Brieger P, Schulte-Mattler W, Zierz S
Klinik und Poliklinik für Neurologie, Martin-Luther-Universität Halle-Wittenberg.
Nervenarzt. 1996 Sep;67(9):785-8. doi: 10.1007/s001150050054.
We confirmed the diagnosis of multiple sclerosis in a 54-year-old man. The patient rejected this diagnosis and was completely convinced that all his symptoms resulted from a chronic mercury intoxication. We found evidence that this delusional disorder was an independent illness, and not a "symptomatic psychosis in multiple sclerosis." So far, little notice has been taken in psychiatry of delusions of environmental poisoning, which cause difficulties in applying common criteria of delusion.
我们确诊一名54岁男性患有多发性硬化症。该患者拒绝接受这一诊断，坚信他所有的症状都是由慢性汞中毒所致。我们发现证据表明这种妄想障碍是一种独立疾病，而非“多发性硬化症中的症状性精神病”。到目前为止，精神病学领域对环境中毒妄想关注甚少，而这种妄想会给应用妄想的通用标准带来困难。
