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A forgotten diagnosis: simple schizophrenia in a patient with breast cancer
Babak Moini1, James L Levenson
1Virginia Commonwealth University School of Medicine, Box 980268, Richmond, VA 23298-0268, USA.
Background:
Simple schizophrenia (SS) is a disorder unfamiliar to many psychiatrists, and it often goes unrecognized by providers as an underlying psychiatric disorder in general-medical settings.
Objective:
The authors seek to increase recognition, as demonstrated in the case presented.
Method:
The authors report on a breast mass in a homeless 40-year-old woman who was lost to treatment for 2 years and then reappeared in the hospital at stage IV.
Results:
Palliative treatment was begun; however, the patient summarily left the hospital and was again lost to follow-up.
Conclusion:
SS can have profound consequences for the patient, both in terms of self-care and medical treatment. Improved recognition of SS is important for both general-medical and mental health providers in order to achieve appropriate provision of clinical care and better medical outcomes.
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