Obsessive-Compulsive Symptoms as a Manifestation of Homocystinuria

Homocystinuria is a rare autosomal recessive metabolic disorder due to a defect in the cystathionine β-synthase (CBS) that leads to high homocysteine plasma levels. Psychiatric symptoms secondary to homocystinuria have been described in the literature; however, there is a lack of information about o...

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Main Authors: Vera Froes, Hugo Afonso, Zita Gameiro
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2021/5523453
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author Vera Froes
Hugo Afonso
Zita Gameiro
author_facet Vera Froes
Hugo Afonso
Zita Gameiro
author_sort Vera Froes
collection DOAJ
description Homocystinuria is a rare autosomal recessive metabolic disorder due to a defect in the cystathionine β-synthase (CBS) that leads to high homocysteine plasma levels. Psychiatric symptoms secondary to homocystinuria have been described in the literature; however, there is a lack of information about obsessive-compulsive symptoms correlated to this disorder. We describe the case of a 39 years old man, diagnosed with homocystinuria in childhood, with no previous psychiatric history that presented obsessive-compulsive disorder (OCD) like symptoms, as a manifestation of homocystinuria. This case underlines the importance for a psychiatrist to explore medical nonpsychiatric history, especially when presentation is abrupt, atypical, or in treatment-resistant cases.
format Article
id doaj-art-5f1d69bc5a8a4d9b8adada997ed8330f
institution Kabale University
issn 2090-682X
2090-6838
language English
publishDate 2021-01-01
publisher Wiley
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series Case Reports in Psychiatry
spelling doaj-art-5f1d69bc5a8a4d9b8adada997ed8330f2025-02-03T01:09:56ZengWileyCase Reports in Psychiatry2090-682X2090-68382021-01-01202110.1155/2021/55234535523453Obsessive-Compulsive Symptoms as a Manifestation of HomocystinuriaVera Froes0Hugo Afonso1Zita Gameiro2Centro Hospitalar Barreiro Montijo, Barreiro, PortugalCentro Hospitalar Tondela Viseu, Viseu, PortugalCentro Hospitalar Barreiro Montijo, Barreiro, PortugalHomocystinuria is a rare autosomal recessive metabolic disorder due to a defect in the cystathionine β-synthase (CBS) that leads to high homocysteine plasma levels. Psychiatric symptoms secondary to homocystinuria have been described in the literature; however, there is a lack of information about obsessive-compulsive symptoms correlated to this disorder. We describe the case of a 39 years old man, diagnosed with homocystinuria in childhood, with no previous psychiatric history that presented obsessive-compulsive disorder (OCD) like symptoms, as a manifestation of homocystinuria. This case underlines the importance for a psychiatrist to explore medical nonpsychiatric history, especially when presentation is abrupt, atypical, or in treatment-resistant cases.http://dx.doi.org/10.1155/2021/5523453
spellingShingle Vera Froes
Hugo Afonso
Zita Gameiro
Obsessive-Compulsive Symptoms as a Manifestation of Homocystinuria
Case Reports in Psychiatry
title Obsessive-Compulsive Symptoms as a Manifestation of Homocystinuria
title_full Obsessive-Compulsive Symptoms as a Manifestation of Homocystinuria
title_fullStr Obsessive-Compulsive Symptoms as a Manifestation of Homocystinuria
title_full_unstemmed Obsessive-Compulsive Symptoms as a Manifestation of Homocystinuria
title_short Obsessive-Compulsive Symptoms as a Manifestation of Homocystinuria
title_sort obsessive compulsive symptoms as a manifestation of homocystinuria
url http://dx.doi.org/10.1155/2021/5523453
work_keys_str_mv AT verafroes obsessivecompulsivesymptomsasamanifestationofhomocystinuria
AT hugoafonso obsessivecompulsivesymptomsasamanifestationofhomocystinuria
AT zitagameiro obsessivecompulsivesymptomsasamanifestationofhomocystinuria