Psychiatric Disorder in a Patient With Beckwith-Wiedemann Syndrome: A Case Report.
| Autor: | Kundal D; Psychiatry, State University of New York Upstate Medical University, Syracuse, USA., Leontieva L; Psychiatry, State University of New York Upstate Medical University, Syracuse, USA., Megna JL; Psychiatry and Behavioral Sciences, State University of New York Upstate Medical University, Syracuse, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Jun 13; Vol. 15 (6), pp. e40377. Date of Electronic Publication: 2023 Jun 13 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.40377 |
| Abstrakt: | Patients with Beckwith-Wiedemann syndrome (BWS) often suffer from pheochromocytoma and hypoglycaemia and are vulnerable to disorders associated with the hypothalamic-pituitary-adrenal axis (HPA), such as major depressive disorder, generalised anxiety disorder, borderline personality disorder, etc. Features of pheochromocytoma even overlap with features of anxiety disorders, panic disorders, etc. These patients undergo multiple major surgeries under general anaesthesia at a very young age due to recurrent tumours that can affect their behavioural and emotional development. Depriving them of much-needed medical and emotional support negatively impacts their physical and psychological well-being. In this case report, we present the case of a 23-year-old woman with Beckwith-Wiedemann syndrome (BWS) who underwent major surgeries such as partial pancreatectomy, adrenalectomy, osteotomy, and paraganglioma resection at an early age. She was neglected by her parents and spent her childhood in an abusive environment. All these factors could have increased her vulnerability to mental health problems. She was diagnosed with borderline personality disorder, major depressive disorder, unspecified trauma, stressor-related disorders, cannabis use disorder, and cannabis-induced psychotic symptoms. This report emphasises the role of medical comorbidity in a patient presenting with borderline personality disorder. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Kundal et al.) |
| Databáze: | MEDLINE |
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