doi.org/10.1016/j.psiq.2021.100334","url":null,"abstract":"<div><h3>Introduction</h3><p>Clozapine-induced pericarditis is a rare but potentially serious condition for which discontinuation of clozapine treatment is recommended for resolution.</p></div><div><h3>Presentation of the case</h3><p>A 17-year-old male under treatment with clozapine due to failure of three previous antipsychotic lines, with good therapeutic response, who two months after starting the drug developed pericarditis.</p></div><div><h3>Discussion</h3><p>Clozapine-induced myocarditis and pericarditis are serious adverse effects that appear mostly in the first month of treatment. The generalized attitude towards clozapine-induced pericarditis is its withdrawal. This withdrawal may pose an ethical dilemma and should be carefully assessed, as the risk of psychiatric decompensation and loss of quality of life should be taken into account.</p></div><div><h3>Conclusion</h3><p>This case highlights the importance of performing a risk/benefit balance in each complex case, reflecting the ethical conflict of the management of clozapine adverse effects, since its withdrawal may negatively compromise the patient's psychopathological stability and quality of life.</p></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91733377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Errores congénitos del metabolismo y neuropsiquiatría: revisión bibliográfica a propósito de un caso

Psiquiatria Biologica Pub Date : 2021-09-01 DOI: 10.1016/j.psiq.2021.100336

María Paz Badia , Tomás Abudarham , Soledad Kleppe , Sebastián Malleza , Daniel Matusevich , José Faccioli

{"title":"Errores congénitos del metabolismo y neuropsiquiatría: revisión bibliográfica a propósito de un caso","authors":"María Paz Badia , Tomás Abudarham , Soledad Kleppe , Sebastián Malleza , Daniel Matusevich , José Faccioli","doi":"10.1016/j.psiq.2021.100336","DOIUrl":"10.1016/j.psiq.2021.100336","url":null,"abstract":"<div><h3>Objectives</h3><p>The purpose of this article is to review the available literature that links inborn errors of metabolism (IEM) with neuropsychiatry, highlighting some guiding points to facilitate suspicion, diagnosis, and treatment.</p></div><div><h3>Case report</h3><p>We describe the case of a male patient who was admitted to the psychiatric ward of a general hospital for presenting atypical psychiatric symptoms. He received treatment with valproic acid (VPA) and developed toxicity together with persistent adverse effects, which lasted even after the drug was withdrawn. Through different blood and urine analyses, it was possible to identify a state of chronic hyperammonemia. Together with the patient's clinical presentation, this result led to the presumptive diagnosis of a metabolic disease related to a urea cycle disorder.</p></div><div><h3>Results</h3><p>IEM can be suspected in young people or adults when they have a positive family history of the disease or when there is the presence of psychiatric symptoms together with neurological, cognitive, or motor signs.</p></div><div><h3>Conclusions</h3><p>IEMs represent a group of genetic diseases in which early diagnosis and treatment can improve the morbidity and mortality of affected patients.</p></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115737527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

El controvertido diagnóstico del trastorno de adicción a los videojuegos y la evolución del mismo durante la pandemia COVID-19: a propósito de un caso clínico. 有争议的电子游戏成瘾障碍诊断及其在COVID-19大流行期间的演变:关于一个临床病例。

Psiquiatria Biologica Pub Date : 2021-09-01 DOI: 10.1016/j.psiq.2021.100335

Óscar Bueno Sáinz