Brown Shona, Torrens Lorna A
Department of Clinical Psychology, Astley Ainslie Hospital, Edinburgh, UK.
BMJ Case Rep. 2012 Jul 3;2012:bcr0320126147. doi: 10.1136/bcr.03.2012.6147.
A man in his late 40s, referred by his general practitioner (GP) to a psychology-led pain management programme, made a subjective and spontaneous report of cognitive impairment. He further mentioned a ten year history of erectile dysfunction, joint pain, occasional nausea and excessive fatigue. He underwent cognitive assessment. Advised to return to his GP to seek further investigation, he was ultimately subsequently diagnosed with haemochromatosis and began radical therapeutic venesection. Repeat cognitive assessment, a year later and following stabilisation of the condition, found improvement on some cognitive measures. Subjective report was of vastly improved cognitive function.
一名40多岁的男子由他的全科医生转介至一个以心理学为主导的疼痛管理项目，他主观且自发地报告了认知障碍。他还提到有十年勃起功能障碍、关节疼痛、偶尔恶心和过度疲劳的病史。他接受了认知评估。建议他回到全科医生处寻求进一步检查，最终他被诊断为血色素沉着症，并开始进行根治性治疗性静脉切开放血术。一年后，在病情稳定后进行的重复认知评估发现，一些认知指标有所改善。主观报告显示认知功能有了极大改善。
