Given the increased prevalence of SC use in our country and around the world, dermatologists should continue to familiarize themselves with the common mucocutaneous markers of this substance use. Awareness of signs of SCs use will facilitate earlier diagnose, intervention, and directed treatment.
Telephone scatologia is a type of paraphilia categorized as 'Other specified paraphilic disorder' in DSM-5. This group includes necrophilia (corpses), zoophilia (animals), coprophilia (feces), klismaphilia (enemas), urophilia (urine) and other types of paraphilic disorders which are less frequent and do not meet diagnostic criteria for one of the specific categories. Obscene and sexual phone calls, sexually arousing fantasies, sexual urges or behaviors are present at least for six months in telephone scatologia. It is often accompanied by masturbation. Telephone scatologia remains moderate in comparison with the other paraphilias. In general, there is a common point of view that paraphilias are not seen alone, but with other paraphilias. Here we report a case with telephone scatologia accompanied by unspecified schizophrenia spectrum and other psychotic disorder obsessive compulsive disorder with poor insight, epilepsy and borderline mental retardation diagnosis. We considered to present this case, because contrary to common belief it was accompanied by multiple psychiatric disorders rather than other types of paraphilias.
Mania possibly induced by clozapine: a case report Manic shift can be caused by the use of atypical antipsychotics. Hypomanic/manic episodes caused by olanzapine, risperidone, quetiapine, ziprasidone, amisulpride, aripiprazole, zotepine, perospirone, and paliperidone have been frequently described in the literature. The proposed causes of mania/hypomania switching are due to blockages of 5HT2A and D2 receptors, enhancement of 5HT1A receptors, and dopamine release in the prefrontal/frontal regions. There have been no hypomanic/manic episodes described during clozapine use up to the present. A manic shift observed during clozapine use in a 30-yearold woman with schizoaffective disorder depressive type without any history of manic or mixed episodes was presented below.
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