RT Journal Article
SR Electronic
T1 Dopamine dysregulation syndrome induced by proxy
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e228495
DO 10.1136/bcr-2018-228495
VO 12
IS 5
A1 Reis Carneiro, Diogo
A1 Sousa, Mário
A1 Morgadinho, Ana
A1 Januário, Cristina
YR 2019
UL http://casereports.bmj.com/content/12/5/e228495.abstract
AB Dopamine dysregulation syndrome is a rare complication of Parkinson’s disease (PD) treatment. We present a 70-year-old woman with a long-standing PD and a clinical picture compatible with dopaminergic dysregulation, which was ultimately revealed to be induced by her companion. Patient’s exuberant choreiform dyskinesia led to a potential financial advantage when performed outside the hospital but excessive dopamine intake also occurred during hospital admission, without any obvious reward for the abuser. Even in cases where there is no place for a definitive diagnosis, deceptive behaviours must be identified as their management is based on psychological and social support in parallel to the adjustment of PD therapy.