Eisenberg J, Wahrman O, Bamberger E, Greenberg D
North Jerusalem Mental Health Center, Herzog Hospital, Jerusalem, Israel.
Isr J Psychiatry Relat Sci. 1997;34(3):235-8.
A case of psychogenic cough tic is presented to demonstrate the problems and complications that can arise from misdiagnosis of this dramatic and disabling disorder. It can be confused with TS and may be treated more aggressively than is beneficial. A single case with a recurrent course is described with the hypothesis of a possible autoimmune contribution. The combination of organic precipitants and emotional maintaining factors suggests that psychogenic cough tic is a condition that lies between somatization and transient tic disorder.
本文报告一例心因性咳嗽抽搐病例,以说明这种严重且致残性疾病误诊可能产生的问题和并发症。它可能与抽动秽语综合征(TS)相混淆,且治疗可能比有益的程度更为激进。本文描述了一例具有复发性病程的病例,并提出了可能存在自身免疫因素的假说。器质性诱发因素和情绪维持因素的结合表明,心因性咳嗽抽搐是一种介于躯体化障碍和短暂性抽动障碍之间的病症。