Sadlier Matthew, Cooney Colm, Philbin-Bowman Eimer, Lewis Aideen
Department of Psychiatry,St Vincent's University Hospital,Dublin 4.
Department of Old Age Psychiatry,Carew House,St Vincent's University Hospital,Dublin 4,Ireland.
Ir J Psychol Med. 2011 Dec;28(4):224-226. doi: 10.1017/S079096670001171X.
Diogenes syndrome or senile squalor syndrome has been described in the psychiatric literature with an associated mental illness in between one half and two thirds of the cases cited. The occurrence of the syndrome in the absence of a psychiatric disorder has received much attention with many hypotheses proposed. We present the case of a 72-year-old man living for many years in domestic squalor whose presentation, neuropsychological profile and history suggest an underlying autistic spectrum disorder. We are not aware of any similar case in an older adult reported in the medical literature. The co-occurrence of these two conditions is an intriguing one as certain key features of autistic spectrum disorder may predispose to Diogenes syndrome.
第欧根尼综合征或老年秽亵综合征在精神病学文献中已有描述，在所引用病例中，有一半到三分之二的病例伴有精神疾病。该综合征在无精神障碍情况下的发生受到了广泛关注，人们提出了许多假说。我们报告一例72岁男性病例，他多年生活在肮脏的环境中，其临床表现、神经心理学特征和病史提示存在潜在的自闭症谱系障碍。我们未在医学文献中发现有报道的类似老年患者病例。这两种情况的同时出现很有意思，因为自闭症谱系障碍的某些关键特征可能易引发第欧根尼综合征。
