Khanna R, Khanna N
Central Institute of Psychiatry, Kanke, Ranchi, India.
Int J Psychiatry Med. 1991;21(1):105-12. doi: 10.2190/BACL-6XNR-TVYD-KR6X.
A male patient with chronic paranoid schizophrenia developed delusions of substitution that were of abrupt onset and short duration. This coincided with the detection of diabetes mellitus. Over the next three years, despite being on continuous moderate dose neuroleptic treatment the re-emergence and resolution of delusions of substitution varied with the control of his diabetic status. A selective review of reports on organic contributors to delusions of substitution is presented. It is suggested that the abruptly appearing, short lasting delusions of substitution may be more likely to have a known organic contributor.
一名患有慢性偏执型精神分裂症的男性患者出现了突然起病且持续时间短暂的替身妄想。这与糖尿病的发现同时发生。在接下来的三年里，尽管持续接受中等剂量的抗精神病药物治疗，但替身妄想的反复出现和消失与他糖尿病病情的控制情况相关。本文对有关替身妄想的器质性成因的报告进行了选择性综述。研究表明，突然出现且持续时间短暂的替身妄想更有可能存在已知的器质性成因。
