A rare subtype of delusional misidentification: reduplicative paramnesia of the self—a case report

✍ Scribed by Suresh Dasarathy; Jonathan D Huntley; Robert J Howard

• Book ID: 102230277
• Publisher: John Wiley and Sons
• Year: 2009
• Tongue: English
• Weight: 40 KB
• Volume: 24
• Category: Article
• ISSN: 0885-6230
• DOI: 10.1002/gps.2288

✦ Synopsis

Terao et al., 1999)

; statistical analysis did not indicate significant association between age and CPK elevation (Terao et al., 1999).

Several factors may have contributed to prior failure to diagnose bipolar disorder in our case. Psychiatric symptoms were overlooked in the face of acute medical management. Interest in exercise was seen as healthy. Our case illustrates the transformation of milder bipolarity to type I with aging, though changes in pattern of illness may not be appreciated in primary care. The case also demonstrates that with an appropriate diagnosis, and therefore, treatment of late life bipolar disorder can have good outcome.

In summary, this case and the previous report suggest that clinicians should be aware of the possibility of rhabdomyolysis in manic patients, including those who are elderly and may have new onset mania. Our case illustrates that rhabdomyolysis may recur when the mood disorder is not addressed.