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Brief psychotic episode in a patient with chromosome 2q37 microdeletion syndrome

Kevin Lally1, Nuraini Ibrahim1,2, Mary Kelly1,2

  • 1Department of Psychiatry, University Hospital Limerick, Limerick, Ireland.

BMJ Case Reports
|November 30, 2017
PubMed

A 21-year-old woman with moderate learning disability secondary to chromosome 2 microdeletion at q37 was admitted to a general adult psychiatric ward following a period of agitation with incessant pressure of speech, nihilistic delusions and worsening of sleep and eating patterns. Her presentation was preceded for a number of weeks by social stressors of an ill family member and another family member moving away. She had also been diagnosed and treated for a respiratory infection several weeks prior to presentation. Her presentation improved with low-dose antipsychotic medication and parallel input from the general adult mental health team and the psychiatry of intellectual disability team.

Keywords:
congenital disordersgeneticspsychotic disorders (incl schizophrenia)therapeutic indications

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