Panic disorder in a child with recurrent chest pain

A 10-year-old boy was admitted to the Pediatric Cardiology Unit with complaints of chest pain and dizziness. Physical examination did not show any pathologic signs. Family history revealed no heart disease and diagnosis of panic disorder (PD) in one of his family members. On follow-up, he was...

Full description

Saved in:
Bibliographic Details
Main Authors: Sensin Hasçelik, Sema Ozer, Yasemen Taner, Ebru Aypar, Dursun Alehan, Yusuf Usta, Akgün Olmez
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2007-01-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2520
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850236901236146176
author Sensin Hasçelik
Sema Ozer
Yasemen Taner
Ebru Aypar
Dursun Alehan
Yusuf Usta
Akgün Olmez
author_facet Sensin Hasçelik
Sema Ozer
Yasemen Taner
Ebru Aypar
Dursun Alehan
Yusuf Usta
Akgün Olmez
author_sort Sensin Hasçelik
collection DOAJ
description A 10-year-old boy was admitted to the Pediatric Cardiology Unit with complaints of chest pain and dizziness. Physical examination did not show any pathologic signs. Family history revealed no heart disease and diagnosis of panic disorder (PD) in one of his family members. On follow-up, he was admitted to the pediatric emergency department several times with the same complaint. Organic etiologies of chest pain were excluded by extensive diagnostic work-up. He was referred to the Child and Adolescent Psychiatry Department for further work-up, and PD was diagnosed. A few weeks after starting paroxetine therapy, the frequency and the intensity of the chest pain attacks began to diminish. Early diagnosis of PD will avoid unnecessary investigations and prevent utilization of expensive health services, especially those performed in the emergency department. Physicians should consider that chest pain may be related to psychiatric disorders and refer their patient to mental health professionals for further management. Pharmacological therapy and cognitive-behavioral interventions are successfully used in the management of PD in children and adolescents.
format Article
id doaj-art-c287c5aeab004dc988ed1f7c6b03a2c9
institution OA Journals
issn 0041-4301
2791-6421
language English
publishDate 2007-01-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-c287c5aeab004dc988ed1f7c6b03a2c92025-08-20T02:01:53ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212007-01-01491Panic disorder in a child with recurrent chest painSensin Hasçelik0Sema OzerYasemen TanerEbru AyparDursun AlehanYusuf UstaAkgün OlmezDepartments of Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey. A 10-year-old boy was admitted to the Pediatric Cardiology Unit with complaints of chest pain and dizziness. Physical examination did not show any pathologic signs. Family history revealed no heart disease and diagnosis of panic disorder (PD) in one of his family members. On follow-up, he was admitted to the pediatric emergency department several times with the same complaint. Organic etiologies of chest pain were excluded by extensive diagnostic work-up. He was referred to the Child and Adolescent Psychiatry Department for further work-up, and PD was diagnosed. A few weeks after starting paroxetine therapy, the frequency and the intensity of the chest pain attacks began to diminish. Early diagnosis of PD will avoid unnecessary investigations and prevent utilization of expensive health services, especially those performed in the emergency department. Physicians should consider that chest pain may be related to psychiatric disorders and refer their patient to mental health professionals for further management. Pharmacological therapy and cognitive-behavioral interventions are successfully used in the management of PD in children and adolescents. https://turkjpediatr.org/article/view/2520
spellingShingle Sensin Hasçelik
Sema Ozer
Yasemen Taner
Ebru Aypar
Dursun Alehan
Yusuf Usta
Akgün Olmez
Panic disorder in a child with recurrent chest pain
The Turkish Journal of Pediatrics
title Panic disorder in a child with recurrent chest pain
title_full Panic disorder in a child with recurrent chest pain
title_fullStr Panic disorder in a child with recurrent chest pain
title_full_unstemmed Panic disorder in a child with recurrent chest pain
title_short Panic disorder in a child with recurrent chest pain
title_sort panic disorder in a child with recurrent chest pain
url https://turkjpediatr.org/article/view/2520
work_keys_str_mv AT sensinhascelik panicdisorderinachildwithrecurrentchestpain
AT semaozer panicdisorderinachildwithrecurrentchestpain
AT yasementaner panicdisorderinachildwithrecurrentchestpain
AT ebruaypar panicdisorderinachildwithrecurrentchestpain
AT dursunalehan panicdisorderinachildwithrecurrentchestpain
AT yusufusta panicdisorderinachildwithrecurrentchestpain
AT akgunolmez panicdisorderinachildwithrecurrentchestpain