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Elsevier Science

J Am Acad Child Adolesc Psychiatry. 1989 Jul;28(4):612-7. doi: 10.1097/00004583-198907000-00024.

An abused psychotic preadolescent at risk for Huntington's disease.

Journal of the American Academy of Child and Adolescent Psychiatry

M S Sokol, C R Pfeffer, G E Solomon, A H Esman, G Robinson, R L Gold, A Orr-Andrawes, A Esman

PMID: 2527841 DOI: 10.1097/00004583-198907000-00024

Abstract

An abused 10-year-old girl with a family history of Huntington's disease developed incapacitating abdominal pain with concomitant behavioral symptomatology suggestive of dementia. The pseudoneurologic nature of her symptoms was clarified through exhaustive evaluation and did not appear to be that of early-onset Huntington's disease. Assessment included pediatric, psychiatric, neurologic, and gynecologic examination; extensive radiologic and laboratory tests; and chronobiology studies. Successful treatment necessitated the integration of numerous therapeutic modalities including dynamically oriented psychotherapy, psychopharmacologic intervention, physical therapy, behavior modification, and electroconvulsive therapy.

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