摘要
Self-mutilation is often associated with psychiatric disorders.We describe here a 22-year-old male Indian with decreased sleep,aggressive behaviour,self-muttering,disorganised behaviour,frequent spitting,biting and selfmutilation;he bit off his right ring finger and left thumb(Van Gogh syndrome).Self-harm behaviour was frequently evidenced by family members resulting in various injuries.The patient was diagnosed with paranoid schizophrenia and was treated with anti-psychotics which resulted in a decrease in his behavioural disturbances along with treatment for his self-mutilation injuries.Here we discuss Van Gogh syndrome’s presentation of self-mutilation in paranoid schizophrenia and its implications.
