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Leriche Syndrome Presenting as Depression with Erectile Dysfunction.

M S Bhatia1, Priyanka Gautam2, Rashmita Saha2

  • 1Professor and Head, Department of Psychiatry, University College of Medical Sciences , Delhi, India .

Journal of Clinical and Diagnostic Research : JCDR
|May 3, 2016
PubMed
Summary

Leriche syndrome, a rare condition affecting the abdominal aorta, can cause erectile dysfunction. This case highlights the psychiatric aspects, including depressive disorder, in patients with Leriche syndrome.

Keywords:
Aortoiliac occlusionDyslipidemiaImpotencePsychiatric comorbidity

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Area of Science:

  • Vascular Surgery
  • Psychiatry

Background:

  • Leriche syndrome involves thrombotic occlusion of the abdominal aorta bifurcation.
  • It commonly presents with lower extremity symptoms like claudication and fatigue.
  • Erectile dysfunction (ED) is a known consequence due to arterial obstruction.

Observation:

  • A patient with Leriche syndrome presented to a psychiatry outpatient department.
  • The patient reported symptoms of depressive disorder and erectile dysfunction.
  • This presentation is unusual as psychiatric morbidity data for Leriche syndrome is scarce.

Findings:

  • The case underscores the link between vascular disease and psychological distress.
  • Diagnosis and management of psychiatric symptoms in Leriche syndrome pose unique challenges.
  • Psychiatric evaluation is crucial for a holistic understanding of the patient's condition.

Implications:

  • Highlights the need for integrated care between vascular surgery and psychiatry.
  • Suggests further research into the prevalence of psychiatric comorbidities in Leriche syndrome.
  • Emphasizes the importance of considering psychological factors in patients with chronic vascular conditions.