Importance of Capgras syndrome in shared psychotic disorder: a case report.

Shared psychotic disorder characterized by Capgras syndrome is an extremely rare condition. To our knowledge, there are only a few published papers on this condition. This paper presents a case of shared Capgras syndrome in two sisters. The inducer was a younger sister with schizophrenia, who passed on her Capgras delusion to her older sister after the death of their father. After committing a violent offense caused by Capgras delusion, a court ordered the sisters' involuntary admission to a psychiatric hospital. After being separated and receiving antipsychotic treatment, the sisters showed substantial improvement. However, shortly after hospital discharge, they stopped taking their medication and disappeared. After 15 years, their mother died and shortly afterwards, the sisters were re-admitted for forensic psychiatric evaluation after another violent crime caused by Capgras delusion. Timely recognition, adequate treatment and maintaining a therapeutic alliance could contribute to a better clinical course and outcome of this disorder, and reduce the risk of violent behavior.

[Folie à deux - Thrombosis and Infections]. / Folie à deux ­ Thrombose und Infektionen.

Folie à deux - Thrombosis and Infections Abstract: Although infections are not represented in the Revised Geneva or Wells score, they increase the risk of venous thromboembolism (VTE) similarly to the known risk factors (immobilization, major surgery, active neoplasia). This increased risk of VTE can persist for six to twelve months after infection; moreover, the more severe the infection, the higher the risk of VTE may be. In addition to VTEs, infections can promote arterial thromboembolism. For example, 20% of pneumonias are accompanied by an acute cardiovascular event (acute coronary syndrome, heart failure, atrial fibrillation). In the case of infection-associated atrial fibrillation, the CHA2DS2 VASc score remains an appropriate guide for the indication of anticoagulation.

Folie à Deux and its interaction with early life stress: a case report.

BACKGROUND: Folie à deux is a very rare psychiatric syndrome in which a psychotic symptom is transmitted from one individual to another. We present a case of folie à deux occurring during childhood, which is not an usual presentation of this syndrome. In this case, the disorder is correlated with child abuse and neglect, which possibly had a role in the development of the symptoms in our case. CASE PRESENTATION: We present a case of folie à deux between an "induced" 9-year-old black Brazilian boy and the "inducer", his grandmother. They were found to be sharing similar auditory and visual hallucinations and delusional beliefs. The boy was neglected by his parents and was being cared for by his grandmother, who had a history of mental disorder. CONCLUSIONS: The close relationship between the boy and his grandmother, the family history of first-degree psychosis, and the child abuse and neglect suffered by the boy may have altered his vulnerability to early-onset psychosis and, in this case, folie à deux.

Comorbilidad entre folie à deux y trastorno del espectro del autismo de alto funcionamiento: a propósito de un caso / Comorbidity between folie à deux spectrum disorder and high functioning autism: report of a case

Los déficits persistentes en comunicación e interacción social y los patrones repetitivos y restringidos de conducta, actividades e intereses son las características clínicas que conforman los trastornos del espectro del autismo. En este contexto psicopatológico se describe el caso de un niño de 8 años que presenta una descompensación psicótica compatible con el diagnóstico de folie à deux, entidad psiquiátrica caracterizada por la transferencia de ideas delirantes y/o conductas extrañas de una persona a otra la cual ha mantenido una relación estrecha e íntima con el paciente afectado originalmente. En este caso, el sujeto afectado primariamente es la madre del paciente, como se evidencia tras las primeras exploraciones (AU)

Persistent deficits in social interaction and communication, and restricted, repetitive patterns of behavior, activities and interests are the clinical features that integrate the autism spectrum disorders. In this psychopathological context, is presented the case of an 8-year-old with a psychotic decompensation compatible with the diagnosis of folie à deux, a psychiatric disorder characterized by the transfer of delusional ideas and strange behavior from one person to other, both of them members of a close relationship. In this case, the "primary subject" is the mother of the child, as it is demonstrated in the first examinations (AU)

Systemic lupus, folie a trois and homicide.

Folie a trois is a syndrome characterized by the transfer of delusional ideas from one person to two other persons. This condition rarely ends in the murder of any involved and we are unaware of where the primary case had the diagnosis of acute psychosis in systemic lupus erythematosus (SLE). We present a case report of folie a trois resulting in murder, secondary to acute psychosis in SLE.

El proceso de integración social del inmigrante. A propósito de un caso / The social integration of immigrants. Report of a case

Se presenta el caso de una mujer sudamericana con residencia en España, que desarrolla un Trastorno Psicótico Breve asociado al inicio de los trámites para obtener la nacionalidad española. Fue imprescindible conocer en detalle la situación migratoria de la paciente y los procedimientos legales que deben hacerse ante el registro civil para obtener la nacionalidad, antes de decidir si sus ideas autorreferenciales eran o no delirantes, y no solo tener en cuenta su intensidad y el menoscabo familiar y social que provocaron(AU)

We report a case of a South American woman living in Spain who developed a Brief Psychotic Disorder associated with the onset of proceedings to obtain Spanish citizenship. It was essential to know in detail the patients immigration status and the legal procedures that the civil registry requires for obtaining citizenship, before deciding if her ideas were or were not delusional self-referential, and not only taking into account the produced intensity, relative impairment and social challenges(AU)

[Folie à famille: a Surinamese-Hindustani family with a shared paranoid delusion and severe undernourishment]. / Folie à famille: een Surinaams-Hindoestaans gezin met een gedeelde paranoïde waan en ernstige ondervoeding.

Folie à famille is a rare psychiatric condition in which several family members develop similar psychotic symptoms. We describe the case of a family of four with a shared paranoid delusion, who all obtained complete remission after being treated with antipsychotics on different psychiatric wards.

Folie à deux: double case-report of shared delusions with a fatal outcome.

BACKGROUND: Treatment of shared delusional disorder (folie à deux) often involves separation and use of antipsychotic medication, with uncertain outcomes and potential risks. METHODS: We report on two highly interdependent and chronically psychotic sisters with shared systematic delusion, followed by psychiatrists over several years. RESULTS: The dominant patient was diagnosed with schizoaffective disorder and her non-dominant sister with paranoid schizophrenia. Both received antipsychotics and supportive therapy as outpatients and allowed to continue conjoint therapy with individual psychiatrists-therapists. They returned for follow-up visits for 20 months, when the dominant decided to continue treatment alone, as her sister gradually improved symptomatically and functionally. After separation, the dominant became increasingly anxious. She impulsively ingested an overdose of the non-dominant sister's medicines and died of cardiac arrest, despite her sister's efforts to seek medical assistance. The surviving non-dominant sister developed anxiety and increasing agitation requiring psychiatric hospitalization and increased pharmacotherapy. She improved gradually, but continued to be dysfunctional and required placement in a psychiatric inpatient unit for several months, eventually doing better in a community-based rehabilitative program with regular psychiatric follow-up. CONCLUSIONS: Combined treatment of patients with folie à deux may encourage continuous pathological interactions, but separation may increase risk of adverse outcomes.

Folie a deux in bipolar affective disorder: a case report.

BACKGROUND: The syndrome of folie a deux is uncommon and often described in the context of schizophrenia. We report a case of induced delusional disorder associated with bipolar affective disorder (BAD). CASE REPORT: We present a case of monozygotic twins in their late 60s with an unusually close relation with one another and relative isolation from other people. Both twins have been diagnosed as suffering from BAD and relapsed into mania with psychotic symptoms. During their hospital stay they exhibited features consistent with folie a deux. Separation caused disappearance of the phenomenon whilst the affective disorder persisted. CONCLUSION: This case highlights the unusual and rare phenomenon of folie a deux occurring in the context of BAD. It also suggests current difficulty in defining folie a deux as an entity according to current diagnostic criteria.

Induced delusional disorder. a review of the concept and an unusual case of folie à famille.

Induced delusional disorder (or shared paranoid disorder), also known as folie à deux, is a fairly uncommon disturbance characterized by the presence of similar psychotic symptoms in two or more individuals. Most often the symptoms are delusional. Usually the 'primary' case, i.e. the individual who first develops psychotic symptoms, can be distinguished from one or more 'secondary' cases, in whom the symptoms are induced. We discuss the concept of shared paranoid disorder and consider various aetiological, clinical and diagnostic issues related to the disturbance. We also describe a case of folie à famille, this condition being a type of shared paranoid disorder. The case involves a couple and their 12-year-old son. The boy's father is the 'primary' case, whilst the boy and his mother are both 'secondary' cases. The boy was admitted to our child and adolescent psychiatric unit for in-patient treatment. Treatment success was moderate in terms of improving the features of folie à famille in the three individuals involved.

Un caso de Síndrome de Diógenes compartido en una pareja de hermanas / A Diogenes Syndrome case shared by both sisters

Se presenta un caso de Síndrome de Diógenes compartido en una pareja de hermanas procedentes del medio rural, que presentan todas las características propias del síndrome: Rechazo del contacto social con reclusión en el domicilio, que está sucio y en condiciones de inhabitabilidad, abandono de su aseo, sin que acepten ningún tipo de ayuda socio-sanitaria. También se reseñan algunas características poco comunes, como la edad, inferior a la media y se discute su importancia (AU)

["Folie a deux hallucinatoire"--a new case of induced hallucinatory psychosis. A new entity?]. / "Folie a deux hallucinatoire"--indukált hallucinózis újabb esete. Uj entitás?

The authors in their case report show a case of induced hallucinatory psychosis induced in a wife of a patient with alcoholic hallucinosis. They deal with the nosological position of "folie a deux hallucinatoire" (induced hallucinatory psychosis) and integrate the consequences of the case to the general psychopathological theory of hallucinations.

Simultaneous Folie à Deux and Capgras syndrome.

A young male presented both Capgras syndrome and Folie à Deux. Both of his parents shared the same delusions with the patient. A dynamic explanation is provided for the simultaneous occurrence of both syndromes. The case report and the management of this patient may be of interest to clinicians.

A case of koro in a refugee family: association with depression and folie à deux.

Koro, a folk syndrome involving fear of genital retraction, is known to occur in epidemic fashion and is usually associated with anxiety symptoms. The author describes a sporadic case of koro accompanied by psychotic depression in a refugee. The refugee's wife, who was also suffering a major depression, also believed that the patient was undergoing genital retraction with a potentially fatal outcome. The cultural, familial, and acculturative stresses associated with the syndrome are described. Resolution of the koro syndrome and its associated psychopathology required interventions on biomedical, psychological, familial, and sociocultural levels.