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Psychiatria Danubina, Vol.23. No.1. March 2011. -

Like any other patient, a schizophrenic patient can get a physical illness, too. As such patients tend to ignore reality and neglect

themselves and are stigmatized by society, due to which their physical symptomatology is often ignored, physical illness can remain

undetected. If the schizophrenic patient is observed and adequate care is provided by the family, family doctor and a psychiatrist, it

is possible to recognize the physical illness and intervene promptly.

We are presenting a case of a female patient who has been treated for schizophrenia for a number of years. The treatment was

mostly ambulatory i.e. the patient was hospitalized twice and consisted of first-generation antipsychotics. During the past two

years, for reasons unknown, the patient stopped taking regular meals and as a result lost significant body weight, became apathetic

and withdrawn, started avoiding social contacts and neglected personal hygiene. She reportedly took the psychopharmaca regularly,

but rarely attended psychiatric follow-up consultations. Due to substantial weight loss and hypotonia, correction of antipsychotic

was made and internist treatment administered. The choice of olanzapine was not an accidental one. We decided to take advantage

of its side effect for the treatment of an anorectic syndrome. Interdisciplinary cooperation proved to be a justified decision.

schizophrenia; eating disorder; olanzapine



Autor: Elizabeta Dadić-Hero - ; Department of Social Medicine and Epidemiology, School of Medicine, Rijeka, Croatia Klementina Ružić

Fuente: http://hrcak.srce.hr/



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