우울증 및 정신병적 증상을 보인 베체트병 환자 3예

• 영문명: The 3 Cases of Patients with Behcet’s Disease who have Depressive and Psychotic Symptoms
• 발행기관: 대한신경정신의학회
• 저자명: 이승환 김진환 송형석 이강준 남민 정영조
• 간행물 정보: 『신경정신의학』제44권 제2호, 264~267쪽, 전체 4쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2005.03.30

영문 초록

Behcet’s disease is characterized by mucocutaneous-ocular symptoms, namely recurrent stomatitis aphthosis, genital ulcer and ocular symptoms. Organic mental changes can be often observed, as well as dementia, depression, visual hallucination and schizophrenia-like symptoms. A 46-year-old female was admitted due to visual and auditory hallucinations, paranoid delusion and disorientation which had continued for 3 weeks. The findings on brain MRI were compatible with neuro-Behcet’s disease. Her psychiatric symptoms improved with antipsychotic medications. A 42-year-old female visited our clinic complaining shortterm memory impairment, depressive mood, anxiety and insomnia. Her depressive mood, anxiety and insomnia improved with antidepressant and benzodiazepine treatment. However, memory impairment remained. A 40-year-old female visited ER due to a suicide attempt with drug overdose. Depressive mood continued a few weeks prior to the incident. During admission psychotic symptoms were observed. These symptoms improved with antipsychotics within a week. Also depressive mood was subsided with antidepressant. These three cases represent that Behcet’s disease often accompanies with psychiatric symptoms. A variety of psychosocial stressors can influence the progress of Behcet’s disease and psychiatric symptoms.

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키워드

Behcet’s disease Depression Psychotic symptom