European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520 S507
EV0316
Morgellon disease: A case report
M. Stoimenova-Popova ∗, V. Valtchev ,
P. Chumpalova , L. Tumbev , I. Veleva , A. Todorov ,
K. Stoichev , P. Popov
1 Medical University-Pleven, Faculty of Public Health-Psychiatry and
Medical psychology, Pleven, Bulgaria
2 National Sports Academy, Biochemistry and Physiology, Sofia,
Bulgaria
3 Ministry of Health, National Center for Addictions, Sofia, Bulgaria
∗ Corresponding author.
Background Morgellons disease is a delusional disorder that
leads to the belief that one has parasites or foreign material mov-
ing in, or coming out of, the skin. The name was coined in 2002 by
Mary Leitao; a mother who rejected the medical diagnosis of her
son’s delusional parasitosis. She revived it from a letter written by
a physician in the mid-1600s.
Objective In this case report, we aim to describe the clinical char-
acteristics and manifestation of morgellon disease in 26 years man.
Results and discussion Bulgarian athlete of 26 years stopped to
be actively involved with the sport after a severe contusion to the
right knee during the race. Had a joint surgery in the Netherlands
and of course when that will not be able to compete more profes-
sional sports began to use cannabinoids daily. After three months
patient went to dermatologist because of skin rashes and intense
itching, crawling sensation on and under the skin. The patient
reported that pull out threads fromhis skin. Dermatologist Initiated
treatment with antibiotic creams and corticosteroids. The symp-
toms persist and the patient has consulted a psychiatrist regarding
appeared complaints of fatigue, poor concentration and increased
anxiety. Psychiatrist based on clinical andmedical historywas diag-
nosed morgellon disease. We started treatment with risperidone
in increasing doses up to 2mg/day. After a month the patient has a
significant reduction of symptoms.
Conclusion Morgellons disease is a little-known disorder that
is often associated with non-specific skin, nerve, and psychiatric
symptoms.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0317
Diabetes mellitus type 2 personality
and relations with diabetic chronic
complications–Pilot study
M. Stoimenova-Popova ∗, M. Valkova , I. Veleva , L. Tumbev ,
P. Chumpalova , A. Todorov
1 Medical University-Pleven, Faculty of Public Health-Psychiatry and
Medical Psychology, Pleven, Bulgaria
2 Medical University, Neurology and Neurosurgery, Pleven, Bulgaria
∗ Corresponding author.
Introduction Diabetes mellitus (DM) is associated with chronic
complications and comorbidities. Psychopathology and personality
changes (PCh) are also found in DM. Some authors suggest organic
PCh. The aim of our study was to access DM associated PCh and
their relations with DM complications, glycemic control (GC) and
family history for DM (FH).
Material and methods We examined 47 patients with DM type
2 (64.65 ± 9.78 years old; 14 males, 33 females; 24 with and
23 without FH, 20 with good, 15 with poor and 12 with very
poor GC). All of them underwent somatic and neurological exam-
inations. Blood count and biochemistry, urine analysis, brain
computer tomography, electroneurography, electrocardiography
and neuropsychological battery were applied. PCh were accessed
by Minnesota Multiphasic Personality Inventory.
Results The most frequent PCh were hypochondriasis (Hs, 77%),
hysteria (Xy, 74%) and schizoidia (Se; 77%); hypomania was low in
60%; 30% showed lowpsychasthenia and 49% lowpsychopatia. High
paranoia had 23% and low–15%. Poor GCwas associatedwith cogni-
tive impairment (CI) and high Hs, Xy and Se. Patients with high Hs,
Xy and Se showed more frequent diabetic complications (retinopa-
thy, polyneuropathy and nephropathy), comorbidities and CI than
those without, even after correction for age, therapy and DM dura-
tion. FH was risk factor for PCh.
Conclusions Patients with DM show specific PCh. High scoring
on Hs, Xy and Se scales are associated with poor GC, chronic DM
complications, co-morbidities and CI. FH is risk factor for PCh.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0318
Emotional expectations reported by
hospitalized women in southeastern
Brazil before being submitted to
mastectomy with immediate breast
reconstruction: A clinical-qualitative
study
G.L. Almeida , R.M.C. Sena , V.L.P. Alves , C. Cardoso-Filho ,
E.R. Turato ∗
1 UNICAMP–State University of Campinas, LPCQ–Laboratory of
Clinical-Qualitative Research, Campinas, Brazil
2 UNICAMP–State University of Campinas, Department of
Tocogynecology, Campinas, Brazil
∗ Corresponding author.
Introduction Breast cancer is a type that more affects female pop-
ulation in the world. Surgical indication, present in most cases,
is a mutilating procedure and mentally traumatic for majority of
women subjected. Thus, immediate breast reconstruction, which
is the choice to rebuild the breast during the mastectomy surgery,
is an alternative to reduce discomforts associated with loss of the
breast, in addition to being associated potentially with improved
emotional and psychosocial quality of life.
Objective To discuss, from psychological viewpoint, the emo-
tional expectations about surgical results of a planned mastectomy
with immediate breast reconstruction, reported by women with
breast cancer treated in a university hospital in Campinas, state of
São Paulo.
Method Qualitative design, particularized in the clinical-
qualitative method, adequate to health assistant settings, using
the semi-directed interview with open-ended questions in-depth,
fully transcribed and after submitted to content clinical-qualitative
analysis. Intentional sample closed by criterion of information
theoretical saturation with 12 sequential participants.
Results Amongst the emergent categories from free-floating
readings, we have chosen the following to presentation:.
–The desire of healing above expectations of the aesthetic aspects;
–The perception of the surgical approach predominantly with aes-
thetic effects;
–The desire of a contra-lateral healthy breast withdrawal, too.
Conclusions Face the proposal of mastectomy with immediate
reconstruction, days before the surgery, women reported to be
well emotionally organized for the procedure, although in differ-
ent ways. This occurs probably due to emotional meanings built
by many experiences from their psychological histories, as well as
from values provided by the socio-cultural environments.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.