Andrade Filipa, Reis Cláudia, Mota Márcia, Salgado Henrique
Psychiatry, Centro Hospitalar Universitário de São João, Porto, PRT.
Cureus. 2023 Jan 30;15(1):e34391. doi: 10.7759/cureus.34391. eCollection 2023 Jan.
Paraphrenia is a chronic psychotic disorder characterized by a strong delusional component with preservation of thought and personality. It was first introduced as a disorder associated with paranoid dementia and paranoia, but with less personality deterioration than schizophrenia and without fulfilling the clinical features of a delusional disorder. This classic diagnostic entity is not currently listed in main diagnostic systems, rendering delusional disorders difficult to classify in cases that resemble the concept of paraphrenia. We revisit the concept of paraphrenia through a critical review based on a clinical vignette of a patient followed at the psychiatry department of the University Hospital Center of São João.
类偏狂型精神分裂症是一种慢性精神障碍，其特征为存在强烈的妄想成分，思维和人格保持完整。它最初被认为是一种与偏执性痴呆和偏执狂相关的疾病，但相较于精神分裂症，其人格衰退程度较轻，且不符合妄想性障碍的临床特征。这种经典的诊断实体目前未被列入主要诊断系统，这使得在类似类偏狂型精神分裂症概念的病例中，妄想性障碍难以分类。我们通过对一名在圣若昂大学医院中心精神科接受随访的患者的临床病例进行批判性回顾，重新审视类偏狂型精神分裂症的概念。
