The 3 Cases of Patients with Behcet's Disease who have Depressive and Psychotic Symptoms.
- Author:
Seung Hwan LEE
1
;
Jin Hwan KIM
;
Hyoung Seok SONG
;
Kang Joon LEE
;
Min NAM
;
Young Cho CHUNG
Author Information
1. Department of Psychiatry, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, Korea. lshpss@ilsanpaik.ac.kr
- Publication Type:Case Report
- Keywords:
Behcet's disease;
Depression;
Psychotic symptom
- MeSH:
Adult;
Antipsychotic Agents;
Anxiety;
Benzodiazepines;
Brain;
Delusions;
Dementia;
Depression;
Drug Overdose;
Female;
Hallucinations;
Humans;
Magnetic Resonance Imaging;
Memory;
Memory, Short-Term;
Middle Aged;
Sleep Initiation and Maintenance Disorders;
Stomatitis;
Suicide;
Ulcer
- From:Journal of Korean Neuropsychiatric Association
2005;44(2):264-267
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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 short-term 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.
