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KMID : 0368820050440020264
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Journal of the Korean Neuropsychiatr Association
2005 Volume.44 No. 2 p.264 ~ p.267
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The 3 Cases of Patients with Behcet’s Disease who have Depressive and Psychotic Symptoms.
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Lee Seung-Hwan
Kim Jin-Hwan
Song Hyoung-Seok
Lee Kang-Joon
Nam Min
Chung Young-Cho
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Abstract
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Behcet’s disease is characterized by mucocutaneous-ocular symptoms, namely recurrent stomatitis aphthosis, genital ulcer and ocular symptoms. Organic mental changes can be often observed, as well as dementia, depression, visual hallucination and schizophrenia-like symptoms. A 46-year-old female was admitted due to visual and auditory hallucinations, paranoid delusion and disorientation which had continued for 3 weeks. The findings on brain MRI were compatible with neuro-Behcet’s disease. Her psychiatric symptoms improved with antipsychotic medications. A 42-year-old female visited our clinic complaining short-term memory impairment, depressive mood, anxiety and insomnia. Her depressive mood, anxiety and insomnia improved with antidepressant and benzodiazepine treatment. However, memory impairment remained. A 40-year-old female visited ER due to a suicide attempt with drug overdose. Depressive mood continued a few weeks prior to the incident. During admission psychotic symptoms were observed. These symptoms improved with antipsychotics within a week. Also depressive mood was subsided with antidepressant. These three cases represent that Behcet’s disease often accompanies with psychiatric symptoms. A variety of psychosocial stressors can influence the progress of Behcet’s disease and psychiatric symptoms.
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KEYWORD
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Behcet’s disease, Depression, Psychotic symptom
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