PMID- 10598291
OWN - NLM
STAT- MEDLINE
DCOM- 20000208
LR  - 20061115
IS  - 0013-7006 (Print)
IS  - 0013-7006 (Linking)
VI  - 25 Spec No 3
DP  - 1999 Nov
TI  - [The development and prognosis of acute psychotic disorders (polymorphic delirium 
      flushes)].
PG  - 26-32
AB  - The DSM IV classification of brief psychotic disorders and schizophreniform 
      disorders is unsatisfactory because of its purely temporal criteria for 
      diagnosing acute psychotic disorders, which are seen as a preliminary diagnosis 
      to schizophrenia. We thus decided to use a more inclusive concept, with greater 
      diagnostic possibilities, that of the bouffee delirante polymorphe (BDP) or 
      non-specific delusional episode of Magnan, and then analyze its clinical use. 
      This study examines the use of this diagnosis in a walk-in clinic for patients 
      referred to the ER of a general hospital for acute psychiatric pathology. Over an 
      18-month period, out of 331 hospitalizations, 91 admissions corresponded to the 
      diagnosis of BDP, with median age of 29 years and a median length of stay of 10 
      days. The initial diagnosis was of needs only approximate and became more 
      specific with longer length of stay, results of response to therapeutic 
      management, more exact phenomenology of the BDP, more information about the days 
      preceding the episode, and a better knowledge of previous psychiatric episodes. 
      Also useful were the immediate triggering circumstances: intellectual deficit, 
      possible absorption of toxic substances, psychologically traumatic events. The 
      subsequent time course showed the following pathologies in order of decreasing 
      frequency: acute psychotic episodes of schizophrenia, delusional manic episodes, 
      acute paranoid episodes, delusional depressive episodes. Finally, there were bona 
      fide acute psychotic episodes meeting the criteria of BDP, which remained 
      isolated or possibly repetitive and of short duration, partly because of 
      pharmacotherapeutic treatment, but also because of an intrinsically favorable 
      prognosis. Such cases are habitually labeled in the literature reactional 
      psychosis, and should be in our opinion considered separate from schizophrenia.
FAU - Ferrey, G
AU  - Ferrey G
AD  - Centre Hospitalier Emile-Roux, Eaubonne.
FAU - Zebdi, S
AU  - Zebdi S
LA  - fre
PT  - English Abstract
PT  - Journal Article
TT  - Evolution et pronostic des troubles psychotiques aigus (bouffee delirante 
      polymorphe).
PL  - France
TA  - Encephale
JT  - L'Encephale
JID - 7505643
SB  - IM
MH  - Acute Disease
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Chronic Disease
MH  - Delirium/*etiology
MH  - Disease Progression
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prognosis
MH  - Psychiatric Status Rating Scales
MH  - Psychotic Disorders/*diagnosis/*psychology
MH  - Severity of Illness Index
EDAT- 1999/12/22 00:00
MHDA- 1999/12/22 00:01
CRDT- 1999/12/22 00:00
PHST- 1999/12/22 00:00 [pubmed]
PHST- 1999/12/22 00:01 [medline]
PHST- 1999/12/22 00:00 [entrez]
PST - ppublish
SO  - Encephale. 1999 Nov;25 Spec No 3:26-32.