[Somatogenic and somatogenically provoked psychoses in hematologic malignancies. Typology and therapy of somatogenic psychoses in hematologic malignancies].
OBJECTIVE
To specify clinical typology and develop therapeutic approaches to somatogenic psychoses (SP) in hematologic malignancy (HM).


METHODS
Clinical assessment was made in 118 patients with SP corresponding to diagnostic rubric F05 or F06 in International Disease Classification 10.


RESULTS
Three types of SP in HM were identified: delirium (n = 73, 61.9%), aberration and somatogenically provoked attacks of schizophrenia (n = 7, 5.9%). Clinical picture and conditions of the above diseases onset in HM patients are described. Delirium developing in HM is characterized by subclinical psychoses, endogenomorphic psychoses. Endogenomorphic psychoses in the sample were represented by hallucinative-paranoid and depressive- delirious psychoses.


CONCLUSIONS
SP classification proposed directly influences the choice of treatment methods. Psychotropic drugs with known clinical activity with wide-spectrum therapeutic action are effective in the above patients.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014150:Antipsychotic Agents / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D005260:Female; D019337:Hematologic Neoplasms / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011618:Psychotic Disorders / Q000188:drug therapy / Q000209:etiology / Q000523:psychology
D014150:Antipsychotic Agents