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Case Reports in Psychiatry
Volume 2015, Article ID 405713, 5 pages
http://dx.doi.org/10.1155/2015/405713
Case Report

Severe Burns and Amputation of Both Arms in the First Psychotic Episode of a Schizophrenic Patient

1Instituto Nacional de Salud Mental “Honorio Delgado-Hideyo Noguchi”, Jr. Eloy Espinoza 709, Urbanización Palao, San Martín de Porres, Lima 31, Peru
2Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Avenida Honorio Delgado 430, Urbanización Ingeniería, San Martín de Porres, Lima 31, Peru
3Facultad de Medicina de San Fernando, Universidad Nacional Mayor de San Marcos, Avenida Grau 755, Lima 1, Peru

Received 25 May 2015; Revised 10 August 2015; Accepted 23 August 2015

Academic Editor: Erik Jönsson

Copyright © 2015 Lizardo Cruzado et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

An alleged reduction of sensitivity to pain in people with schizophrenia has been reported, but the nature of this complex phenomenon has not been elucidated yet. Reports of insensitivity to burns from people with schizophrenia are extremely rare. We report the case of a 24-year-old man who set both of his arms on fire during the first break of paranoid schizophrenia. As a result of severe tissue damage, both of his limbs had to be amputated. Today, at the age of 59, the patient is physically and mentally rehabilitated and is adherent to treatment. Additionally, given the uncertainty about the true nature of the alleged hypoalgesia in schizophrenia, we postulate the need for a comprehensive phenomenological approach in the study of embodiment in people with this condition.