Sievers M, Sato T, Möller H-J, Bottlender R
Pharmacopsychiatry. 2005 Mar;38(2):104-5. doi: 10.1055/s-2005-837814.
The co-occurrence of obsessive-compulsive and psychotic symptoms in one patient often represents a diagnostic problem. Distinguishing among a schizophrenic disorder with comorbid obsessional symptoms, an OCD with comorbid psychotic symptoms, or an OCD and schizophrenia or any other psychotic disorder is of clinical importance, since the different diagnoses have different therapeutic as well as prognostic implications. In the following case report we describe a patient who suffered from a typical OCD for more than 18 years and then developed clear psychotic symptoms that completely remitted after treatment with citalopram.
一名患者同时出现强迫症状和精神病性症状往往代表着一个诊断难题。区分伴有共病强迫症状的精神分裂症、伴有共病精神病性症状的强迫症、或强迫症与精神分裂症或任何其他精神病性障碍，具有临床重要性，因为不同的诊断具有不同的治疗及预后意义。在以下病例报告中，我们描述了一名患有典型强迫症超过18年的患者，之后出现了明确的精神病性症状，在使用西酞普兰治疗后完全缓解。
