Burch E A, Hutchison C F, Still C N
J Clin Psychiatry. 1978 Jan;39(1):75-8.
To function effectively as primary care specialists, psychiatrists must remain ever alert to the possibility of organic disorders in patients who at first show only psychiatric symptoms. A case is presented in which hysterical overlay led to misdiagnosis in a 31 year woman, who dies of a diffuse medullary glioma 3 1/2 years after onset of "conversion" symptoms. The authors point out how the label "hysterical" clouds longitudinal objective diagnostic observations especially when initial clinical and laboratory data fail to support a definitive organic diagnosis.
为了有效地履行初级保健专家的职责，精神科医生必须始终警惕那些最初仅表现出精神症状的患者出现器质性疾病的可能性。本文介绍了一个病例，一名31岁女性因癔症性叠加导致误诊，在出现“转换”症状3年半后死于弥漫性髓质胶质瘤。作者指出，“癔症性”这一标签如何掩盖了长期的客观诊断观察，尤其是当最初的临床和实验室数据无法支持明确的器质性诊断时。
