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A Complex Case of Neuro-Behçet's Disease in a Patient Previously Diagnosed with multiple Sclerosis: A Case Report

Published online by Cambridge University Press:  01 April 2011

Afroz Shamim  and
Cathy L. Budman
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Abstract

Multiple sclerosis (MS) and Neuro-Behçet's disease (NBD) have been associated with a range of neuropsychiatric symptoms, including fatigue, cognitive impairment, depression, bipolar disorder, anxiety, sexual dysfunction, and other behavioral disturbances that are characterized by remissions and exacerbations at different points during the course of the disease. We present an interesting case of NBD in a 48-year-old female who had previously been diagnosed with MS. Exploration of this patient's various neuropsychiatric symptoms, their misattribution first to psychopathology and then subsequently to a variety of neurological problems exemplifies the potential pitfalls in diagnosis of a seemingly rare disorder. The role of psychosocial stress-related inflammatory changes in the patient's behavioral and neurological symptoms is explored as well as the potential psychological and medical effects of delayed diagnosis and treatment.

Type
Case Report
Information
CNS Spectrums , Volume 16 , Issue 4 , April 2011 , pp. 95 - 98
Copyright
Copyright © Cambridge University Press 2012

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Footnotes

Faculty Disclosures: Dr. Shamim reports no affiliations with or financial interests in any organization that may pose a conflict of interest. Dr. Budman has received research support from Otsuka and Psyadon; and is a grant recipient from the NIH.

References

Faculty Disclosures: Dr. Shamim reports no affiliations with or financial interests in any organization that may pose a conflict of interest. Dr. Budman has received research support from Otsuka and Psyadon; and is a grant recipient from the NIH.