Delusion and desire: erotomania revisited

Kelly, Brendan D.; Kennedy, N. P.; Shanley, David

doi:10.1034/j.1600-0447.2000.102001074.x

Cited by 13 publications

(8 citation statements)

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“…26 In Munro and Mok's 27 review of 209 cases of delusional disorder, 143 were treated with pimozide, nearly 90% of whom achieved either "recovery" or "partial recovery" by the time they were discharged. However, several case reports have also indicated favorable responses to risperidone, especially in patients with erotomania.…”

Section: Discussionmentioning

confidence: 98%

An Unusual Case of Erotomania and Delusional Misidentification Syndrome

Granstein

Strimbu²,

Francois³

et al. 2015

Journal of Psychiatric Practice

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Delusional misidentification syndromes and erotomania are rare entities, each with several distinct manifestations and no clearly defined treatment regimen. Here we expand upon an earlier literature review and describe the case of a 40-year-old woman with a history of bipolar I disorder who presented after an extended period of medication nonadherence with symptoms consistent with both of these conditions; she believed that the staff on the unit were in fact disguised celebrities and fictional characters, and she claimed to be married to a famous singer. The exact relationship of these symptoms (and indeed, even their basic etiologies) remains unclear; however, both delusional syndromes resolved with a combination of risperidone and lithium therapy. Although earlier literature has suggested pimozide as the most effective agent for treating delusional syndromes, given the more favorable side-effect profile of atypical versus typical antipsychotics, this case suggests a role for risperidone as a first-line treatment in such situations.

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Section: Discussionmentioning

confidence: 98%

An Unusual Case of Erotomania and Delusional Misidentification Syndrome

Granstein

Strimbu²,

Francois³

et al. 2015

Journal of Psychiatric Practice

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“…As the DSM IV‐TR (8) suggests, erotomania is a psychotic disorder. In fact, there are reports of good treatment outcomes with pimozide (11) and risperidone (12). How could it then be connected with the use of an antidepressant as this case suggests?…”

Section: Discussionmentioning

confidence: 99%

Erotomania induced by venlafaxine: a case study

Adamou

Hale

2003

Acta Psychiatr Scand

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“…9,10 In more recent literature, there are reports of total remission of erotomanic delusion symptoms with olanzapine 11 and risperidone. 12 Of all the new antipsychotic drugs, we decided to use risperidone 13,14 because the data in the studies indicate that it has greater efficacy in cases of resistant schizophrenia than do the other drugs, except for clozapine, belonging to this group. Although there are no controlled clinical trials in delusional disorders, the data suggest that atypical antipsychotic medications merit further evaluation in the treatment of primary erotomania and other monodelusional disorders, so more long-term data will be required to demonstrate the unequivocal therapeutic effect of atypical antipsychotics in erotomanic delusions.…”

Section: Paranoia Erotica (Clerambault Syndrome) Successfully Treated With Risperidonementioning

confidence: 99%

Paranoia Erotica (Clerambault Syndrome) Successfully Treated with Risperidone

García‐Fernández

Lapaz²,

Herrera³

2002

Ann Pharmacother

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Spiramycin-induced liver injuryTO THE EDITOR: Spiramycin, a 16-membered lactone ring macrolide antibacterial, is well tolerated, with few adverse effects. Isolated cases of hepatitis attributed to this drug have been published. 1-3 This report highlights a case of liver abnormality associated with spiramycin use.Case Report. A 58-year-old woman was started on spiramycin 3 million units 3 times daily for symptoms of lower respiratory tract infection. After the first day of treatment, the patient started complaining of abdominal pain, nausea and vomiting, and became jaundiced. Generalized edema developed by the time she received the fourth dose. She discontinued the drug, and a physician was consulted. Physical examination revealed hepatomegaly, with laboratory measurements showing elevated serum concentrations of bilirubin (14.9 mg/dL), aminotransferases (aspartate aminotransterase 315 U/L, alanine aminotransferase 421 U/L), alkaline phosphatase (482 U/L), and γ-glutamyl transferase (494 U/L). Markers of hepatitis A, B, and C were negative, as well as cytomegalovirus and Epstein-Barr virus. The consulting physician diagnosed the patient as having liver injury.The woman denied alcohol consumption, smoking, and receiving other prescription or over-the-counter drugs except for acetaminophen, which was rarely needed. Herbal or homeopathic remedies, recent blood transfusion, or exposure to toxic chemicals were also ruled out. She did drink coffee.After spiramycin was discontinued, the patient's clinical symptoms improved gradually over the following 4 weeks. Two months after the onset of the liver syndrome, the patient became asymptomatic, and laboratory values returned to normal. Liver biopsy was not performed upon her request.

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Delusion and desire: erotomania revisited

Abstract: Atypical antipsychotic drugs may be useful in the treatment of this interesting syndrome.

Cited by 13 publications

References 0 publications

An Unusual Case of Erotomania and Delusional Misidentification Syndrome

An Unusual Case of Erotomania and Delusional Misidentification Syndrome

Erotomania induced by venlafaxine: a case study

Paranoia Erotica (Clerambault Syndrome) Successfully Treated with Risperidone

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