Brzozowska A, Wolańczyk T, Komender J
Kliniki Psychiatrii Wieku Rozwojowego AM W Warszawie.
Psychiatr Pol. 1998 May-Jun;32(3):265-74.
The authors present the review of literature concerning schizophrenia, schizophrenia type and delusional disorders in patients with a lifetime diagnosis of anorexia nervosa (AN). The authors describe also 3 patients (2 cases of paranoid schizophrenia and 1 case of catatonic syndrome). The clinical features in all patients are discussed. In 1 patient the catatonic symptoms occurred within the context of AN, (perhaps due to metabolic disturbances) and in 2 other cases the psychotic features occurred after recovery from AN. The authors discuss the occurrence of psychotic features in AN, and the possible function of starvation and metabolic disturbances in their aetiology.
作者对有关终生诊断为神经性厌食症(AN)患者的精神分裂症、精神分裂症类型及妄想障碍的文献进行了综述。作者还描述了3例患者(2例偏执型精神分裂症和1例紧张症综合征)。讨论了所有患者的临床特征。1例患者的紧张症症状出现在神经性厌食症背景下(可能由于代谢紊乱),另外2例患者的精神病性特征出现在神经性厌食症康复之后。作者讨论了神经性厌食症中精神病性特征的发生情况,以及饥饿和代谢紊乱在其病因学中的可能作用。