四川精神卫生2024，Vol.37Issue(1)：83-85,3.DOI:10.11886/scjsws20231006001
肝豆状核变性合并双相情感障碍抑郁发作1例
Hepatolenticular degeneration with depressive episodes of bipolar disorder:a case report
向伟 1陈妍1
作者信息
- 1. 上海交通大学医学院附属精神卫生中心,上海 200030
- 折叠
摘要
Abstract
This case reported a 17-year-old female patient who presented to the hospital with"poor mood and irritability for more than 5 months".The patient was diagnosed with hepatolenticular degeneration at the age of five.According to the International Classification of Diseases,tenth edition(ICD-10),she was diagnosed with hepatolenticular and depressive episodes of bipolar disorder.The condition improved after administration of a combination of a mood stabilizer and an antidepressant.There are few reports of hepatolenticular degeneration combined with depressive episodes of bipolar disorder,and it is controversial whether the diagnosis should be considered a psychiatric disorder due to a physical illness or a co-morbidity.In addition,somatic conditions are often overlooked in the treatment of patients with psychiatric disorders.This case analyzed the diagnosis and medication by integrating the patient's psychiatric symptoms and somatic conditions,suggesting that psychiatrists should pay attention to both psychiatric symptoms and the patient's previous history of somatic diseases in their clinical work for rational diagnosis and treatment.关键词
肝豆状核变性/双相情感障碍/抑郁发作Key words
Hepatolenticular degeneration/Bipolar disorder/Depressive episodes分类
医药卫生引用本文复制引用
向伟,陈妍..肝豆状核变性合并双相情感障碍抑郁发作1例[J].四川精神卫生,2024,37(1):83-85,3.
