Schizophrenia differential diagnosis: Difference between revisions

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{{Schizophrenia}}
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Schizophrenia]]
{{CMG}}; {{AE}} {{JH}}
{{CMG}}; {{AE}} {{JH}},{{Vbe}}, {{I.D.}}
 
==Overview==
[[Schizophrenia]] must be differentiated from other [[diseases]] such as [[autism spectrum disorder]], [[bipolar disorder]], [[depressive disorder]], and [[schizoaffective disorder]].


==Differential Diagnosis==
==Differential Diagnosis==
 
Schizophrenia must be differentiated from the following conditions:<ref name="DSMV">{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref><ref name="pmid18245021">{{cite journal| author=Pomarol-Clotet E, Oh TM, Laws KR, McKenna PJ| title=Semantic priming in schizophrenia: systematic review and meta-analysis. | journal=Br J Psychiatry | year= 2008 | volume= 192 | issue= 2 | pages= 92-7 | pmid=18245021 | doi=10.1192/bjp.bp.106.032102 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18245021  }} </ref><ref name="pmid22966451">{{cite journal| author=Ochoa S, Usall J, Cobo J, Labad X, Kulkarni J| title=Gender differences in schizophrenia and first-episode psychosis: a comprehensive literature review. | journal=Schizophr Res Treatment | year= 2012 | volume= 2012 | issue=  | pages= 916198 | pmid=22966451 | doi=10.1155/2012/916198 | pmc=3420456 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22966451  }} </ref><ref>McGlashan TH (1987) Testing DSM-III symptom criteria for schizotypal and borderline personality disorders. Archives of General Psychiatry, 44: 15–22.</ref>
*Autism spectrum disorder or communication disorders
*[[Autism spectrum disorder]] or [[Communication Access Real-Time Translation|communication]] [[disorders]]
*Major depressive or bipolar disorder with psychotic or catatonic features
* Major [[Depressive episode|depressive]] or [[bipolar disorder]] with [[psychotic]] or [[catatonic]] features
*Schizoaffective disorder
*[[Schizoaffective disorder]]
*Schizophreniform disorder and brief psychotic disorder
*[[Schizophreniform disorder]] and brief [[psychotic disorder]]
*Delusional disorder
*[[Delusional disorder]]
*Schizotypal personality disorder
*[[Schizotypal personality disorder]]
*Obsessive-compulsive disorder and body dysmorphic disorder
* [[Borderline personality disorder]]
*Posttraumatic stress disorder
*[[Obsessive-compulsive disorder]] and [[body dysmorphic disorder]]
*Other mental disorders associated with a psychotic episode
*[[Posttraumatic stress disorder]]
*Schizophrenia needs to be differentiated from epilepsy and certain brain lesions. Chronic disease and metabolic disturbances also need to be ruled out. Systemic infection, including [[HIV]] and [[syphilis]] should be ruled out. The patient should be evaluated for drug abuse, as many drugs can cause psychotic symptoms, either during intoxication or during withdrawal. It is important to rule out a [[delirium]] which can be distinguished by visual hallucinations, acute onset and fluctuating level of consciousness and indicates an underlying medical illness. There are several psychiatric illnesses which may present with psychotic symptoms other than schizophrenia. These include [[bipolar disorder]],<ref>Pope HG (1983). Distinguishing bipolar disorder from schizophrenia in clinical practice: guidelines and case reports. Hospital and Community Psychiatry, 34: 322–328.</ref> [[borderline personality disorder]],<ref>McGlashan TH (1987) Testing DSM-III symptom criteria for schizotypal and borderline personality disorders. Archives of General Psychiatry, 44: 15–22.</ref> drug intoxication, brief drug-induced psychosis, and [[schizophreniform disorder]].
*Other [[mental disorders]] associated with a [[psychotic]] episode
* [[Epilepsy]]
* [[Brain]] lesions
* [[Chronic disease]] and [[metabolic]] disturbances
* [[Systemic]] [[infection]], including [[HIV]] and [[syphilis]]
* [[Drug abuse]]
* [[Delirium]]


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}


[[Category:Disease]]
[[Category:Disease]]
[[Category:Psychiatry]]
[[Category:Psychiatry]]
[[Category:Mature chapter]]
[[Category:Mature chapter]]
[[Category:Primary care]]
[[Category:Needs overview]]
[[Category:Needs overview]]
{{WH}}
{{WS}}

Latest revision as of 00:05, 30 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2],Vindhya BellamKonda, M.B.B.S [3], Irfan Dotani

Overview

Schizophrenia must be differentiated from other diseases such as autism spectrum disorder, bipolar disorder, depressive disorder, and schizoaffective disorder.

Differential Diagnosis

Schizophrenia must be differentiated from the following conditions:[1][2][3][4]

References

  1. ↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
  2. ↑ Pomarol-Clotet E, Oh TM, Laws KR, McKenna PJ (2008). "Semantic priming in schizophrenia: systematic review and meta-analysis". Br J Psychiatry. 192 (2): 92–7. doi:10.1192/bjp.bp.106.032102. PMID 18245021.
  3. ↑ Ochoa S, Usall J, Cobo J, Labad X, Kulkarni J (2012). "Gender differences in schizophrenia and first-episode psychosis: a comprehensive literature review". Schizophr Res Treatment. 2012: 916198. doi:10.1155/2012/916198. PMC 3420456. PMID 22966451.
  4. ↑ McGlashan TH (1987) Testing DSM-III symptom criteria for schizotypal and borderline personality disorders. Archives of General Psychiatry, 44: 15–22.

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