威尔逊氏病患者停止治疗后出现异常精神病表现：病例报告。

Q4 Medicine

Clinical Schizophrenia and Related Psychoses Pub Date : 2016-12-20 DOI:10.3371/CSRP.LAJA.112316

Andreas S Lappas, Fiesal Jan

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引用次数: 0

摘要

精神表现在威尔逊氏病患者中很常见，通常与神经系统症状相关。然而，没有神经系统症状的精神病表现却鲜有报道。我们报告了一例威尔森氏病患者，患者 34 岁，22 岁时被诊断出患有威尔森氏病，但由于大约 5 个月没有服药，他被送进了精神科病房，并伴有妄想和迫害、回声障碍和回声秽语。没有发现神经系统损伤、眼部表现或肝脏异常。通过本报告，我们旨在讨论 WD 精神病的病理生理学和治疗方法，以及其与神经、肝脏和眼科表现的关联。

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Unusual psychotic presentation after discontinuation of treatment in a patient with Wilson's disease: a case report.

Psychiatric manifestations are common in patients with Wilson's Disease(WD), and they are usually correlated with neurological symptoms. However, psychotic presentation without neurological symptoms has rarely been reported. We present a case of WD involving a 34-year-old gentleman who was diagnosed at the age of 22, but due to lack of medication for approximately 5 months was admitted in a psychiatric ward with delusional thoughts of grandeur and persecution, echopraxia and echolalia. No neurological impairment, ophthalmic manifestations or liver abnormalities were identified. Through this report, we aim to discuss the pathophysiology and the treatment of psychosis in WD, and its association with neurological, liver and ophthalmic manifestations.

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来源期刊

Clinical Schizophrenia and Related Psychoses Medicine-Psychiatry and Mental Health

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期刊介绍： The vision of the exciting new peer-reviewed quarterly publication Clinical Schizophrenia & Related Psychoses (CS) is to provide psychiatrists and other healthcare professionals with the latest research and advances in the diagnosis and treatment of schizophrenia and related psychoses. CS is a practice-oriented publication focused exclusively on the newest research findings, guidelines, treatment protocols, and clinical trials relevant to patient care.