Akademik Veri Yönetim Sistemi
29th WONCA EUROPE CONFERENCE, Dublin, İrlanda, 25 - 28 Eylül 2024, ss.1130, (Özet Bildiri)
Introduction
Depressive symptoms in primary care settings
can be complex, often obscuring underlying rare conditions. This case
highlights the diagnostic challenges faced when symptoms overlap with
conditions like Cataplexy Narcolepsy. Such scenarios underscore the need for
heightened clinical suspicion and thorough evaluation to ensure accurate
diagnosis and optimal management.
Case Presentation
A 19-year-old female medical student presented
with symptoms suggestive of depression, including self-isolation, excessive sleepiness,
and academic challenges. Despite initial improvements with self-efforts and
family support, symptoms resurfaced, leading to interpersonal difficulties and
academic setbacks. Further evaluation revealed scores indicative of severe
depression on PHQ-9, prompting neurology referral due to severe headaches and
numbness. Normal MRI findings and suspicion of narcolepsy led to a psychiatric
referral, where the patient was diagnosed with Cataplexy Narcolepsy and
initiated on modafinil therapy with positive outcomes.
Conclusion
This case emphasizes the importance of
considering rare conditions in the differential diagnosis of depressive
symptoms, especially when clinical presentation is atypical or treatment
response is suboptimal. It highlights the pivotal role of primary care in
recognizing complex psychiatric presentations and the necessity of
interdisciplinary collaboration for accurate diagnosis and effective
management. Continued post-referral follow-up is essential for comprehensive
care and optimal patient outcomes.