Peritogiannis Vaios, Manthopoulou Thiresia, Mavreas Venetsanos
Mobile Mental Health Unit of the Prefectures of Ioannina and Thesprotia, Society for the Promotion of Mental Health in Epirus, 78 Thoma Paschidi, 45445 Ioannina, Greece.
Department of Psychiatry, University of Ioannina School of Medicine, Stavros Niarchos Avenue, 45500 Ioannina, Greece.
Case Rep Psychiatry. 2014;2014:804930. doi: 10.1155/2014/804930. Epub 2014 Dec 18.
We present a case of a middle-aged male patient with a long history of conversion disorder and histrionic personality, who presented with newly onset psychotic symptoms while being engaged to treatment with a community mental health team in a primary care setting. The symptoms could not be attributed to an organic cause. After a short course of olanzapine treatment which caused adverse effects, the symptomatology responded well to low dose amisulpride. Conversion symptoms were stable throughout the psychotic episode. This case illustrates the complex interplay between disorders classified in different categories (somatoform versus psychotic disorders).
我们报告一例患有长期转换障碍和表演型人格的中年男性患者，该患者在初级保健机构接受社区精神卫生团队治疗期间出现了新发的精神病性症状。这些症状不能归因于器质性病因。在接受了短疗程的奥氮平治疗但出现不良反应后，症状对低剂量氨磺必利反应良好。在整个精神病性发作期间，转换症状保持稳定。该病例说明了分类于不同类别的疾病（躯体形式障碍与精神障碍）之间复杂的相互作用。
