Abstract
Delusional disorder is an illness characterized by at least 1 month of delusions but no other psychotic symptoms, according to the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). (1) Somatic delusions are among the most frequent types of delusion encountered for inpatients, alongside persecutory, referential, grandiose and jealousy type. The differential diagnosis with psychosis is the first to be done and it's suggested by the fact that delusions are persistent and non-bizarre. (2,3) Then all somatic and psychiatric conditions associated with development of delusions must be eliminated. We present the case of a 38-year-old female with delusional disorder-somatic type who was admitted with conflicting symptoms suggesting rather anorexia nervosa associated with somatic symptom disorder. But after a thorough interview and a few days of admission, the delusional symptoms came out and the diagnosis became clear.
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