Russell’s Sign in Persistent Delusional Disorder: A Case Report

Manoharan, Senthil Vel Rajan Rajaram; Behere, Rishikesh V.; Praharaj, Samir Kumar; Kongasseri, Sreejayan; Sharma, Paras

doi:10.1176/appi.neuropsych.13060127

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…A delusional belief caused it rather than a disturbance in body image. 6,7 In this patient, there were no abnormal laboratory results. Although laboratory tests are considered unnecessary for diagnosing delusion disorders compared to most psychiatric conditions, doctors must still consider using imaging or laboratory evaluations to eliminate the possibility of organic causes.…”

Section: Discussionmentioning

confidence: 58%

A Case Report of Russell’s Sign in a 50-Year-Old Female With Persistent Delusion

Nora,

Husada

2023

Advances in Health Sciences Research

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Background: Russell's sign is a condition commonly observed in individuals who intentionally induce vomiting and is characterized by the presence of calluses on the dorsum of the hand. 1 This physical manifestation is a significant marker for mental illness and is primarily prevalent among patients diagnosed with eating disorders, such as bulimia nervosa or anorexia nervosa. 2 Meanwhile, delusion disorder is a psychiatric condition with delusion as its main symptom. The diagnosis is often established when a person exhibits the symptoms one or more times, persisting for at least three months. 3 Persecutory delusions are the most common delusion disorder, wherein the patients firmly believe they are being abused or harmed. 5 Despite the significance of Russell's sign, there is limited knowledge regarding its association with other psychiatric conditions. The appearance of its symptoms can provide important clues about the underlying disease.Case Report: We identified a case involving a 50-year-old female who exhibited persecutory delusion. During the examination, we discovered a pale lesion on the back of her right hand. Furthermore, the suspicions of food poisoning drove the patient to frequently induce vomiting after meals, which persisted for five years. We prescribed a daily dosage of 15 mg/day of Aripiprazole tablets to treat this condition. During the treatment, the suspicion towards family members gradually diminished, with total adherence to the prescribed medication. Conclusion:Russell's sign highlighted the severity of the patient's beliefs and prolonged delusion. Furthermore, this case underscored the significance of conducting a comprehensive physical examination when assessing psychiatric disorders, as it could provide valuable insights for the psychiatrist.

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Section: Discussionmentioning

confidence: 58%

A Case Report of Russell’s Sign in a 50-Year-Old Female With Persistent Delusion

Nora,

Husada

2023

Advances in Health Sciences Research

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“…Russell's sign is associated with eating disorders and has been otherwise described only in persistent delusional disorder. [ 2 ] This is probably the first report of Russell's sign in OCD. It emphasizes that we should be watchful of any physical sign and its association may be completely different from the illness, with which they are usually described.…”

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confidence: 90%

Russell's sign in obsessive–compulsive disorder

Rikhari

Kumar

2021

Indian Journal of Psychiatry

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Russell’s Sign in Persistent Delusional Disorder: A Case Report

Cited by 2 publications

References 3 publications

A Case Report of Russell’s Sign in a 50-Year-Old Female With Persistent Delusion

A Case Report of Russell’s Sign in a 50-Year-Old Female With Persistent Delusion

Russell's sign in obsessive–compulsive disorder

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