Hepatolenticular degeneration with depressive episodes of bipolar disorder: a case report

This case reported a 17-year-old female patient who presented to the hospital with "poor mood and irritability for more than 5 months". The patient was diagnosed with hepatolenticular degeneration at the age of five. According to the International Classification of Diseases, tenth edition...

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Main Authors: Xiang Wei, Chen Yan
Format: Article
Language:zho
Published: Editorial Office of Sichuan Mental Health 2024-02-01
Series:Sichuan jingshen weisheng
Subjects:
Online Access:http://www.psychjm.net.cn/scjswszzen/ch/reader/view_abstract.aspx?file_no=202401015&flag=1
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author Xiang Wei
Chen Yan
author_facet Xiang Wei
Chen Yan
author_sort Xiang Wei
collection DOAJ
description This case reported a 17-year-old female patient who presented to the hospital with "poor mood and irritability for more than 5 months". The patient was diagnosed with hepatolenticular degeneration at the age of five. According to the International Classification of Diseases, tenth edition (ICD-10), she was diagnosed with hepatolenticular and depressive episodes of bipolar disorder. The condition improved after administration of a combination of a mood stabilizer and an antidepressant. There are few reports of hepatolenticular degeneration combined with depressive episodes of bipolar disorder, and it is controversial whether the diagnosis should be considered a psychiatric disorder due to a physical illness or a co-morbidity. In addition, somatic conditions are often overlooked in the treatment of patients with psychiatric disorders. This case analyzed the diagnosis and medication by integrating the patient's psychiatric symptoms and somatic conditions, suggesting that psychiatrists should pay attention to both psychiatric symptoms and the patient's previous history of somatic diseases in their clinical work for rational diagnosis and treatment.
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spelling doaj.art-1a37c8f4c7a14a7aa0ea521ebb7e019f2024-03-12T02:49:20ZzhoEditorial Office of Sichuan Mental HealthSichuan jingshen weisheng1007-32562024-02-01371838510.11886/scjsws202310060011007-3256(2024)01-0083-03Hepatolenticular degeneration with depressive episodes of bipolar disorder: a case reportXiang WeiChen YanThis case reported a 17-year-old female patient who presented to the hospital with "poor mood and irritability for more than 5 months". The patient was diagnosed with hepatolenticular degeneration at the age of five. According to the International Classification of Diseases, tenth edition (ICD-10), she was diagnosed with hepatolenticular and depressive episodes of bipolar disorder. The condition improved after administration of a combination of a mood stabilizer and an antidepressant. There are few reports of hepatolenticular degeneration combined with depressive episodes of bipolar disorder, and it is controversial whether the diagnosis should be considered a psychiatric disorder due to a physical illness or a co-morbidity. In addition, somatic conditions are often overlooked in the treatment of patients with psychiatric disorders. This case analyzed the diagnosis and medication by integrating the patient's psychiatric symptoms and somatic conditions, suggesting that psychiatrists should pay attention to both psychiatric symptoms and the patient's previous history of somatic diseases in their clinical work for rational diagnosis and treatment.http://www.psychjm.net.cn/scjswszzen/ch/reader/view_abstract.aspx?file_no=202401015&flag=1hepatolenticular degenerationbipolar disorderdepressive episodes
spellingShingle Xiang Wei
Chen Yan
Hepatolenticular degeneration with depressive episodes of bipolar disorder: a case report
Sichuan jingshen weisheng
hepatolenticular degeneration
bipolar disorder
depressive episodes
title Hepatolenticular degeneration with depressive episodes of bipolar disorder: a case report
title_full Hepatolenticular degeneration with depressive episodes of bipolar disorder: a case report
title_fullStr Hepatolenticular degeneration with depressive episodes of bipolar disorder: a case report
title_full_unstemmed Hepatolenticular degeneration with depressive episodes of bipolar disorder: a case report
title_short Hepatolenticular degeneration with depressive episodes of bipolar disorder: a case report
title_sort hepatolenticular degeneration with depressive episodes of bipolar disorder a case report
topic hepatolenticular degeneration
bipolar disorder
depressive episodes
url http://www.psychjm.net.cn/scjswszzen/ch/reader/view_abstract.aspx?file_no=202401015&flag=1
work_keys_str_mv AT xiangwei hepatolenticulardegenerationwithdepressiveepisodesofbipolardisorderacasereport
AT chenyan hepatolenticulardegenerationwithdepressiveepisodesofbipolardisorderacasereport