Modell S, Naber D, Müller-Spahn F
Psychiatrische Klinik und Poliklinik, Universität München.
Nervenarzt. 1993 May;64(5):340-2.
The case of a 39 year old in-patient with a paranoid syndrome is presented. During the course of examination, a vitamin B12 deficiency as well as a hypothyreosis were found, which seemed to have a common cause in an autoimmune disease. The paranoid symptoms disappeared completely under treatment with vitamin B12 and thyroid hormones. Moreover, the neuropsychological deficit improved markedly. The relationship between psychiatric symptoms and organic disease, and also the differential diagnosis, is discussed.
本文介绍了一名患有偏执综合征的39岁住院患者的病例。在检查过程中，发现了维生素B12缺乏以及甲状腺功能减退，这似乎是由自身免疫性疾病引起的共同原因。在使用维生素B12和甲状腺激素治疗后，偏执症状完全消失。此外，神经心理学缺陷也有明显改善。文中还讨论了精神症状与器质性疾病之间的关系以及鉴别诊断。
