Although her next door neighbors were her husband's relatives she did not have any relationship with them and she thought they wanted to poison her and her children and they might do this in several ways such as injecting the poison to foodstuff or even in water main. To evaluate her dysphagia, upper gastrointestinal endoscopy was performed, and showed a mild esophagitis but it could not justify the symptoms and the patient still refused to eat and drink, therefore a psychiatric consultation was requested to rule out anorexia nervosa.ĭuring the interview it was identified that she had a persecutory delusion about food poisoning by her husband's relatives for about one year. After several days of close observation, serum therapy, and hydration, serum sodium decreased to normal levels. The lab data revealed abnormal findings as following: BUN: 100, Creatinine: 3.7, Na: 182, K: 4.2 so she was admitted to the nephrology ward with a diagnosis of acute renal failure and received serum therapy.
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On clinical examination the patient was ill, agitated, and dehydrated, but other physical findings were normal. The patient had the history of loss of appetite and 20 kilograms weight loss during last 9 months. She complained of difficulty in swallowing solid foods and liquids for 9 days which made her avoid eating and drinking. It seemed that her 8-year-old son was a case of delusional disorder by proxy.Ī 52-year-old woman was admitted to the emergency room, suffering from weakness, dizziness, and nausea.
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The mother, who at first was supposed to have an organic disease, was considered as the dominant psychotic individual. In the present case delusions were shared by a mother and her daughter. 9 – 14Īll kinds of delusional contents can be seen in this disorder. Moreover, dependency, ambivalent relationships and repetitive crises have been seen in the family. Risk factors include female gender, mental retardation, suggestibility, passivity, histrionic personality traits and suspiciousness, in the secondary patient. 5 Additionally, there are case reports of physician-patient folie à deux and even a case involving a dog. 6 Rarely all the family members share the same delusions, and this is called folie à famille. Furthermore, mother-daughter or sister-sister pairs represents fifty percent of the psychotic dyads. 5 It is found in parent-offspring, sibling-sibling, or husband-wife constellations. Shared psychotic disorder is mostly observed among people who live in close proximity and in close relationships. 1 – 3 Depending on whether the delusions are shared among two, three, four, five and even twelve people, it is called as folie à deux, folie à trios, folie à quatre, folie à cinq and folie à douze.
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Its characteristic feature is transmission of delusions from “inducer” (primary patient), who is the “originally” ill patient and suffers from a psychotic disorder, to another person who may share the inducer's delusions in entirety or in part. Showcasing vibrant aromas and flavors, they offer a striking balance of intensity and accessibility and are made to be enjoyed upon release.Shared psychotic disorder or its more common synonym, folie à deux, is a rare clinical syndrome. Core wines include: Chardonnay, Cabernet Sauvignon, Merlot and Zinfandel. The majority of the grapes selected for the Folie à Deux varietals come from the acclaimed vineyards of Sonoma County, and each offers a great expression of the varietal. Since 1981 when two psychiatrists founded the winery, Folie à Deux has proven that it is okay to be a little crazy about wine.įolie à Deux offers a variety of red and white wines to tantalize the palates of its tasters.
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Named for the French term meaning “a passion shared by two,” these wines represent the fulfillment of a dream to create a beautiful dance of flavors and true varietal expression. Folie à Deux has always held a passion for creating wines that deliver a delightful shared experience.