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Brief psychotic episode in a patient with chromosome 2q37 microdeletion syndrome
  1. Kevin Lally1,
  2. Nuraini Ibrahim1,2,
  3. Mary Kelly1,2,
  4. Gautam Gulati1
  1. 1Department of Psychiatry, University Hospital Limerick, Limerick, Ireland
  2. 2Psychiatry of Intellectual Disability, Daughters of Charity/Brothers of Charity, Limerick, Ireland
  1. Correspondence to Dr Kevin Lally,{at}


A 21-year-old woman with moderate learning disability secondary to chromosome 2 microdeletion at q37 was admitted to a general adult psychiatric ward following a period of agitation with incessant pressure of speech, nihilistic delusions and worsening of sleep and eating patterns. Her presentation was preceded for a number of weeks by social stressors of an ill family member and another family member moving away. She had also been diagnosed and treated for a respiratory infection several weeks prior to presentation. Her presentation improved with low-dose antipsychotic medication and parallel input from the general adult mental health team and the psychiatry of intellectual disability team.

  • therapeutic indications
  • psychotic disorders (incl schizophrenia)
  • genetics
  • congenital disorders
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  • Contributors KAL is first author. GG and MK made substantial contributions to the design and conception of the case report. KAL and NI both contributed to the data acquisition. KAL drafted the manuscript and NI provided critical appraisal. GG and MK provided revisions. All authors provided final approval on the finished version.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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