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Psychosis With Pancreatitis: A Frequent Occurrence Infrequently Recognized

Psychosis With Pancreatitis: A Frequent Occurrence Infrequently Recognized Abstract HALLUCINATIONS are rarely reported in association with chronic relapsing pancreatitis, although diabetes, steatorrhea, and pancreatic calcification are commonly recognized complications of this disorder. Clinical observation led us to suspect that hallucinations often accompany pancreatitis, and a survey of the medical records at the Johns Hopkins Hospital of patients with pancreatitis confirmed the frequent association of these two conditions. The present report is based on a prospective medical and psychiatric evaluation of 30 patients with pancreatitis and a similar number of alcoholics with pneumonia. The incidence of hallucinations in each of the two groups is compared in order to evaluate the significance of associated psychosis. In addition, the incidence of hallucinations in patients with pancreatitis is compared with the incidence of diabetes, steatorrhea, and pancreatic calcification as a means of determining the relative importance of psychosis as a complication of pancreatitis. Materials and Methods Thirty consecutive patients admitted to the References 1. Manson, M.P.: Psychometric Differentiation of Alcoholics From Non-Alcoholics , Quart J Stud Alcohol 9:176-206, 1948. 2. Murphy, D.G.: The Revalidation of Diagnostic Tests for Alcohol Addiction , J Consult Psycho ! 20:301-304, 1956.Crossref 3. Lawton, M.P., and Phillips. R.W.: Psychopathological Accompaniments of Chronic Relapsing Pancreatitis , J Nerv Ment Dis 122:248-253, 1955.Crossref 4. Rickels, N.K.: Functional Symptoms as First Evidence of Pancreatic Disease , J Nerv Ment Dis 101:566-571, 1945.Crossref 5. Yaskin, J.C.: Nervous Symptoms as Earliest Manifestations of Carcinoma of Pancreas , JAMA 96:1664-1668, 1931.Crossref 6. Cliffton, E.E.: Carcinoma of Pancreas , Amer J Med 21: 760-780, 1956.Crossref 7. Ulett, G., and Parsons. E.H.: Psychiatric Aspects of Carcinoma of Pancreas , J Missouri Med Ass 45:490-493, 1948. 8. Savage, C., and Nobel, D.: Cancer of Pancreas: Two Cases Simulating Psychogenic Illness , J Nerv Ment Dis 120: 62-65, 1954.Crossref 9. Doubilet, H.; Raffensberger, E.C.; and Brackney, E.L.: What Is Best Treatment for Acute Pancreatitis , Mod Med 27: 20-27. 1959. 10. Tulley, T., and Lowenthall, J.J.: Diabetic Coma of Acute Pancreatitis , Ann Intern Med 48:310-319, 1958.Crossref 11. Bauer, H.: Nervöse und psychotische Störungen bei Pancreatitis . München Med Wschr 96:136-137, 1954. 12. Rothermich. N.O., and von Haam. E.: Pancreatic Encephalopathy , J Clin Endocr 1:872-881, 1941.Crossref 13. Savage, C.; Butcher, W.; and Nobel, D.: Psychiatric Manifestation in Pancreatic Disease , J Clin Exp Psychopath 13:9-16, 1952. 14. Howard, J.M., and Jordan, G.L.: Surgical Diseases of Pancreas . Philadelphia: J. B. Lippincott Co., 1960, p 197. 15. Phillips, A.M.: Chronic Pancreatitis: Pathogenesis and Clinical Features , Arch Intern Med 93:337-354, 1954.Crossref 16. Carney, S.P.: Unpublished report. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Psychosis With Pancreatitis: A Frequent Occurrence Infrequently Recognized

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References (16)

Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1965.03870020068014
Publisher site
See Article on Publisher Site

Abstract

Abstract HALLUCINATIONS are rarely reported in association with chronic relapsing pancreatitis, although diabetes, steatorrhea, and pancreatic calcification are commonly recognized complications of this disorder. Clinical observation led us to suspect that hallucinations often accompany pancreatitis, and a survey of the medical records at the Johns Hopkins Hospital of patients with pancreatitis confirmed the frequent association of these two conditions. The present report is based on a prospective medical and psychiatric evaluation of 30 patients with pancreatitis and a similar number of alcoholics with pneumonia. The incidence of hallucinations in each of the two groups is compared in order to evaluate the significance of associated psychosis. In addition, the incidence of hallucinations in patients with pancreatitis is compared with the incidence of diabetes, steatorrhea, and pancreatic calcification as a means of determining the relative importance of psychosis as a complication of pancreatitis. Materials and Methods Thirty consecutive patients admitted to the References 1. Manson, M.P.: Psychometric Differentiation of Alcoholics From Non-Alcoholics , Quart J Stud Alcohol 9:176-206, 1948. 2. Murphy, D.G.: The Revalidation of Diagnostic Tests for Alcohol Addiction , J Consult Psycho ! 20:301-304, 1956.Crossref 3. Lawton, M.P., and Phillips. R.W.: Psychopathological Accompaniments of Chronic Relapsing Pancreatitis , J Nerv Ment Dis 122:248-253, 1955.Crossref 4. Rickels, N.K.: Functional Symptoms as First Evidence of Pancreatic Disease , J Nerv Ment Dis 101:566-571, 1945.Crossref 5. Yaskin, J.C.: Nervous Symptoms as Earliest Manifestations of Carcinoma of Pancreas , JAMA 96:1664-1668, 1931.Crossref 6. Cliffton, E.E.: Carcinoma of Pancreas , Amer J Med 21: 760-780, 1956.Crossref 7. Ulett, G., and Parsons. E.H.: Psychiatric Aspects of Carcinoma of Pancreas , J Missouri Med Ass 45:490-493, 1948. 8. Savage, C., and Nobel, D.: Cancer of Pancreas: Two Cases Simulating Psychogenic Illness , J Nerv Ment Dis 120: 62-65, 1954.Crossref 9. Doubilet, H.; Raffensberger, E.C.; and Brackney, E.L.: What Is Best Treatment for Acute Pancreatitis , Mod Med 27: 20-27. 1959. 10. Tulley, T., and Lowenthall, J.J.: Diabetic Coma of Acute Pancreatitis , Ann Intern Med 48:310-319, 1958.Crossref 11. Bauer, H.: Nervöse und psychotische Störungen bei Pancreatitis . München Med Wschr 96:136-137, 1954. 12. Rothermich. N.O., and von Haam. E.: Pancreatic Encephalopathy , J Clin Endocr 1:872-881, 1941.Crossref 13. Savage, C.; Butcher, W.; and Nobel, D.: Psychiatric Manifestation in Pancreatic Disease , J Clin Exp Psychopath 13:9-16, 1952. 14. Howard, J.M., and Jordan, G.L.: Surgical Diseases of Pancreas . Philadelphia: J. B. Lippincott Co., 1960, p 197. 15. Phillips, A.M.: Chronic Pancreatitis: Pathogenesis and Clinical Features , Arch Intern Med 93:337-354, 1954.Crossref 16. Carney, S.P.: Unpublished report.

Journal

Archives of Internal Medicine – American Medical Association

Published: Aug 1, 1965

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