International journal of psychiatry in medicine
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Int J Psychiatry Med · Jan 2003
Review Case Reports Comparative StudyMunchausen Syndrome by Proxy: two case reports and an update of the literature.
Munchausen Syndrome by Proxy (MSP) may significantly hamper the normal development of children. Our aim was to describe the first two Israeli children who fit this diagnosis. ⋯ The study reviews the required diagnostic criteria for MSP and possible treatment options.
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Int J Psychiatry Med · Jan 2003
Case ReportsAmmonia induced encephalopathy from valproic acid in a bipolar patient: case report.
Valproic acid is widely used as a mood stabilizer. We report a case of an adult with bipolar disorder taking therapeutic doses of valproic acid, who presented to the emergency department with coma related to hyperammonemia as a complication of valproic acid treatment. ⋯ Clinicians should consider hyperammonemia in all patients who present with coma and other mental status changes while on valproic acid. In such patients, ammonia level should be obtained in addition to liver function tests.
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Int J Psychiatry Med · Jan 2003
Case ReportsRisperidone in the treatment of acute confusional state (delirium) due to neuropsychiatric lupus erythematosus: case report.
Acute confusional state (delirium) appears as one of the common neuropsychiatric manifestations of systemic lupus erythematosus (SLE). It has been suggested that neuropsychiatric SLE (NP-SLE) could promote the occurrence of drug-induced extrapyramidal symptoms (EPS). ⋯ However, no reports of the use of atypical antipsychotics in delirium due to NP-SLE have been published. Here we report a case of NP-SLE presenting an acute confusional state (delirium), which was successfully managed by risperidone.