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Rare case report of Van Gogh syndrome in a patient with paranoid schizophrenia
  1. Varchasvi Mudgal,
  2. Pali Rastogi,
  3. Vijay Niranjan and
  4. Ramghulam Razdan
  1. Department of Psychiatry, MGM Medical College, Indore, Madhya Pradesh, India
  1. Correspondence to Dr Varchasvi Mudgal, Psychiatry, M.G.M Medical College, Indore, M.P, India; varchasvimudgal04{at}


Self-mutilation is often associated with psychiatric disorders. We describe here a 22-year-old male Indian with decreased sleep, aggressive behaviour, self-muttering, disorganised behaviour, frequent spitting, biting and self-mutilation; he bit off his right ring finger and left thumb (Van Gogh syndrome). Self-harm behaviour was frequently evidenced by family members resulting in various injuries. The patient was diagnosed with paranoid schizophrenia and was treated with anti-psychotics which resulted in a decrease in his behavioural disturbances along with treatment for his self-mutilation injuries. Here we discuss Van Gogh syndrome’s presentation of self-mutilation in paranoid schizophrenia and its implications.

  • Van Gogh Syndrome
  • Paranoid Schizophrenia
  • Self-mutilation

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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