Medical Mimics of Psych Conditions:

Question 1

Acute Intermittent Porphyria (AIP):

Answer 1

-Unexplained abdominal pain + new-onset neuropsychiatric sx (ie. Neuropathies, anxiety, mood changes, psychosis)

• Acute sx are episodic and can last for weeks
• Onset in 30s-40s usually
• See elevated Urinary Porphobilinogen

Question 2

Wilson’s disease:

Answer 2

• Disorder of copper transport causing copper accumulation in body.
• Causes hepatic, psychiatric and neurologic dysfunction
• Sx: Dysarthria, dystonia, tremor, parkinsonism, copper in cornea (Keyser-Fleisher rings), and depression