A rare case report of Lilliputian and Brobdingnagian hallucinations in a case of pemphigus vulgaris

被引:1
作者
Sutar, Roshan [1 ]
Patra, Suman [2 ]
Siddiqui, Faisal [1 ]
Diwan, Sanjeet [1 ]
Rajan, Abin [1 ]
机构
[1] AIIMS, Dept Psychiat, Bhopal, Madhya Pradesh, India
[2] AIIMS, Dept Dermatol, Bhopal, Madhya Pradesh, India
关键词
Brobdingnagian; hallucinations; Lilliputian; pemphigus; steroid;
D O I
10.4103/psychiatry.IndianJPsychiatry_340_19
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Pemphigus vulgaris is an autoimmune disorder characterized by intraepithelial, blistering lesions affecting the skin and mucous membrane. Psychiatric manifestations of pemphigus vulgaris are generally described secondary to steroid and immunosuppressant therapy though recent studies highlight independent association of pemphigus with psychotic disorders. We describe a unique development of Lilliputian hallucinations, their transformation into Brobdingnagian hallucinations on treatment with steroids and gradual resolution back to Lilliputian status on treatment with risperidone. Earlier Lilliputian hallucinations have been described in a case of Charles Bonnet syndrome, Balint syndrome, alcohol withdrawal delirium, head injury and dementia. This unique phenomenon carries it significance in the literature from psychopathological perspective.
引用
收藏
页码:435 / 436
页数:2
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