Virgili P, Gal M C
Service de Psychologie Médicale et de Psychiatrie, Centre hospitalier, Cannes.
Encephale. 1995 Nov-Dec;21(6):467-71.
A patient hospitalized because of somatic disturbances without any sign of detectable cerebral organicity and because of secondary anxiety disorder and major depression presents different clinical pictures with a neurological aspect. All this pictures, that evoke the diagnostic of hysteria conversion in particular, are complicated by a tetraplegia with emission of red urine that enable us to think of a diagnostic of hepatic-porphyria (variegata). Hereditary metabolic diseases, which categories of bioclinic symptoms (that enable us to evoke the diagnostic and to prevent the complications that are breeded by the prescription of forbidden drugs for ill subject) are reminded.
一名因躯体障碍住院且无任何可检测到的脑器质性病变迹象,同时患有继发性焦虑症和重度抑郁症的患者,呈现出具有神经学特征的不同临床表现。所有这些表现,尤其是那些引发癔症性转换诊断的表现,因四肢瘫痪并伴有血尿而变得复杂,这使我们想到肝性卟啉病(杂色型)的诊断。文中提到了遗传性代谢疾病,以及各类生物临床症状(这些症状有助于我们做出诊断并预防因给患病个体开具禁用药物而引发的并发症)。