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Seyed Shariat Dust S, Nasr Esafahani M, Tajik Esmaili S. Cardiac Angiofibrosarcoma in differential Diagnosis With Conversion Disorder: A Complicated Case. CPR 2024; 2 (2) :145-150
URL: http://cpr.mazums.ac.ir/article-1-91-en.html

A 28-year-old female patient without previous psychiatric hospitalization was presented with numerous physical and mental symptoms since one year ago. However, no physical illness was discovered during two hospitalizations, her physical examinations and multiple imaging tests. She was consulted by the psychiatric service on suspicion of conversion disorder. Finally, with further investigations, cardiac angiosarcoma was diagnosed and surgery was performed.
Diagnosis of conversion disorders has remained a clinical challenge. It is essential to gather a comprehensive psychiatric history and conduct detailed clinical examinations to pinpoint the exact symptom onset, identify stressors and assess comorbidities. The key to diagnosing conversion disorder is excluding other physical and neurological conditions. This case underscores that alongside considering a diagnosis of conversion disorder, the presence of physical issues should always be acknowledged and not overlooked during evaluation.