Diagnosis Of Hallucinations Research Articles

Pellagra in association with hallucination and over-salivation

A 33 yr old African female, living in Makkah, presented to ER with decreased LOC & diarrhea which was observed by the attending nurse with no more available history .On examination: she was afebrile, Pulse rate was 100 bpm, BP 90/60 mmHg, R/R 18 breaths/min, O2 sat. 98% on room air. She was disoriented having hallucination, underweight, dehydrated, pale. She was diagnosed as acute confusional state, and she received IVF, PRBC, correction of electrolytes. Pt has received empirical antibiotics since admission and for 3 days, and conservative treatment but has not improved yet!. On the 4th day of admission, niacin deficiency was suspected. Therefore, niacin was started at dose of 100 mg BID per oral. By the 6th day of the hospital stay, pt had become oriented, communicating, with no diarrhea, and the skin lesion started to improve. In conclusion, this case calls attention to pellagra when considering the differential diagnosis of hallucination and oversalivation.

Pellagra in Association with Hallucination and Over-salivation

A 33 yr old African female, living in Makkah, presented to ER with decreased LOC & diarrhea which was observed by the attending nurse with no more available history .On examination: she was afebrile, Pulse rate was 100 bpm, BP 90/60 mmHg, R/R 18 breaths/min, O2 sat. 98% on room air. She was disoriented having hallucination, underweight, dehydrated, pale. She was diagnosed as acute confusional state, and she received IVF, PRBC, correction of electrolytes. Pt has received empirical antibiotics since admission and for 3 days, and conservative treatment but has not improved yet!. On the 4th day of admission, niacin deficiency was suspected. Therefore, niacin was started at dose of 100 mg BID per oral. By the 6th day of the hospital stay, pt had become oriented, communicating, with no diarrhea, and the skin lesion started to improve. In conclusion, this case calls attention to pellagra when considering the differential diagnosis of hallucination and oversalivation.

Prevalence of Parkinson’s Disease-Induced Psychosis in a Large U.S. Managed Care Population

Using 10 years' enrollment history, patients with non-drug-induced Parkinson's disease were identified, and the prevalence of Parkinson's disease-induced psychosis (PDP) was estimated using three different claims algorithms based on an expert working group criteria. The estimated prevalence of PDP ranged from 4 to 45/1,000 Parkinson's disease patients. PDP patients were just as likely to be male as female and were significantly older than Parkinson's disease patients without PDP. PDP patients more commonly had evidence of dementia and use of atypical antipsychotics. PDP occurs in up to 45,000 Parkinson's disease patients in the United States but represents a unique neuropsychiatric finding with important treatment implications.