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The Investigation of Atypical Psychosomatic Illness

A Team Approach to Diagnosis

Departments of Child Health and Psychological Medicine, The Hospital for Sick Children, and the Institute of Child Health, Great Ormond Street, London

J. Pritchard

Departments of Child Health and Psychological Medicine, The Hospital for Sick Children, and the Institute of Child Health, Great Ormond Street, London

S. Hensman

Departments of Child Health and Psychological Medicine, The Hospital for Sick Children, and the Institute of Child Health, Great Ormond Street, London

J.V. Leonard

Departments of Child Health and Psychological Medicine, The Hospital for Sick Children, and the Institute of Child Health, Great Ormond Street, London

B. Lask

Departments of Child Health and Psychological Medicine, The Hospital for Sick Children, and the Institute of Child Health, Great Ormond Street, London

O.H. Wolff

Departments of Child Health and Psychological Medicine, The Hospital for Sick Children, and the Institute of Child Health, Great Ormond Street, London

The experience of 12 children with atypical psychosomatic illness who presented considerable diagnostic difficulties is described. All patients were admitted to the hospital, and using a team approach, it was possible to make a confident diagnosis. No organic disease was identified, and a psychosomatic diagnosis was made. In general, atypical symptoms and signs, false-positive investigations, and differing medical opinion had compounded the diagnostic difficulties. The value of the observations made by ward staff of the childrens' symptoms and behavior is stressed.

Clinical Pediatrics, Vol. 25, No. 7, 341-344 (1986)
DOI: 10.1177/000992288602500701


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