title: [Delusion of sex change and body dysmorphic disorder in clinical picture of paranoid schizophrenia--case reports].
abstract: OBJECTIVE
  The aim of the paper was to present the basic data about delusions of sex change and body dysmorphic disorder and describe two cases of patients with these symptoms and paranoid schizophrenia.
  
  
  METHODS
  Analysis of the course of illness and medical documentation.
  
  
  RESULTS
  Coexisting of transsexualism and schizophrenia cause a lot of doubt. Moreover, delusions of sex change are probably more frequent than it is thought. It causes that in some cases the differential diagnosis of psychosis and gender identity disorders may be very difficult. Treatment of transsexuals is on one hand connected with expected effects but on the other hand with many serious, often irreversible health consequences. That is why the differential diagnosis of transsexualism and schizophrenia should be made carefully and thoughtfully. Body dysmorphic disorder can appear as nonpsychotic or psychotic disorder. The delusional variant can cause diagnostic and therapeutical problems as well as diagnostic mistakes. Sometimes people suffering from this disorder can be diagnosed as having schizophrenia. It usually takes place when psychotic symptoms, obsessions and compulsive activities connected with hiding of the imaginary look problem significantly distort everyday functioning.
  
  
  CONCLUSIONS
  Rare, atypical psychopathological symptoms can coexist with schizophrenia. In this situation it is necessary to act carefully and precisely to make a proper diagnosis.
authors: Klinika Zaburzeń Afektywnych i Psychotycznych UM w Lodzi.
authors: Małgorzata
authors: M
authors: Urban
authors: Jolanta
authors: J
authors: Rabe-Jabłońska
mesh_terms: D001828:Body Image; D003702:Delusions / Q000175:diagnosis* / Q000209:etiology* / Q000523:psychology; D005260:Female; D006801:Humans; D008875:Middle Aged; D012563:Schizophrenia, Paranoid / Q000150:complications*; D012565:Schizophrenic Psychology; D019529:Sexuality / Q000523:psychology; D014189:Transsexualism / Q000175:diagnosis* / Q000209:etiology* / Q000523:psychology