Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
J ECT. 2011 Mar;27(1):e32-4. doi: 10.1097/YCT.0b013e3181eb308c.
We present a case of psychotic depression with polymyositis presenting with the distinct phenomenon of nihilism by proxy, which was treated with electroconvulsive therapy (ECT). A female patient with polymyositis was initially treated with pharmacotherapy. After initial response, there was deterioration in her mental state and hence, after careful consideration, neurological, and anaesthetic consultations, modified ECT was given with close monitoring. The mental state of the patient improved with a course of ECT, which proceeded without any complications. Her depressive symptoms including the delusion of nihilism by proxy responded to ECT. To the best of our knowledge, the use of ECT has not been reported in a case of polymyositis before, and this case shows that modified ECT can be given successfully in patients with polymyositis.
我们报告了一例伴有多发性肌炎的精神病性抑郁症，其表现为明显的代理虚无主义现象，该患者接受了电休克治疗（ECT）。一名女性多发性肌炎患者最初接受了药物治疗。在初始反应后，她的精神状态恶化，因此，在仔细考虑后，进行了神经科和麻醉科会诊，给予了改良的 ECT，并密切监测。患者的精神状态随着 ECT 疗程的进行而改善，且没有任何并发症。她的抑郁症状，包括代理虚无主义妄想，对 ECT 有反应。据我们所知，ECT 在多发性肌炎病例中尚未有报道，本病例表明改良的 ECT 可以成功用于多发性肌炎患者。
