A Previously Healthy Adolescent With Acute Psychosis and Severe Hyperhidrosis.

Abstract:

:A previously healthy 15-year-old boy presented with 3 months of progressive psychosis, insomnia, back and groin pain, and hyperhidrosis. On examination, the patient was disheveled, agitated, and soaked with sweat, with systolic blood pressure in the 160s and heart rate in the 130s. Aside from occasional auditory and visual hallucinations, his neurologic examination was normal. The patient was admitted for an extensive workup, including MRI of the brain and spine and lumbar puncture, which were normal. Through collaboration with various pediatric specialists, including psychiatry and neurology, a rare diagnosis was ultimately unveiled.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Rosenblatt T,Ort K,Shaw R,Levy RJ,Chen C,Niemi A,Hoang K

doi

10.1542/peds.2019-3786

subject

Has Abstract

pub_date

2020-06-01 00:00:00

issue

6

eissn

0031-4005

issn

1098-4275

pii

peds.2019-3786

journal_volume

145

pub_type

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