Alptekin Furkan Bahadır
Department of Psychiatry, Başakşehir Çam and Sakura City Hospital, İstanbul, Turkey.
Psychiatry Clin Psychopharmacol. 2024 Jun 1;34(2):197-200. doi: 10.5152/pcp.2024.23765. eCollection 2024 Jun.
Von Hippel-Lindau syndrome (VHL) is a rare genetic disorder inherited in an autosomal dominant manner. It progresses with the presence of cranial and visceral organ tumors. Psychiatric symptoms may be accompanied by tumor location and hormonal changes. However, it is rare for the disease to first appear with psychiatric symptoms, which may delay the diagnosis of the disease. In this article, a case of VHL, first presenting with major depression, is discussed. The diagnosis and treatment of major depression may obscure the diagnosis of VHL due to the similar mean age at diagnosis and the confounding effect of neurovegetative symptoms accompanying depression.
冯·希佩尔-林道综合征(VHL)是一种罕见的常染色体显性遗传疾病。它会随着颅脑和内脏器官肿瘤的出现而进展。精神症状可能伴随肿瘤位置和激素变化出现。然而,该疾病以精神症状首发较为罕见,这可能会延误疾病的诊断。在本文中,将讨论一例首发为重度抑郁症的VHL病例。由于诊断时的平均年龄相似以及抑郁症伴随的神经植物性症状的混杂作用,重度抑郁症的诊断和治疗可能会掩盖VHL的诊断。