An atypical progression of schizophrenia in an elderly woman.

An 81-year-old woman with known schizophrenia presented to the psychiatric consult service with an acute exacerbation of tactile and visual hallucinations and paranoid delusions. This case report examines an atypical progression of illness, including the patient's unusually high functional status and maintenance of activities of daily living well into her disease course despite persistent positive symptoms, highlighting potential benefits of early pharmacological treatment and lifestyle choices.