주의력 결핍 과잉행동장애, 조증, 정신지체가 동반된 환자 1예

A Case Report of a Child who has Attention Deficit Hyperactivity Disorder, Mental Retardation, and Mania

It has been known that childhood bipolar disorder is rare, especially combined with attention deficit hyperactivity disorder (ADHD), But, recent studies reported that childhood bipolar is more common than our guess. Many symptoms of childhood mania overlapped with ADHD, so it is difficult to differentiate from ADHD. It also often reported that psychostimulants, medication for ADHD, induce manic symptoms. Clinically, childhood mania has several characteristics. It is frequently chronic, mixed type, rapid cycling and often refractory to treatment. So it is important to diagnose, differentiate, treat childhood bipolar disorder and ADHD, but there is no report about comorbidity, treatment, clinical characteristics about that. We report a patient combined ADHD, mental retardation and childhood bipolar disorder. (Korean J Psychopharmacol 2003;14(4):397-404)