Rare case report of Van Gogh syndrome in a patient with paranoid schizophrenia

AbstractSelf-mutilation is often associated with psychiatric disorders. We describe here a 22-year-old male Indian with decreased sleep, aggressive behaviour, self-muttering, disorganised behaviour, frequent spitting, biting and self-mutilation; he bit off his right ring finger and left thumb (Van G...

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Bibliographic Details
Published in:General psychiatry 2020-01, Vol.33 (1), p.e100095
Main Authors: Mudgal, Varchasvi, Rastogi, Pali, Niranjan, Vijay, Razdan, Ramghulam
Format: Article
Language:English
Subjects:
Antipsychotics
Bipolar disorder
Case Report
Case reports
Drug withdrawal
Hallucinations
Illnesses
Injuries
Marijuana
Medical imaging
Mental depression
Paranoid Schizophrenia
Patients
Personality
Psychopathology
Psychosis
Schizophrenia
Self-mutilation
Substance abuse treatment
Suicides & suicide attempts
Uric acid
Van Gogh Syndrome
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Summary:AbstractSelf-mutilation is often associated with psychiatric disorders. We describe here a 22-year-old male Indian with decreased sleep, aggressive behaviour, self-muttering, disorganised behaviour, frequent spitting, biting and self-mutilation; he bit off his right ring finger and left thumb (Van Gogh syndrome). Self-harm behaviour was frequently evidenced by family members resulting in various injuries. The patient was diagnosed with paranoid schizophrenia and was treated with anti-psychotics which resulted in a decrease in his behavioural disturbances along with treatment for his self-mutilation injuries. Here we discuss Van Gogh syndrome’s presentation of self-mutilation in paranoid schizophrenia and its implications.
ISSN:2517-729X
2096-5923
2517-729X
DOI:10.1136/gpsych-2019-100095