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A Suicide Attempt in a Context of Bipolar Symptoms Leading to a Diagnosis of Sneddon Syndrome
Laurence Lalanne, M.D., Ph.D.; Julien Elowe, M.D.; Jean-Marie Danion, M.D., Ph.D.; Pierre Vidailhet, M.D., Ph.D.; Jack Foucher, M.D., Ph.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2013;25:E11-E12. doi:10.1176/appi.neuropsych.11120360
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Dept. Psychiatrique CHRU Strasbourg, France

Correspondence: Dr. Lalanne; e-mail: Laurence.lalanne@neuf.fr

Copyright © 2013 American Psychiatric Association


To the Editor: Sneddon syndrome affects neurological and dermatological vascularization. In this case, we reported a patient who stabbed himself with a knife and presented with mood disorders with incongruent psychotic features. Psychiatric symptoms are sometimes features for the onset of neurological conditions.

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FIGURE 1. MRI Scan Shows New T2 Hyperintensities in the Periventricular White Matter With Increased Diffusion-Weighted Signal

FIGURE 2. Livedo Reticularis on the Back and Buttocks


Sneddon  IB:  Cerebrovascular lesions and livedo reticularis.  Br J Dermatol 1965; 77:180–185
[CrossRef] | [PubMed]
Boesch  SM;  Plörer  AL;  Auer  AJ  et al:  The natural course of Sneddon syndrome: clinical and magnetic resonance imaging findings in a prospective, six-year observation study.  J Neurol Neurosurg Psychiatry 2003; 74:542–544
[CrossRef] | [PubMed]
Bolayir  E;  Yilmaz  A;  Kugu  N  et al:  Sneddon’s syndrome: clinical and laboratory analysis of 10 cases.  Acta Med Okayama 2004; 58:59–65
Piette  JC;  Cacoub  P:  Antiphospholipid syndrome in the elderly: caution.  Circulation 1998; 97:2195–2196
[CrossRef] | [PubMed]
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