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[神经性厌食症与抑郁症的鉴别诊断。一名女性患者艾迪生病的病例报告]

[Differential diagnosis of anorexia nervosa and depression. A case report of Addison's disease in a female patient].

作者信息

Steiner J, Zajontz H, Reiss S, Bogerts B

机构信息

Klinik für Psychiatrie und Psychotherapie, Otto-von-Guericke-Universität Magdeburg.

出版信息

Nervenarzt. 2006 Mar;77(3):338-42. doi: 10.1007/s00115-005-1972-z.

Abstract

Similar symptoms make the differential diagnosis of anorexia nervosa and Addison's disease difficult at times: vomiting, weight loss, hypotension, depressed mood, reduced drive, and increased irritability can occur in both disorders. Psychological factors are then frequently presumed to be causative, so that the diagnosis of Addison's disease is made only years after the onset of the disease. Against this background, our case report presents important differential features, particularly with regard to consultative psychiatry.

摘要

相似的症状有时会使神经性厌食症和艾迪生病的鉴别诊断变得困难

呕吐、体重减轻、低血压、情绪低落、动力下降和易怒在这两种疾病中都可能出现。于是,心理因素常常被认为是致病原因,以至于艾迪生病在发病数年之后才得以确诊。在此背景下,我们的病例报告呈现了重要的鉴别特征,尤其是在咨询精神病学方面。

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