Psychiatric manifestations

Toxic Psychosis. Any patient who is not catatonic but has hallucinations, delusions, paranoid ideation, or other psychiatric manifestations is classified as having toxic psychosis. These patients are often difficult to differentiate from those with acute agitated psychosis, and about 25 percent appear manic. 

Acute Brain Syndrome. Any patient with disorientation, lack of judgment, inappropriate affect, and loss of recent memory who was not comatose or catatonic and has no discernible hallucinations, delusions, or other psychiatric manifestations is included in this pattern. Acute brain syndrome is the most common pattern of PCP intoxication among patients brought to the emergency department at LAC/USC Medical Center, accounting for 25 percent of the PCP... 

Data from KotylarM, Gray SL, Lindblad Cl, Hanlon JT. Psychiatric Manifestations of Medications in the Elderly. In Malletta C, Agronin M (editors). Principles and Practice of Geriatric Psychiatry, 1st ed. Philadelphia, PA Lippincott Williams and Wilkins 2005,605-615. 

Starkman MN, Schteingart DE, Schork MA Depressed mood and other psychiatric manifestations of Cushing s syndrome relationship to hormone levels. Psychosom Med 43 3-18, 1981... 

Because the psychiatric manifestations induced by khat are similar to the effects of other known stimulants, treatment of khat dependency is similar to that of dependency on amphetamines. 

Sussman N, Magid S. Psychiatric manifestations of nonsteroidal anti-inflammatory drugs. Prim Psychiatry 2000 7 26-30. 

The use of olanzapine for the psychiatric manifestations of hereditary coproporphyria has been studied (29). 

Although psychiatric manifestations usually appear during interferon alfa therapy, delayed reactions can occur. 

In a prospective study, 50 patients with chronic hepatitis B or C who received 18-30 MU/week of natural or recombinant interferon alfa were followed for 12 months (380). The SCID before starting interferon alfa identified 16 patients with a current psychiatric diagnosis and eight with a previous psychiatric disorder 26 patients free of any psychiatric history constituted the control group. Psychiatric manifestations during treatment occurred in... 

Parkinsonism whereas in other families with the same mutation, an autosomal dominant pattern of inheritance is present (Munoz et al., 2002 Tan et al 2003). Some reports suggest that carriers of PRKN mutations are more likely to have dystonia and symmetric symptoms than noncarriers, and some may even have atypical features such as psychiatric manifestations (Khan et al., 2003 Lucking et al., 2000). However, a wide overlap of Parkinsonian symptoms between some groups suggests that no specific diagnostic clinical feature can be demonstrated (Munhoz et al.,... 

The psychiatric manifestations were studied in 50 patients with PDD poisoning in Wad Medani teaching hospital, 34 (70%) patients showed significant psychiatric manifestations, 24 of fhem showed depressive disorder while 11 showed conversion disorder. The patients who completed suicide and 62.1% who attempted suicide were from the depressive group (53)... 

Diaa E. El Gaili, Osman M. Mustafa. Psychiatric Manifestations in Hair Dye poisoning. Journal of the Arab Board of Medical Specializations 2001 3 2... 

Fagala GE, Wigg CL. 1992. Psychiatric manifestations of mercury poisoning. J Am Acad Child Adolesc Psychiatry 31(2) 3 06-311. 

The classic clinical finding of increased copper deposition in the eye is the Kayser-Fleischer ring, caused by deposition of copper in Descemet membrane at limbus of the cornea. Although found in about 95% of patients with neurological or psychiatric manifestations, it is present in only about half of patients with hepatic forms of Wilson s disease" and is rarely present in children. As mentioned earlier, hemolytic anemia and renal failure commonly accompany acute forms of Wilson s disease hemolytic anemia may be episodic even in chronic forms of Wilson s disease. ... 

Several psychiatric manifestations result from CH and OP insecticide poisonings (Table 4-3). Assessment of the psychiatric effects of... 

Rosenman KD, Valciukas JA, Glickman L, et al Sensitive indicators of inorganic mercury toxicity. Arch Environ Health 41 208-215,1986 Ross WD, Kehoe RA Industrial intoxications, in Practical Psychiatry for Industrial Physicians. Springfield, IL, Charles C Thomas, 1956, pp 239-254 Ross WD, Sholiton MC Specificity of psychiatric manifestations in relation to neuro-toxic chemicals. Acta Psychiatr Scand Suppl 303 100-104,1983 Ross WD, Gechman AS, Sholiton MC, et al Need for alertness to neuropsychiatric manifestations of inorganic mercury poisoning. Compr Psychiatry 18 595-598, 1977... 

Table 14-4 lists the psychiatric manifestations of CO poisoning. Survivors can experience chronic and progressive neurological and psychiatric deterioration (Roohi et al. 2001). Persons with severe poisoning may completely recover only to develop a neuropsychiatric syn-... 

Cocaine toxicity has both somatic and psychiatric manifestations. Somatic effects include myocardial depression, malignant dysrhythmias, stroke, and sudden death, partially due to cocaine-related myocardial sodium channel blockade and coronary and cerebral vasoconstriction. Such life-threatening conditions occur mainly when cocaine is combined with other abused drugs. Psychiatric effects can mimic the positive and negative symptoms of schizophrenia. 

Biskind MS. Psychiatric manifestations from insecticide exposure. JAMA. 1972 220 1248. Letter. 

A. Neurologic and psychiatric manifestations are protean and include restlessness, irritability, ataxia, confusion, hallucinations, psychosis, weakness, stupor, and coma. At one time bromism was responsible for 5-10% of admissions to psychiatric facilities. 

B. Short-term (days to weeks) high-level exposure to carbon disulfide is associated with psychiatric manifestations ranging from mood change to trank delirium and psychosis. 

Abbott MH, et al. Psychiatric manifestations of homocystinuria due to cystathionine beta-synthase deficiency prevalence, natural history, and relationship to neurologic impairment and vitamin B6-responsiveness. Am J Med Genet. 1987 26(4) 959-69. 

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