Learn more about Amazon Prime. Get free delivery with Amazon Prime. Back to top. Get to Know Us. Amazon Payment Products. English Choose a language for shopping. Amazon Music Stream millions of songs. Amazon Advertising Find, attract, and engage customers. Such drinking behavior, together with self-inflicted skin scratches, reflected a lack of insight into the disease nature in these patients, which may also be used to assess the severity of symptoms. In addition, psychotic and anxious traits in patients with DI may also contribute to their compulsive water drinking.
In outpatient follow-ups, considering that medication adjustment to monotherapy might weaken her compliance, this patient was advised to continue her antipsychotics. She was still taking risperidone and aripiprazole when citalopram was added for depression treatment. It has already been reported that severe secondary depression occurred in more than half of DI patients, and suicide ideations or attempts were not uncommon, 11 which was further confirmed in the present case.
In a recent structural neuroimaging study, alterations in prefrontal and temporal areas were indicated in patients with DI, 12 which were consistent with the findings in patients with major depressive disorder. They seem to present as different manifestations or stages of a disease spectrum, which means these two conditions possibly share intimate neural correlates.
To conclude, although underlying neural pathophysiology of DI remains largely unknown, the clinical picture of the patient in this case highlights that patients with DI may have a potential risk for self-induced water intoxication, which deserves more attention in clinical practice. Moreover, this case emphasizes that long-term follow-ups are necessary even after symptom remission to monitor the possible onset of other psychotic or mood disorders in later life.
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Wakim KG: The pathophysiologic basis for the clinical manifestations and complications of transurethral prostatic resection. Mebust There are no affiliations available. Personalised recommendations. Cite chapter How to cite?
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The E-mail Address es field is required.Mar 18, · Marijuana (Cannabis sativa L.) cultivation has proliferated in northwestern California since at least the mids. The environmental impacts associated with marijuana cultivation appear substantial, yet have been difficult to quantify, in part because cultivation is clandestine and often occurs on private property. To evaluate the impacts of water diversions at a watershed scale, we.