Psicosis inducida ("foliex a deux") e intoxicación crónica por plomo: reporte de un caso y discusión / Induced psicosis (\"foliex a deux\") and chronic lead intoxication: a case report and discusion

RESUMO

We report a case of two brothers suffering the same paranoid psychosis. The older one presented an altered consciousness and needed hospitalization. During hospitalization, he was considered as having lead chronic intoxication. The lead serum level was 65 ug/dl (N<30 ug/dl) and the lead hair was 25 pg/gr-tiss (N<10 pg/gr-tiss). He also presented clinically with encephalopathy, disorder of the autonomic and peripheral nervous system, hypertensive cardiopaty, renal damage with azotemia and tubular dysfunction. He leaded his body for eleven years because of delutional ideas, and induced these ideas and behavior to his brother (folie a deux). The coincidence between these disorders is extremely rare so we believe this case report is of clinical interesting.