Dunger D B, Pritchard J, Hensman S, Leonard J V, Lask B, Wolff O H
Clin Pediatr (Phila). 1986 Jul;25(7):341-4. doi: 10.1177/000992288602500701.
The experience of 12 children with atypical psychosomatic illness who presented considerable diagnostic difficulties is described. All patients were admitted to the hospital, and using a team approach, it was possible to make a confident diagnosis. No organic disease was identified, and a psychosomatic diagnosis was made. In general, atypical symptoms and signs, false-positive investigations, and differing medical opinion had compounded the diagnostic difficulties. The value of the observations made by ward staff of the childrens' symptoms and behavior is stressed.
描述了12名患有非典型身心疾病且诊断存在相当大困难的儿童的经历。所有患者均入院治疗，通过团队协作的方式，得以做出确切诊断。未发现器质性疾病，遂做出身心疾病的诊断。总体而言，非典型症状和体征、检查结果呈假阳性以及医学观点存在分歧，使诊断难度加大。强调了病房工作人员对儿童症状和行为所做观察的价值。
