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A first psychotic episode with kinesthetic hallucinations. Report of a case

Published online by Cambridge University Press:  13 August 2021

F. Cartas Moreno  and
M. ValverDe Barea
F. Cartas Moreno*
Affiliation:
Hospital De Úbeda, Unit Mental Health, Ubeda, Spain
M. ValverDe Barea
Affiliation:
Unit Mental Health, Complejo Hospitalario Jaén, Jaén, Spain
*
*Corresponding author.

Abstract

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Introduction

It reveals a case that occurred in a patient with no previous history whose first manifestation was kinesthetic allucinations, subsequently appearing other psychopathological alterations

Objectives

24-year-old male. Truck driver by profession. No prior mental health story. Good operation prior to the consultation. He comes accompanied by his parents for having a sensation of having bugs under his skin. It has come to throw gasoline on top to eliminate the possible infection.

Methods

Exploration: He is concius, oriented, with scratching lesions. He wears a cap soaked in gasoline to ward off critters. He does not present in the foreground other psychopathological alterations. CT with normal results, thyroid hormones, and normal biochemistry are requested. Treatment with aripiprazole is initiated in ascending doses, as it presents in the beginning a torpid evolution with the appearance of delusions of injury to its boss.

Results

After that, he is currently psychopathologically stable and has returned to work with his father in the field.

Conclusions

Although not the most common, psychotic disorders can occur at the beginning with cenesthetic alterations. Organic screening should be performed and results treated accordingly.

Disclosure

No significant relationships.

Keywords

psychosisPSYCHOPATOLOGYdelusionsKINESTHETIC
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S795
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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