Um transtorno delirante somático atípico

• Autor(a) principal: Crepaldi, Andres Luiz [UNESP]
• Data de Publicação: 2001
• Outros Autores: Smaira, Sumaia Inaty [UNESP], Torres, Albina Rodrigues [UNESP]
• Tipo de documento: Artigo de conferência
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://www.hcnet.usp.br/ipq/revista/vol28/n3/artigos/art138.htm; http://hdl.handle.net/11449/66565
• topic: Atypical somatic delusional disorder; Delusional disorder; Somatic delusional disorder; fluoxetine; pimozide; risperidone; sulpiride; venlafaxine; adult; alcoholism; case report; conference paper; delusion; disease course; human; male; psychiatric diagnosis; rating scale; social phobia; symptomatology

This paper describes the case of a 38 year-old single man with a previous history of social phobia and alcoholism, who presented an unusual pathological belief during the last 9 years. He believe that the muscles of his arms were loose, separated from the bones, and that a green fluid flowed from his shoulders, running under the skin towards his fingers, and returning to the shoulders. He also reported pain, weakness and sensations of loose and fluffy muscles, besides having visual and kinesthetic hallucinations and judgement impairment. No other psychopathological manifestations were observed. There was a worsening of the complaints and depressive symptoms with the use of pimozide and no improvement with fluoxetine, venlafaxine or risperidone. He is presently taking sulpiride. Psychopathological issues and difficulties in diagnosis and treatment are discussed.