title: [Schizophrenia and Liver Transplantation: Case Report].
abstract: BACKGROUND
  Liver transplantation is a treatment available for many patients with liver cirrhosis who find in this treatment a way to improve life expectancy and quality of life. Paranoid schizophrenia affects 1% of the general population, produces psychotic symptoms, and runs a chronic course in some cases with significant deterioration in all areas of life.
  
  
  OBJECTIVE
  To discuss the case of a patient with liver cirrhosis diagnosed with paranoid schizophrenia during the evaluation protocol for liver transplantation.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  We report the case of a 47-year-old woman with liver cirrhosis whose only alternative to improve life expectancy and quality of life was access to liver transplantation. During routine evaluations the liaison psychiatrist observed first-order psychotic symptoms and documented a life story that confirmed the presence of paranoid schizophrenia.
  
  
  CONCLUSIONS
  Paranoid schizophrenia is a psychiatric disorder common in the general population that can be a part of the medical comorbidities of patients requiring liver transplantation and is not an absolute contraindication to its completion. We are unaware of similar cases of liver transplantation in patients with schizophrenia in our country. We believe this is a big step on the road to overcome the stigma that mental illness imposes on patients.
authors.affiliation: Médica psiquiatra de enlace, Hospital Universitario San Vicente Fundación, Medellín, Colombia. Electronic address: dianarestrepobernal@gmail.com.
authors.forename: Restrepo B
authors.initials: RB
authors.lastname: Diana
authors.affiliation: Médica residente de III año de Psiquiatría, Universidad de Antioquia, Medellín, Colombia.
authors.forename: Duque G
authors.initials: DG
authors.lastname: Marle
authors.affiliation: Médico psiquiatra de enlace, Hospital Universitario San Vicente Fundación, Medellín, Colombia.
authors.forename: Cardeño C
authors.initials: CC
authors.lastname: Carlos
keywords: Liver transplantation; esquizofrenia paranoide; paranoid schizophrenia; psiquiatría; psychiatry; trasplante hepático