| Autor: |
Sârbu F; Medical Department, Faculty of Medicine and Pharmacy, 'Dunărea de Jos' University of Galati, 800216 Galati, Romania.; 'Elisabeta Doamna' Psychiatric Hospital, 800179 Galati, Romania., Oprea VD; Medical Department, Faculty of Medicine and Pharmacy, 'Dunărea de Jos' University of Galati, 800216 Galati, Romania.; 'St. Apostle Andrei' Clinical Emergency County Hospital Galati, 800578 Galati, Romania., Tatu AL; Clinical, Medical Department, Dermatology, ReForm UDJ, Faculty of Medicine and Pharmacy, 'Dunărea de Jos' University of Galati, 800216 Galati, Romania.; Dermatology Department, Clinical Hospital of Infectious Diseases Saint Parascheva, 800179 Galati, Romania., Polea Drima E; Medical Department, Faculty of Medicine and Pharmacy, 'Dunărea de Jos' University of Galati, 800216 Galati, Romania.; 'Elisabeta Doamna' Psychiatric Hospital, 800179 Galati, Romania., Bojincă VC; Internal Medicine Department, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy in Bucharest, 020021 Bucharest, Romania.; Department of Internal Medicine and Rheumatology, 'Sf. Maria' Hospital, 011172 Bucharest, Romania., Romila A; Medical Department, Faculty of Medicine and Pharmacy, 'Dunărea de Jos' University of Galati, 800216 Galati, Romania.; 'St. Apostle Andrei' Clinical Emergency County Hospital Galati, 800578 Galati, Romania. |
| Abstrakt: |
(1) Background: Genetic hereditary hemorrhagic telangiectasia (HHT) is clinically diagnosed. The clinical manifestations and lack of curative therapeutic interventions may lead to mental illnesses, mainly from the depression-anxiety spectrum. (2) Methods: We report the case of a 69-year-old patient diagnosed with HHT and associated psychiatric disorders; a comprehensive literature review was performed based on relevant keywords. (3) Results: Curaçao diagnostic criteria based the HHT diagnosis in our patient case at 63 years old around the surgical interventions for a basal cell carcinoma, after multiple episodes of epistaxis beginning in childhood, but with a long symptom-free period between 20 and 45 years of age. The anxiety-depressive disorder associated with nosocomephobia resulted in a delayed diagnosis and low adherence to medical monitoring. A comprehensive literature review revealed the scarcity of publications analyzing the impact of psychiatric disorders linked to this rare condition, frequently associating behavioral disengagement as a coping strategy, psychological distress, anxiety, depression, and hopelessness. (4) Conclusions: As patients with HHT face traumatic experiences from disease-related causes as well as recurring emergency hospital visits, active monitoring for mental illnesses and psychological support should be considered as part of the initial medical approach and throughout the continuum of care. |
