![]() Thyroid stimulating hormone was slightly elevated, although T4 was within normal limits. Complete blood count, electrolytes, glucose, liver function, and lipid profile were all within normal limits. She was diagnosed with having a manic relapse secondary to non-adherence to medication, and was involuntarily admitted to the in-patient psychiatric ward. She had no insight, and refused any form of treatment. She was very agitated, and was verbally and physically abusive to staff. She was disheveled, unkempt, wearing dirty clothes, and was foul smelling. She was found to have pressured speech, elated mood, increased energy, and very poor personal hygiene. Keeping this constellation of symptoms in mind will allow for a more prompt diagnosis and initiation of management of these clients.Ī 61-year-old obese Caucasian female with a previous history of bipolar 1 disorder and hypothyroidism, presented for an out-patient psychiatric follow-up review accompanied by her Community Psychiatry Nurse. This paper identifies that these patients can present due to a variety of reasons, and sometimes only by chance. This can make specific causes of death difficult to determine. ![]() These individuals self-isolate, and therefore may not be found until much later post-mortem. This is subsequent to self-neglect, poor infection control practices, nutritional deficiency, and lack of presentation to medical care. Mortality is increased in these patients, with a 46% five-year death rate, which is commonly due to physical illnesses such as pneumonia. Syllogomania is differentiated from Diogenes in that other characteristics such as the squalor and neglect are present in DS. There are suggestions that an orbitofrontal brain lesion may lead to such behaviours, while others state that chronic mania symptoms, such as poor insight, can lead to such a condition.Īlthough DS is not uniquely recognized in the Diagnostic and Statistical Manual (DSM) of Mental Disorders, the fifth version of the manual now identifies hoarding (syllogomania), as a psychiatric diagnosis. While no clear etiology exists, it is hypothesized that it may be due to a stress reaction in people with certain pre-morbid personality traits, such as being aloof, or certain personality disorders, such as schizotypal or obsessive compulsive personality disorder. It is often associated with other mental illnesses, such as schizophrenia, mania, and frontotemporal dementia. Affected individuals come from any socioeconomic status, but are usually of average or above-average intelligence. The approximate annual incidence of Diogenes is 0.05% in people over the age of 60. Our patient had no insight into any self-hygiene or public health problems.Information of the characteristics of Diogenes syndrome can help in earlier recognition of such persons, in order to decrease their morbidity and mortality.Diogenes syndrome (DS) is a behavioural disorder characterized by domestic filth, or squalor, extreme self-neglect, hoarding, and lack of shame regarding one’s living condition. Her handbag and her house were filled with rubbish and rotting food. After being hospitalizated, we were authorized to explore her personal items trough photographs. Early management could reduce their high-mortality condition.We present a case of a 67-year-old Caucasian female known with a organic personality disorder secondary to a head trauma with obsessive hoarding symptoms. Patients may present due to a range of reasons, few studies has been described hoarding symptoms secondary to brain injury. Literature sources were obtained through electronic search in database of 10 last years.Background: Diogenes syndrome is a behavioral disorder characterized by severe self-neglect, hoarding, domestic dirt, and lack of shame regarding one's living state. To review the current knowledge about Diogenes symptoms and organic personality disorder through systematic review of the literature and the analysis of a case.Case report.
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