Frontiers in psychiatry · 2022
Psychotic Symptoms as the Initial Presentation of a Long-Lasting Misdiagnosed Anti-GAD65 Autoimmune Encephalitis: An Emblematic Case and Literature Review.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Wang Jianjun, Gong Shenglan, Kong Fanxin, Cai Dongbin, Huang Binqing, Zheng Haotao, Lin Songjun, Li Jinfang, Zhang Tianfeng
Аннотация
OBJECTIVE: To present a long-lasting misdiagnosed case of anti-GAD65 autoimmune encephalitis (AE) and promote the early identification of reversible psychotic symptoms in AE.
METHODS: The case report was generated through detailed assessment of clinical characteristics, cerebral magnetic resonance images, and laboratory results. Meanwhile, a literatures review related to the topic was conducted.
RESULTS: Psychotic symptoms could be presented in the early stage of anti-GAD65 autoimmune encephalitis. Even though there exists a transdisciplinary gap that hinder the timely recognition of early psychiatric symptoms as components of organic disease, a few strategies could be introduced to enable the earlier recognition and appropriate treatment.
CONCLUSIONS: Our report intends to raise awareness to promote the early identification of immune-mediated "symptomatic" forms of psychosis.
METHODS: The case report was generated through detailed assessment of clinical characteristics, cerebral magnetic resonance images, and laboratory results. Meanwhile, a literatures review related to the topic was conducted.
RESULTS: Psychotic symptoms could be presented in the early stage of anti-GAD65 autoimmune encephalitis. Even though there exists a transdisciplinary gap that hinder the timely recognition of early psychiatric symptoms as components of organic disease, a few strategies could be introduced to enable the earlier recognition and appropriate treatment.
CONCLUSIONS: Our report intends to raise awareness to promote the early identification of immune-mediated "symptomatic" forms of psychosis.