[Hypochondriacal paranoia is a differential diagnostic challenge].

Patients with persistent complaints about somatic symptoms, which cannot be explained by somatic disease, constitute a major healthcare problem. Hypochondriacal paranoia is an important subset of paranoid conditions, which should not be overlooked in patients with persistent hypochondriacal complaints. It is rare, in contrast to illness anxiety disorder or body dysmorphic disorder optionally with insufficient insight. Recent research indicates, that hypochondriacal complaints present a spectrum of evident psychotic conditions over delusion-like complaints to excessive illness anxiety.

[Hypochondrical paranoia].

This is a case report of hypochondrical paranoia in a young man, who was convinced of a toxic infection by fungi following mold growth exposure. The patient was admitted to a psychiatric facility, severely pained by the delusional perception of his insides being eaten by fungus. He had undergone a thorough medical examination without the discovery of any somatic irregularities and had attempted to treat himself several times. After four months of hospital-ization and the prescription of antipsychotic treatment, he was in recovery. Mild delusions persisted but were no longer pathologically painful.

[From haematoma to sarcoma]. / Fra haematom til sarkom.

This paper assesses two cases characterised by an asymptomatic mass of the thigh, triggered by a minor trauma - and primarily diagnosed as a muscle strain and haematoma. After several months with symptoms, both cases developed fulminating symptoms with high temperature, anaemia and increased infection parameters. Both were diagnosed - not uncommonly delayed - with sarcoma of the extremity. Consider sarcoma in cases of long duration with increasing pain which is not related to the size of the trauma, connection to deep fascia, size > 5 cm, rapid or invasive growth, fixation, and solid tumour consistency.