[The value of re-evaluation and thorough family history taking for the diagnostic work-up of chorea].

Q4 Medicine Tijdschrift voor psychiatrie Pub Date : 2024-01-01
J J Luykx, E van Duijn, B Geerdinck, E Burgers, H P H Kremer, R Veenhuizen
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引用次数: 0

Abstract

The differential diagnosis of chorea encompasses a broad range of disorders. In psychiatry, tardive dyskinesia may be difficult to discern from other causes, particularly when the family history is negative. A 59-year-old man with an unclear medical history had been using risperidone for over a decade when we first saw him. He presented with severe dyskinesia in all extremities. The family history for neuropsychiatric disorders was negative. We interpreted the movement disorder as tardive dyskinesia, but later he turned out to suffer from Huntington’s disease. To improve diagnostic accuracy, we should have more frequently re-evaluated the differential diagnosis and our family history should have been more thorough. We outline the diagnostic considerations in patients presenting with chorea. Finally, we highlight the value of diagnostic re-evaluation and thorough family history taking to optimize diagnostic accuracy in neuropsychiatry.

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[重新评估和全面采集家族病史对诊断舞蹈症的价值]。
舞蹈症的鉴别诊断包括多种疾病。在精神病学中,迟发性运动障碍可能很难与其他病因相鉴别,尤其是在家族史呈阴性的情况下。一名病史不详的 59 岁男子在我们第一次见到他时,已经使用利培酮十多年了。他出现了严重的四肢运动障碍。他的神经精神疾病家族史呈阴性。我们将运动障碍解释为迟发性运动障碍,但后来发现他患有亨廷顿’病。为了提高诊断的准确性,我们本应更频繁地重新评估鉴别诊断,并更全面地了解家族史。我们概述了出现舞蹈症患者的诊断注意事项。最后,我们强调了重新评估诊断和全面采集家族史对于优化神经精神病学诊断准确性的价值。
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来源期刊
Tijdschrift voor psychiatrie
Tijdschrift voor psychiatrie Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
118
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