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The British Journal of Psychiatry 159: 573-575 (1991)
© 1991 The Royal College of Psychiatrists

Suspicion of somatoform disorder in undiagnosed tabes dorsalis

CG Fichtner and WW Weddington
Loyola University Medical Center, Hines, Illinois.

We present a case of tabes dorsalis, which consisted of intermittent, sharp pains and diffuse neurological abnormalities, and was initially considered to be a somatoform disorder. The unusual behavioural presentations of neurosyphilis may lead to premature psychiatric diagnoses. It is thus important that psychiatric consultants be aware of the myriad manifestations of the disease.