The article you requested is
Treatment-Resistant Self-Mutilation, Tics, and Obsessive-Compulsive Disorder in Neuroacanthocytosis: A Mouth Guard as a Therapeutic Approach
J Clin Psychiatry 2008;69:1186-1187 [letter]
Copyright 2008 Physicians Postgraduate Press, Inc.
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Letter to the Editor
Sir: The term neuroacanthocytosis describes a group of
phenotypically and genetically heterogeneous disorders associated
with choreatic movements, psychiatric abnormalities,
and cognitive decline. Patients with neuroacanthocytosis may
develop dementia, schizophrenia, obsessive-compulsive disorder
(OCD), tourettism, and self-mutilation. We present
the case of a patient with neuroacanthocytosis who developed
treatment-resistant oral self-mutilation behaviors, phonic tics,
OCD, and a severe lack of initiative (i.e., abulia).