17 KB43 KB16 KB192920262001Dernovšek, Mojca ZvezdanaHorvat, LilijanaMlakar, Janezštevilka:6letnik:70str. 325-327ISSN:1318-0347COBISSID:13587673URN:URN:NBN:SI:doc-RQJ2M7WOslSlovensko zdravniško društvoZdravniški vestnikDiagnosisdiagnostikaHuntingtonova bolezenHuntington's diseaseMiddle agepsihiatrijapsychiatry and clinical psychologyPsychotic disordersTherapyzdravljenjePrikaz bolnika s Huntingtonovo boleznijo, ki se je začela kot psihotična motnja| Patient with Huntington's disease, presenting as psychotic disorder - case report|Background. Huntington's disease (HD) is rare. It usually starts with choreatic movements and cognitive impairment, progressing to dementia. A case report revealing diagnostic difficulties in apatient with HD, which began as psychotic disorder is presented. Patient was treated for almost five years in psychiatric outpatients' service and psychiatric hospital due to a treatment-resistant psychotic disorder. Choreatic movements emerged during thefourth year of the treatment and were misdiagnosed as tardive dyskinesia. Prominent deterioration of cognitive functions demanded further diagnostics. With genetic tests HD was diagnosed. Conclusions. The start of HD with psychotic disorder is less common. In patients with treatment-resistantpsychoses other somatic disorders should be consideredIzhodišča. S Huntingtonovo boleznijo se redko srečamo. Navadno se začne z zgibki, pojavijo se kognitivne motnje, ki se stopnjujejo do demence. Prispevekopisuje bolnika s Huntingtonovo boleznijo, ki se je začela s psihotično motnjo, kar je otežilo postavitev diagnoze. Bolnik se je skoraj petlet zdravil pri psihiatru in tudi v psihiatrični bolnišnici zaradi psihotične motnje, ki se na terapijo ni odzivala. Zgibke, ki so se pojavili poštirih letih zdravljenja z nevroleptiki, smo opre delili najprej kot tardivno diskinezo. Očitno pešanje kognitivnih sposobnosti je usmerilo diagnostiko v drugo smer. Z genetskimi testi smo potrdili Huntingtonovo bolezen. Zaključki. Začetek Huntingtonove bolezni s psihotično motnjo je zelo redek. Prispevek opozarja, da se v okviru terapevtsko rezistentne psihoze lahko skrivajo duševne motnje različnih etiologijTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo