摘要
Abstract
Objective To explore the causes of clinical misdiagnosis of bipolar disorder in children and measures to prevent misdiagnosis.Methods A retrospective analysis was conducted on the clinical data of 2 children with bipolar disorder that had been misdiagnosed and were admitted from June 2020 to January 2024.Results One case refused to purchase a ticket due to dissatisfaction with the attitude of the ticket seller and had a physical confiict.Subsequently,they showed extreme emotional fluctuations,hallucinations and a series of abnormal behaviors.The initial diagnosis was early schizoid psychosis.As the treatment progressed and the condition was closely observed,the diagnosis underwent multiple adjustments.Eventually,it was confirmed as bipolar disorder,with a misdiagnosis period of two months.After diagnosis,the patient was treated with Lithium Carbonate and Chlorpromazine for 28 d,and the patient's mood improved.During the 6-month follow-up,there was no recurrence.Another patient has been emotionally unstable since the age of 4,and prone to irritability and temper tantrums.The patient was successively misdiagnosed as petit mal epilepsy and depression,and the symptoms did not improve significantly despite corresponding drug treatments.After detailed medical history collection and observation of the condition,the patient was diagnosed with bipolar disorder in children.The misdiagnosis period was 2.5 years.After diagnosis,the patient was treated with a combination of Lithium Carbonate and Chlorpromazine for more than 2 months,and the condition improved.During the 6-month follow-up,the patient's mood remained stable.Conclusion The clinical symptoms of bipolar disorder in children are atypical and prone to misdiagnosis.Doctors need to enhance their understanding of this disease to reduce the occurrence of misdiagnosis and missed diagnosis.关键词
双相情感障碍/误诊/精神分裂症/癫痫/抑郁症/诊断,鉴别Key words
bipolar disorder/misdiagnosis/schizophrenia/epilepsy/depressive disorder/diagnosis,differential
