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Mar 20, 2019

27th European Congress of Psychiatry

PSYCHIATRIC MANIFESTATIONS IN AUTO-IMMUNE DISEASES : A CASE REPORT

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autoimmune disease

anxiety

depression

Abstract

Abstract

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Keywords

autoimmune disease

anxiety

depression

Abstract

Background and Aims: Autoimmune diseases have a chronic evolution. Patients with chronic condition suffer from depression and/or anxiety. The relationshipbetween depression and immunity has been widely discussed but few studies have treated anxious symptoms and behavior change.The aim of our work is to discuss the link between autoimmune diseases and psychiatric manifestations, with a review of the current literature. Methods: A case report discussed with a literature review, based in Pubmed, using « autoimmunediseases » « depression » « anxiety » « immunity » « psychiatric manifestations » as key words. Results: Female 14 years old college student, without personal or familial history of psychiatric or auto-immune diseases. Two years ago, a partial epilepsy was diagnosed, unbalanced despite the changing of antiepileptic medication. The patient was referred to child and adolescent psychiatry department for drug suicide attempt. Three months ago, she becamesad, cried easily, had headaches, lost interest in the daily activities, presented heart palpitations and disturbance in sleep and appetite. The symptoms were gradually worsening. She was sad and anxious. She had anhedonia, suicidal ideation, low self-esteem and insomnia. Shepresented headache and hand tremor. After a year of follow up, only the depressive have improved.Six months later, she was diagnosed with autoimmune pancreatitis and epilepsy and a treatement with prednisone 40mg/day was started.Currently, she takes 5mg/day. The depressive symptoms disapeared.The psychatric examination reveal anxious symptoms, evoking social anxiety disorder. Conclusions: Distinction between psychiatric manifestations of autoimmune disease and comorbidity remains difficult.It requires a knowledge of the symptoms’ chronology and a long-term follow-up.

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© Copyright 2019 Morressier GmbH.
All rights reserved.