Mania misdiagnosed as schizophrenia.
The charts of 50 patients diagnosed manic on an index admission were reviewed for a previous diagnosis of schizophrenia. Fifty-six per cent of the patients previously ill had been previously misdiagnosed as schizophrenic. During these "schizophrenic" admissions, patients demonstrated a preponderance of affective (manic) symptoms. Irritability was noted much more commonly than euphoria during these admissions. This coupled with the high rate of psychotic symptoms (78%) during the "schizophrenic" admission were likely important reasons for misdiagnosis.
D000328:Adult; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000523:psychology; D003951:Diagnostic Errors; D006801:Humans; D012559:Schizophrenia / Q000175:diagnosis*; D012560:Schizophrenia, Catatonic / Q000175:diagnosis; D012562:Schizophrenia, Disorganized / Q000175:diagnosis; D012563:Schizophrenia, Paranoid / Q000175:diagnosis; D012565:Schizophrenic Psychology