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CASE REPORT
Year : 2022  |  Volume : 6  |  Issue : 2  |  Page : 186-188

Blurring the boundaries of organic and functional psychosis


Department of Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M), Wardha, Maharashtra, India

Correspondence Address:
Dr. Debolina Chowdhury
Department of Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M), Wardha, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aip.aip_58_22

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Organic and non-organic illnesses may present with uncommon symptoms. In some cases, the presenting atypical symptoms make a prompt and accurate diagnosis difficult. Accordingly, unequivocal psychotic and affective symptoms also require adequate evaluation before determining the diagnosis and management. Here we present a case whose presenting symptoms strongly suggested an organic etiology, namely autoimmune psychosis, but failed to be diagnosed as such through laboratory tests and didn't respond to appropriate treatment. Re-evaluation of the case revealed significant past psychiatric history, suggesting functional psychosis but the patient did not respond to anti-psychotic medications either. This case therefore highlights the importance of complete unbiased work-up for all psychoses.


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