Psychiatry, Hospital Padre Américo Vale do Sousa SA, Penafiel, Portugal.
Psychiatry, Hospital Beatriz Angelo, Loures, Lisboa, Portugal.
BMJ Case Rep. 2022 Nov 22;15(11):e249356. doi: 10.1136/bcr-2022-249356.
In this paper, we report the case of a man in his 30s with a first-episode psychosis, characterised by a subtype of delusional misidentification syndrome in which the delusion of doubles is exclusively of the patient's own self. This subdivision can be termed 'syndrome of doubles of the self' or 'syndrome of subjective doubles'. Additionally, an examination of the patient's mental state showed paranoid delusions. After being evaluated in the emergency department, the patient was hospitalised, and medicated with antipsychotic drugs. One week later, he was discharged with total remission of psychotic symptoms. This is a rare and curious presentation of a psychotic episode, with very few similar cases described to date.
本文报告了一例 30 多岁男性首次发作的精神病病例，其特征为妄想性身份识别障碍的一种亚型，其中双重人格的妄想仅涉及患者自身。这种细分可以称为“自身双重人格障碍”或“主观双重人格障碍”。此外，对患者的精神状态进行检查发现有偏执型妄想。在急诊科进行评估后，患者住院并接受了抗精神病药物治疗。一周后，他出院时精神病症状完全缓解。这是一种罕见而奇特的精神病发作表现，迄今为止描述的类似病例很少。
