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Hypochondriacal delusion in an elderly woman recovers quickly with electroconvulsive therapy
A 72-year-old woman without any medical and psychiatric history, suffered from nausea, pain in the epigastria and constipation for over a year. She eventually lost 20 kilograms despite nightly drip-feeding. Extensive additional tests did not reveal any clues for her complaints. She remained convince...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3981340/ https://www.ncbi.nlm.nih.gov/pubmed/24765410 http://dx.doi.org/10.4081/cp.2012.e11 |
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author | Dols, Annemieke Rhebergen, Didi Eikelenboom, Piet Stek, Max L. |
author_facet | Dols, Annemieke Rhebergen, Didi Eikelenboom, Piet Stek, Max L. |
author_sort | Dols, Annemieke |
collection | PubMed |
description | A 72-year-old woman without any medical and psychiatric history, suffered from nausea, pain in the epigastria and constipation for over a year. She eventually lost 20 kilograms despite nightly drip-feeding. Extensive additional tests did not reveal any clues for her complaints. She remained convinced that her symptoms were a side-effect of anti-fungal medication she used. She was diagnosed with hypochondria. In the course of time her ideas about her somatic symptoms became delusional and she was diagnosed with a hypochondriacal delusion as part of melancholia, without depressed mood or loss of interest or pleasure as prominent features. It is important to recognize melancholia as soon as possible by continually evaluating other symptoms of depression. This may enable to avoid repetitive and exhaustive somatic examinations, which are not indicated, and to start effective treatment. In our patient electroconvulsive therapy resulted in a fast and complete recovery. |
format | Online Article Text |
id | pubmed-3981340 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | PAGEPress Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-39813402014-04-24 Hypochondriacal delusion in an elderly woman recovers quickly with electroconvulsive therapy Dols, Annemieke Rhebergen, Didi Eikelenboom, Piet Stek, Max L. Clin Pract Case Report A 72-year-old woman without any medical and psychiatric history, suffered from nausea, pain in the epigastria and constipation for over a year. She eventually lost 20 kilograms despite nightly drip-feeding. Extensive additional tests did not reveal any clues for her complaints. She remained convinced that her symptoms were a side-effect of anti-fungal medication she used. She was diagnosed with hypochondria. In the course of time her ideas about her somatic symptoms became delusional and she was diagnosed with a hypochondriacal delusion as part of melancholia, without depressed mood or loss of interest or pleasure as prominent features. It is important to recognize melancholia as soon as possible by continually evaluating other symptoms of depression. This may enable to avoid repetitive and exhaustive somatic examinations, which are not indicated, and to start effective treatment. In our patient electroconvulsive therapy resulted in a fast and complete recovery. PAGEPress Publications 2012-01-18 /pmc/articles/PMC3981340/ /pubmed/24765410 http://dx.doi.org/10.4081/cp.2012.e11 Text en ©Copyright A. Dols et al., 2012 This work is licensed under a Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0). Licensee PAGEPress, Italy |
spellingShingle | Case Report Dols, Annemieke Rhebergen, Didi Eikelenboom, Piet Stek, Max L. Hypochondriacal delusion in an elderly woman recovers quickly with electroconvulsive therapy |
title | Hypochondriacal delusion in an elderly woman recovers quickly with electroconvulsive therapy |
title_full | Hypochondriacal delusion in an elderly woman recovers quickly with electroconvulsive therapy |
title_fullStr | Hypochondriacal delusion in an elderly woman recovers quickly with electroconvulsive therapy |
title_full_unstemmed | Hypochondriacal delusion in an elderly woman recovers quickly with electroconvulsive therapy |
title_short | Hypochondriacal delusion in an elderly woman recovers quickly with electroconvulsive therapy |
title_sort | hypochondriacal delusion in an elderly woman recovers quickly with electroconvulsive therapy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3981340/ https://www.ncbi.nlm.nih.gov/pubmed/24765410 http://dx.doi.org/10.4081/cp.2012.e11 |
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