Document Detail


MedLine Citation:
PMID:  19354094     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A female patient presented with erotomanic delusions of other female soldiers sexually harassing her and plotting to sexually assault her. On MRI, the patient was found to have numerous periventricular foci of signal changes extending into the deep white matter of both hemispheres. The MRI findings, along with lumbar puncture findings of oligoclonal bands in the cerebral spinal fluid, were consistent with a diagnosis of multiple sclerosis. After treatment with aripiprazole acutely and interferon beta-1a for several months, the patient experienced a decrease in her psychosis. The discussion of this case includes a brief overview of psychosis as a presenting symptom of multiple sclerosis, and also includes consideration of the patient's initial reluctance to seek treatment in light of the policy known colloquially as "don't ask, don't tell".
Authors:
Earl Justice Smith
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Military medicine     Volume:  174     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-04-09     Completed Date:  2009-05-06     Revised Date:  2013-05-27    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  297-8     Citation Subset:  IM    
Affiliation:
Walter Reed Army Medical Center, 6900 Georgia Ave. NW, Bldg 6, Borden Pavilion, Washington, DC 20307, USA.
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MeSH Terms
Descriptor/Qualifier:
Adjuvants, Immunologic / therapeutic use
Adult
Antipsychotic Agents / therapeutic use
Bipolar Disorder / diagnosis,  etiology*
Erotica*
Female
Humans
Interferon-beta / therapeutic use
Magnetic Resonance Imaging
Military Personnel
Military Psychiatry
Multiple Sclerosis / diagnosis*,  drug therapy,  physiopathology
Organizational Policy
Piperazines / therapeutic use
Quinolones / therapeutic use
Recognition (Psychology)
Schizophrenia, Paranoid / diagnosis,  etiology*
Sex Offenses
Sexual Harassment
Stress, Psychological / complications*
Syndrome
Chemical
Reg. No./Substance:
0/Adjuvants, Immunologic; 0/Antipsychotic Agents; 0/Piperazines; 0/Quinolones; 145258-61-3/interferon beta 1a; 77238-31-4/Interferon-beta; 82VFR53I78/aripiprazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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