[Diagnosis of somatoform schizophrenia among patients treated in the last decade in the 1st Department of Psychiatry of Medical University in Gdańsk in 1989-1999]].
Neither ICD-10 nor DSM-IV use diagnosis of cenestopathic schizophrenia and suggest to put those cases in undifferentiated type (or different form) of schizophrenia. It seems that this diagnosis will disappear from any psychiatric glossary soon. However we still meet cases which match classical descriptions given by creators of term cenestopathic schizophrenia (Dupre, Huber, Bornsztajn). We analyzed the frequency of diagnosis of cenestopathic schizophrenia among patients treated in our department between 1989 and 1999 (about 6000 patients). After finding 15 such cases we tried to verify their diagnosis in order to exclude cases which could met criteria of any mental disorder according to ICD-10 (mainly well-defined form of schizophrenia or organic disorder). In this way we rejected 12 cases of 15 with primary diagnosis of cenestopathic schizophrenia. But we still could not match 3 cases whose symptoms closely reminded symptoms of classical cenestopathic schizophrenia and did not meet criteria of any kind of schizophrenia described in ICD-10. Since all these cases are very interesting and they troubled clinicians a lot, we describe them in details.
Wichowicz
Hubert
H
I Klinika Chorób Psychicznych Katedry Chorób Psychicznych Akademii Medycznej, 80-211 Gdańsk, ul. Debinki 7 bud. 25.
Wiśniewski
Grzegorz
G
D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D008297:Male; D008875:Middle Aged; D012559:Schizophrenia / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D013001:Somatoform Disorders / Q000150:complications* / Q000175:diagnosis*
D014150:Antipsychotic Agents