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A delusion of pregnancy in man with hyperprolactinemia

Published online by Cambridge University Press:  13 August 2021

A. Aissa ,
H. Ghabi ,
D. Khattech ,
S. Meddouri ,
U. Ouali  and
F. Nacef
A. Aissa*
Affiliation:
Psychiatry A, Razi Hospital, Manouba, Tunisia
H. Ghabi
Affiliation:
Psychiatry A, Razi Hospital, Manouba, Tunisia
D. Khattech
Affiliation:
Psychiatry A, Razi Hospital, Manouba, Tunisia
S. Meddouri
Affiliation:
Psychiatry A, Razi Hospital, Manouba, Tunisia
U. Ouali
Affiliation:
Psychiatry A Department, Razi Hospital, Manouba, Tunisia
F. Nacef
Affiliation:
Psychiatry A Department, Razi Hospital, Manouba, Tunisia
*
*Corresponding author.

Abstract

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Introduction

A delusion of pregnancy in men has been rarely reported in psychiatric disorders. The literature on this delusion in male schizophrenia is limited. It was reported especially in medical conditions. In psychiatric disorders, it has been explained for a long time by psychodynamic theories.

Objectives

To present a case of a pregnancy delusion in man associated temporally to neuroleptic-induced hyperprolactinemia and a review of literature of medical and psychological etiologies of this symptom

Methods

We presented a case of a pregnancy delusion in man associated temporally to neuroleptic-induced hyperprolactinemia and we elucidated through a review of literature of medical and psychological etiologies of this symptom.

Results

Case report A 46-year-old man, unmarried, who had a mild intellectual disability and a 22-year history of schizophrenia. He was admitted to our hospital for psychotic relapse due to the interruption of his medication. This patient had been treated for years with long action injection medication. On admission he was disorganized, verbalizing a poorly-systematized fuzzy delirium. And he believed he was pregnant. Serum prolactin levels was 38 ng/ml (3-25ng/ml). He was put on Haldol decanoate 150mg/month, chlorpromazine 150mg/day, and diazepam 15mg/day.

Conclusions

The presentation of a delusion of pregnancy in man is rather infrequent. The delusion may have many social, psychological, and biological determinants to its genesis. This case highlights the importance of medical investigations notably the assay of prolactin in the assessment of patients who present with delusions of pregnancy.

Disclosure

No significant relationships.

Keywords

Delusion of pregnancy- hyperprolactinemia-male
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S767
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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