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Year : 2018  |  Volume : 2  |  Issue : 1  |  Page : 55-57

Childhood-onset schizophrenia: A diagnostic challenge

1 Department of Psychiatry, BJGMC and Sassoon General Hospital, Pune, Maharashtra, India
2 Department of Psychiatry, D.Y Patil Hospital, Nerul, Maharashtra, India

Correspondence Address:
Swaroop Sudhir Bhatankar
Saket Complex, A/8 604 Veer Sawarkar Marg Maziwada, Thane West, Thane - 400 601, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aip.aip_33_17

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Childhood-onset schizophrenia is characterized by onset before the age of 13 years. These symptoms overlap with other disorders of childhood onset (e.g., autism spectrum disorder and attention-deficit hyperactivity disorder) and hence can present as a diagnostic challenge. A 7-year-old boy presented with hyperactive behavior, inattention, and repetitive stereotypic hand movements, muttering and gesticulating to self for the 1½-year duration that developed after an episode of high-grade fever which was not associated with any focal neurological deficit. He was treated with antipsychotics, mood stabilizers, and stimulants on an outpatient basis and subsequently admitted for diagnostic evaluation due to persistent symptoms. We would like to discuss this case due to its complexity and the challenge we faced while treating this child. It is important to evaluate the cause of psychosis in a child as many disorders of childhood onset can present with psychotic symptoms.

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