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August 1965

Psychosis With Pancreatitis: A Frequent Occurrence Infrequently Recognized

Arch Intern Med. 1965;116(2):228-233. doi:10.1001/archinte.1965.03870020068014

HALLUCINATIONS are rarely reported in association with chronic relapsing pancreatitis, although diabetes, steatorrhea, and pancreatic calcification are commonly recognized complications of this disorder. Clinical observation led us to suspect that hallucinations often accompany pancreatitis, and a survey of the medical records at the Johns Hopkins Hospital of patients with pancreatitis confirmed the frequent association of these two conditions. The present report is based on a prospective medical and psychiatric evaluation of 30 patients with pancreatitis and a similar number of alcoholics with pneumonia. The incidence of hallucinations in each of the two groups is compared in order to evaluate the significance of associated psychosis. In addition, the incidence of hallucinations in patients with pancreatitis is compared with the incidence of diabetes, steatorrhea, and pancreatic calcification as a means of determining the relative importance of psychosis as a complication of pancreatitis.

Materials and Methods  Thirty consecutive patients admitted to the