Department of Medicine, Section of Psychiatry, University of Perugia, Italy.
Riv Psichiatr. 2017 Jul-Aug;52(4):168-171. doi: 10.1708/2737.27910.
Folie à deux (FAD) is a clinical condition that was first described by Lasègue and Falret in 19th century. They reported a rare condition where two or more people shared delusional ideas from a person to another. Nowadays a trace of this historical diagnosis and its theoretical framework, could be found on ICD-10 where FAD is translated in “Shared Psychotic Disorder”. Given the lack of literature and a well-defined set of symptoms it is hard to detect the clinical limits of FAD. Furthermore, the complex of comorbidities could lead to a misdiagnosis. In this paper we report a peculiar case of FAD with an historical focus trying to give a wider point of view and tools to recognize this unconventional psychiatric diagnosis.
双相情感障碍(FAD)是一种临床病症,由 Lasègue 和 Falret 在 19 世纪首次描述。他们报告了一种罕见的病症,即两个人或更多人从一个人到另一个人分享妄想观念。如今,在 ICD-10 中可以找到这种历史诊断及其理论框架的痕迹,FAD 被翻译为“共享精神病障碍”。由于缺乏文献和一套明确的症状,很难确定 FAD 的临床界限。此外,合并症的复杂性可能导致误诊。在本文中,我们报告了一个特殊的 FAD 病例,重点是历史,试图提供更广泛的观点和工具来识别这种非传统的精神科诊断。