An Adult Case of Attention Deficit/Hyperactivity Disorder with Chronic Pain in the Oral Cavity

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  • 口腔内の慢性疼痛治療を契機に注意欠如・多動症と診断された成人の一症例

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Abstract

<p>There are cases in which adult developmental disorders are overlooked without being diagnosed, and many patients find it difficult to live because the disorders interfere with work, daily life, and communication with the surroundings. We experienced a case in which attention deficit/hyperactivity disorder (ADHD) was diagnosed after referral to a psychiatrist because of the attitude of a patient who visited our clinic for the treatment of chronic pain in the oral cavity. The patient was a 50-year-old woman. She visited our hospital with chronic pain in the right lower mandibular second molar and treatment for pain was started under the diagnosis of myofascial toothache. In the examination room, she was restless, had difficulty speaking in turn, and had strong catastrophic thinking. Since she could not understand and cooperate with pain treatment even after several months, and accurate pain evaluation was difficult, she was suspected of developmental disability and was referred to a psychiatrist. She was diagnosed with ADHD and drug therapy with ADHD drug was started. At present, ADHD symptoms are gradually improving, and active participation in future pain treatment and pain improvement are expected. As in this case, hidden developmental disorders may be obstacles to treatment. It is suggested that it is important to promote consultation with specialists and to cooperate with them in order to provide appropriate treatment.</p>

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