Conradi-Hünerman-Happle Syndrome and Obsessive–Compulsive Disorder: a clinical case report

Abstract Background Obsessive–Compulsive Disorder (OCD) is a common and chronic psychiatric disorder with significant morbidity characterized by intrusive, uncontrollable and reoccurring thoughts (i.e., obsessions) and/or ritualistic behaviours (i.e., compulsions). Conradi-Hünerman-Happle Syndrome (...

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Main Authors: Sabrina de Jesus, Ana Lúcia R. Costa, Mónica Almeida, Paula Garrido, João Alcafache
Format: Article
Language:English
Published: BMC 2023-02-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-023-04579-1
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author Sabrina de Jesus
Ana Lúcia R. Costa
Mónica Almeida
Paula Garrido
João Alcafache
author_facet Sabrina de Jesus
Ana Lúcia R. Costa
Mónica Almeida
Paula Garrido
João Alcafache
author_sort Sabrina de Jesus
collection DOAJ
description Abstract Background Obsessive–Compulsive Disorder (OCD) is a common and chronic psychiatric disorder with significant morbidity characterized by intrusive, uncontrollable and reoccurring thoughts (i.e., obsessions) and/or ritualistic behaviours (i.e., compulsions). Conradi-Hünerman-Happle Syndrome (CHHS) is a rare inherited X-linked dominant variant of chondrodysplasia punctata, a heterogeneous group of rare bone dysplasias characterized by punctate epiphyseal calcifications of complex etiology and pathophysiology that remain to be defined. Available literature reveals a lacuna in regards to the coexistence of the entities with no clinical reports described. Case presentation A 12 year old female patient with diagnosis of CHHS, presents to psychiatric consultation due to aggravation of her OCD clinical picture, with aggravation of hand-washing frequency during the Covid-19 pandemic with significant functional impact. Psychopharmacological treatment aimed at OCD with Selective Serotonin Reuptake Inhibitor (SSRI) and antipsychotic was instituted with favourable, albeit partial response. Conclusions The authors aim to describe a clinical case in which the patient presents with Conradi-Hünerman-Happle Syndrome and Obsessive–Compulsive Disorder. Clinical descriptions of CHHS and OCD are not available in the literature. Through this case description the authors aim to present a rare case as well as discuss an eventual association between etiology and/or pathophysiology of the two disorders.
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spelling doaj.art-1c48ab77eb3e4f319bbbb6fd6e578f672023-02-12T12:19:00ZengBMCBMC Psychiatry1471-244X2023-02-012311510.1186/s12888-023-04579-1Conradi-Hünerman-Happle Syndrome and Obsessive–Compulsive Disorder: a clinical case reportSabrina de Jesus0Ana Lúcia R. Costa1Mónica Almeida2Paula Garrido3João Alcafache4Departament of Psychiatry and Mental Health, Baixo Vouga Hospital CenterDepartament of Psychiatry and Mental Health, Baixo Vouga Hospital CenterDepartament of Psychiatry and Mental Health, Baixo Vouga Hospital CenterDepartament of Psychiatry and Mental Health, Baixo Vouga Hospital CenterDepartament of Psychiatry and Mental Health, Baixo Vouga Hospital CenterAbstract Background Obsessive–Compulsive Disorder (OCD) is a common and chronic psychiatric disorder with significant morbidity characterized by intrusive, uncontrollable and reoccurring thoughts (i.e., obsessions) and/or ritualistic behaviours (i.e., compulsions). Conradi-Hünerman-Happle Syndrome (CHHS) is a rare inherited X-linked dominant variant of chondrodysplasia punctata, a heterogeneous group of rare bone dysplasias characterized by punctate epiphyseal calcifications of complex etiology and pathophysiology that remain to be defined. Available literature reveals a lacuna in regards to the coexistence of the entities with no clinical reports described. Case presentation A 12 year old female patient with diagnosis of CHHS, presents to psychiatric consultation due to aggravation of her OCD clinical picture, with aggravation of hand-washing frequency during the Covid-19 pandemic with significant functional impact. Psychopharmacological treatment aimed at OCD with Selective Serotonin Reuptake Inhibitor (SSRI) and antipsychotic was instituted with favourable, albeit partial response. Conclusions The authors aim to describe a clinical case in which the patient presents with Conradi-Hünerman-Happle Syndrome and Obsessive–Compulsive Disorder. Clinical descriptions of CHHS and OCD are not available in the literature. Through this case description the authors aim to present a rare case as well as discuss an eventual association between etiology and/or pathophysiology of the two disorders.https://doi.org/10.1186/s12888-023-04579-1Chondrodysplasia punctataObsessive compulsive disorderComorbidityEtiologyRare disease
spellingShingle Sabrina de Jesus
Ana Lúcia R. Costa
Mónica Almeida
Paula Garrido
João Alcafache
Conradi-Hünerman-Happle Syndrome and Obsessive–Compulsive Disorder: a clinical case report
BMC Psychiatry
Chondrodysplasia punctata
Obsessive compulsive disorder
Comorbidity
Etiology
Rare disease
title Conradi-Hünerman-Happle Syndrome and Obsessive–Compulsive Disorder: a clinical case report
title_full Conradi-Hünerman-Happle Syndrome and Obsessive–Compulsive Disorder: a clinical case report
title_fullStr Conradi-Hünerman-Happle Syndrome and Obsessive–Compulsive Disorder: a clinical case report
title_full_unstemmed Conradi-Hünerman-Happle Syndrome and Obsessive–Compulsive Disorder: a clinical case report
title_short Conradi-Hünerman-Happle Syndrome and Obsessive–Compulsive Disorder: a clinical case report
title_sort conradi hunerman happle syndrome and obsessive compulsive disorder a clinical case report
topic Chondrodysplasia punctata
Obsessive compulsive disorder
Comorbidity
Etiology
Rare disease
url https://doi.org/10.1186/s12888-023-04579-1
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