目的:本报告讨论了这种情况的出现,临床表现,以及在被诊断为自闭症的青少年中治疗罕见的实体Capgras综合征(CS)。
方法:在简要介绍CS之后,我们对案件进行了详细的描述和审查,在PubMed数据库上搜索后,已知的病理生理学,与这种综合征发作相关的精神疾病,以及CS的管理。
结果:Capgras综合征通常出现在妄想障碍的过程中,精神分裂症,或者情绪障碍,由于神经等原因,传染性,或内分泌疾病,药物中毒,或剥夺。我们以前没有在自闭症过程中出现CS的报道。没有关于该综合征治疗的前瞻性研究。然而,抗精神病药物的使用主要是推荐在治疗。因此,抗精神病药物治疗计划用于治疗妄想,精神病症状,在这种情况下。非典型抗精神病药物阿立哌唑的使用是基于自闭症的伴随诊断,以及病人的体重指数和年龄。我们的患者第一次精神病发作需要相对高剂量的阿立哌唑。然而,在预期的时间范围内达到了良好的反应水平。此外,未观察到明显的不良反应.
结论:阿立哌唑似乎是治疗CS伴自闭症的一种有效且耐受性良好的抗精神病药物。
OBJECTIVE: This report discusses the emergence, clinical appearance, and treatment of the rare entity Capgras syndrome (CS) in an adolescent diagnosed with autism.
METHODS: After a brief introduction to the CS, we conduct a detailed description of the case and review, after a search on the PubMed database, the known pathophysiology, psychiatric disorders associated with the onset of this syndrome, and the management of CS.
RESULTS: Capgras syndrome generally emerges during the course of delusional disorder, schizophrenia, or mood disorders, and for reasons such as neurological, infectious, or endocrinological diseases, drug intoxications, or deprivation. We encountered no previous reports of CS developing during the course of autism. There are no prospective studies concerning the treatment of the syndrome. However, antipsychotic drug use is primarily recommended in treatment. Antipsychotic drug therapy was therefore planned for the treatment of delusion, a psychotic symptom, in this case. The atypical antipsychotic aripiprazole was used based on the presence of accompanying diagnosis of autism, and the patient\'s body mass index and age. A relatively high dose of aripiprazole was required for the first psychotic attack in our patient. However, a good level of response was achieved within the expected time frame. In addition, no marked adverse effects were observed.
CONCLUSIONS: Aripiprazole seems to be an effective and well-tolerated antipsychotic drug in the treatment of CS accompanying autism.