title: Mood disorder with psychotic symptoms and overlooked skin lesions: the strange case of Mrs. O.
abstract: Here we report the case of Mrs. O., a 57 years-old woman presenting with mood disorder with psychotic symptoms developing strange skin lesions, ultimately leading to the suspected diagnosis of varicella-zoster encephalitis. The later appearance of a post-infectious acute inflammatory demyelinating polyradiculoneuropathy further confirmed the suspect. This case stresses the importance for not discarding a priori neurological diagnoses when facing with psychiatric patients, especially when atypical details are present.
authors.affiliation: Department of Neurology, San Gerardo Hospital, Monza, Italy. lucio.tremolizzo@unimib.it
authors.forename: Lucio
authors.initials: L
authors.lastname: Tremolizzo
authors.forename: Sara
authors.initials: S
authors.lastname: Tremolizzo
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Beghi
authors.forename: Elena
authors.initials: E
authors.lastname: Pini
authors.forename: Cesare Giuseppe
authors.initials: CG
authors.lastname: Cerri
authors.forename: Carlo
authors.initials: C
authors.lastname: Ferrarese
authors.forename: Ildebrando
authors.initials: I
authors.lastname: Appollonio
authors.forename: Cesare Maria
authors.initials: CM
authors.lastname: Cornaggia
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D019964:Mood Disorders / Q000150:complications*; D011618:Psychotic Disorders / Q000150:complications*; D012871:Skin Diseases / Q000209:etiology*