[First-episode psychosis as primary manifestation of medical disease: An update].
Premier épisode psychotique révélant une affection médicale générale : mise au point pour l’interniste.
Brain
/ diagnostic imaging
Central Nervous System Diseases
/ complications
Drug-Related Side Effects and Adverse Reactions
/ complications
Humans
Infections
/ complications
Medical History Taking
Neurodegenerative Diseases
/ complications
Neurologic Examination
Neuropsychological Tests
Poisoning
/ complications
Psychotic Disorders
/ etiology
Affections médicales
Bilan initial
First-episode psychosis
Initial workup
Medical diseases
Premier épisode psychotique
Psychose secondaire
Secondary psychoses
Journal
La Revue de medecine interne
ISSN: 1768-3122
Titre abrégé: Rev Med Interne
Pays: France
ID NLM: 8101383
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
21
02
2019
revised:
09
06
2019
accepted:
17
07
2019
pubmed:
20
8
2019
medline:
7
5
2020
entrez:
19
8
2019
Statut:
ppublish
Résumé
A huge variety of medical diseases may potentially present with isolated psychotic symptoms, and disease-specific treatment or management is available for a significant part of them. The initial medical work-up of a first-episode psychosis (FEP) is of crucial importance. This literature review aimed to identify medical conditions potentially revealed by FEP, to list the warning signs of secondary psychosis, and to discuss a screening strategy. Underlying organic conditions may be drugs and medications, neurologic diseases, infections, inflammatory and/or autoimmune pathologies, and metabolic disorders whether of hereditary origin. Each patient presenting with a first-episode psychosis should be evaluated with a precise anamnesis, a careful clinical examination, and routine laboratory tests. Brain imaging and tests (depending on the context) should be performed in the presence of atypical clinical features or "red flags", leading to suspect an organic disease.
Identifiants
pubmed: 31421899
pii: S0248-8663(19)30607-1
doi: 10.1016/j.revmed.2019.07.006
pii:
doi:
Types de publication
Journal Article
Review
Langues
fre
Sous-ensembles de citation
IM
Pagination
742-749Informations de copyright
Copyright © 2019. Published by Elsevier Masson SAS.