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A Rare Case of Schizophrenia With Tongue Rupturation and Comorbid Analgesic Drug Abuse
Murat Emul, M.D.; Mihriban Dalkiran Varkal, M.D.; Musa Tosun, M.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2012;24:E54-E55. 10.1176/appi.neuropsych.11090206
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Department of Psychiatry, Medical School of Cerrahpasa, Istanbul University, Turkey

Department of Psychiatry, Medical School of Cerrahpasa, Istanbul University, Turkey

Extract

To the Editor: Major self-mutilation is infrequent and usually occurs in relation with severe mental disorders which often results in permanent and/or totally loss of an organ or its function.1 In literature, several cases of severe disfigurement or marked self-mutilation in psychotic disorders such as bilateral self-enucleating, penectomy or castration, and penetrating cranio-cerebral injury were reported1,2 We report an unusual case with torn away of tongue by biting and comorbid oral analgesic use.

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Figure 1. The deficiency in right hemisphere of tongue and laceration in bilateral wings of nose can be seen
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References

Large  M;  Babidge  N;  Andrews  D  et al.:  Major self-mutilation in the first episode of psychosis.  Schizophr Bull   2009; 35:1012–1021
[CrossRef] | [PubMed]
 
Erdur  B;  Turkcuer  I;  Herken  H:  An unusual form of self-mutilation: tongue amputation with local anesthesia.  Am J Emerg Med   2006; 24:625–628
[CrossRef] | [PubMed]
 
Dworkin  RH:  Pain insensitivity in schizophrenia: a neglected phenomenon and some implications.  Schizophr Bull   1994; 20:235–248
[CrossRef] | [PubMed]
 
Ahuja  N;  Lloyd  AJ:  Self-cannibalism: an unusual case of self-mutilation.  Aust N Z J Psychiatry   2007; 41:294–295
[CrossRef] | [PubMed]
 
Chengappa  KNR;  Rumble  CT  Jr;  Nasr  F  et al.:  Olanzapine use in subjects with pervasive developmental disorder displaying aggression and/or self-mutilation.  J Psychiatr Pract   2001;7:156
[CrossRef] | [PubMed]
 
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