Avtor/Urednik		Horvat, Lilijana; Dernovšek, Mojca Z; Mlakar, Janez
Naslov		Prikaz bolnika s Huntingtonovo boleznijo, ki se je začela kot psihotična motnja
Prevedeni naslov		Patient with Huntington's disease, presenting as psychotic disorder - case report
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 70, št. 6
Leto izdaje		2001
Obseg		str. 326-7
Jezik		slo
Abstrakt		Background. Huntington's disease (HD) is rare. It usually starts with choreatic movements and cognitive impairment, progressing to dementia. A case report revealing diagnostic difficulties in apatient with HD, which began as psychotic disorder is presented. Patient was treated for almost five years in psychiatric outpatients' service and psychiatric hospital due to a treatment-resistant psychotic disorder. Choreatic movements emerged during the fourth year of the treatment and were misdiagnosed as tardive dyskinesia. Prominent deterioration of cognitive functions demanded further diagnostics. With genetic tests HD was diagnosed. Conclusions. The start of HD with psychotic disorder is less common. In patients with treatment-resistantpsychoses other somatic disorders should be considered.
Izvleček		Izhodišča. S Huntingtonovo boleznijo se redko srečamo. Navadno se začne z zgibki, pojavijo se kognitivne motnje, ki se stopnjujejo do demence. Prispevek opisuje bolnika s Huntingtonovo boleznijo, ki se je začela s psihotično motnjo, kar je otežilo postavitev diagnoze. Bolnik se je skoraj pet let zdravil pri psihiatru in tudi v psihiatrični bolnišnici zaradi psihotične motnje, ki se na terapijo ni odzivala. Zgibke, ki so se pojavili po štirih letih zdravljenja z nevroleptiki, smo opre delili najprej kot tardivno diskinezo. Očitno pešanje kognitivnih sposobnosti je usmerilo diagnostiko v drugo smer. Z genetskimi testi smo potrdili Huntingtonovo bolezen. Zaključki. Začetek Huntingtonove bolezni s psihotično motnjo je zelo redek. Prispevek opozarja, da se v okviru terapevtsko rezistentne psihoze lahko skrivajo duševne motnje različnih etiologij
Deskriptorji		HUNTINGTON'S DISEASE PSYCHOTIC DISORDERS MIDDLE AGE