{"title":"A Case of Very-late-onset Schizophrenia-like Psychosis from Taiwan","authors":"Wei-Chieh Huang , Chun-Kai Fang , Chien-Chi Hsu","doi":"10.1016/j.ijge.2018.02.005","DOIUrl":null,"url":null,"abstract":"<div><p>We report a case of an 84-year-old widow from Taiwan who meets a classic presentation of symptomatology from very late-onset schizophrenia-like psychosis (VLOSLP). After 2 decades of reference idea, she subsequently suffered from persecutory, partition delusion and multimodal hallucinations. Acute psychiatric hospitalization was arranged for diagnostic workup and antipsychotics treatment. No laboratory abnormalities were found. We gave olanzapine and gradually titrated to 20 mg/day, and her psychotic symptoms were relieved in a month, then discharged. This case report is aimed to discuss the clinical characteristics, nosology, and treatment of VLOSLP. Further exploration of VLOSLP should be considered because of its unique clinical feature and course.</p></div>","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"12 4","pages":"Pages 348-350"},"PeriodicalIF":0.3000,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ijge.2018.02.005","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Gerontology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1873959818300607","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 1
Abstract
We report a case of an 84-year-old widow from Taiwan who meets a classic presentation of symptomatology from very late-onset schizophrenia-like psychosis (VLOSLP). After 2 decades of reference idea, she subsequently suffered from persecutory, partition delusion and multimodal hallucinations. Acute psychiatric hospitalization was arranged for diagnostic workup and antipsychotics treatment. No laboratory abnormalities were found. We gave olanzapine and gradually titrated to 20 mg/day, and her psychotic symptoms were relieved in a month, then discharged. This case report is aimed to discuss the clinical characteristics, nosology, and treatment of VLOSLP. Further exploration of VLOSLP should be considered because of its unique clinical feature and course.
期刊介绍：
The Journal aims to publish original research and review papers on all fields of geriatrics and gerontology, including those dealing with critical care and emergency medicine.
The IJGE aims to explore and clarify the medical science and philosophy in all fields of geriatrics and gerontology, including those in the emergency and critical care medicine. The IJGE is determined not only to be a professional journal in gerontology, but also a leading source of information for the developing field of geriatric emergency and critical care medicine. It is a pioneer in Asia.
Topics in the IJGE cover the advancement of diagnosis and management in urgent, serious and chronic intractable diseases in later life, preventive medicine, long-term care of disability, ethical issues in the diseased elderly and biochemistry, cell biology, endocrinology, molecular biology, pharmacology, physiology and protein chemistry involving diseases associated with age. We did not limit the territory to only critical or emergency condition inasmuch as chronic diseases are frequently brought about by inappropriate management of acute problems.
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