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Somatoform pain disorder in a case of Klinefelter's syndrome with multiply operated lower back
Author(s) -
AKIMOTO MICHIKO,
FUKUNISHI ISAO,
SAKATA MAYO,
SATO MAKOTO,
SAITO YUICHI,
AOTA YOICHI,
YAMADA TOSHIYUKI,
SASAKI KEIICHI
Publication year - 1995
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/j.1440-1819.1995.tb01900.x
Subject(s) - klinefelter syndrome , psychosocial , osteoporosis , psychiatry , medicine , psychology , back pain , pediatrics , alternative medicine , pathology
We report a case of Klinefelter's syndrome with multiply operated low back (MOB). Psychological and/or psychosocial problems related to MOB have been of recent interest in the field of orthopedic surgery. Based on psychiatric interviews, this case was diagnosed as a somatoform pain disorder of the DSM‐III‐R somatoform disorders. In addition to psychological problems, the pain was partly explicable by severe osteoporosis, which was prematurely caused by endocrinological disturbances associated with Klinefelter's syndrome. Patients with this syndrome are more likely to develop severe osteoporosis. In the presenile period of Klinefelter's syndrome with severe osteoporosis, liaison psychiatrists may pay attention to somatoform disorders (e.g. somatoform pain disorder and conversion disorder) linked with the MO.