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Three thousand days of pregnancy. A case of monosymptomatic delusional pseudocyesis responding to pimozide.

Author(s): de Pauw KW

Affiliation(s): Department of Psychiatry, Doncaster Royal Infirmary.

Publication date & source: 1990-12, Br J Psychiatry., 157:924-8.

Publication type: Case Reports

An unusual case of pseudocyesis of almost ten-year duration, characterised by a monosymptomatic hypochondriacal delusion and a selective response to pimozide is reported. The nosological status of the diagnosis, delusional (paranoid) disorder, is suggested to be a variety of the Kraepelinian concept of paranoia. The therapeutic pitfalls of relying on a phenomenological distinction between overvalued ideas and delusional beliefs are discussed.

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