Erotomania, also known as “de Clérambault’s Syndrome”, is a psychiatric syndrome characterized by the delusional belief that one is loved by another person of, generally of a higher social status. Erotomania has always been a target of attempts of conceptualization, and the utility of regarding Erotomania as an independent syndrome has been questioned to this day. Erotomania has a much higher prevalence in the female sex, and male Erotomania is a rare and probably underdiagnosed condition. Male Erotomania is only more prevalent in forensic samples, since male sex is one of the risk factors for violent behavior in this disorder. In this article, we aim to describe an uncommon case of Erotomania occurring in a male, hoping to add to literature and to reflect on the implications of the occurrence of Erotomania in men. By discussing the case in light of the different described clinical pictures, proposed diagnostic criteria and classifications, we also aim to contribute to the ongoing attempt to conceptualize this syndrome and to understand the pertinence of considering it an independent nosological entity. We describe a case of Erotomania in a middle-aged Caucasian Portuguese male, with consecutive erotic delusions, followed by a classic turn to a persecutory delusion. The patient was admitted as an inpatient in a psychiatry unit and he was medicated with risperidone 3 mg and diazepam 3 mg daily. His persecutory delusion remitted a 4 days later, he gained insight and was discharged to follow-up as an outpatient. He retains his erotic delusional beliefs, but these are less intense, and has not presented further aggressive behavior. We can conclude that it seems reasonable to retain the operative concept of Erotomania as a subtype of Persistent Delusional Disorder/Delusional Disorder, since cases fitting the classical descriptions of the syndrome have been reported, including the presented case. The diagnosis of Erotomania has implications in case management, treatment and prognosis, and missing it, especially in men, may culminate in violent situations that can have legal implications. The developed diagnostic criteria and classifications seem to retain use and should be kept in mind, in the sense that they facilitate making an important diagnosis.

中文翻译：

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再次回顾德克莱门伯氏综合症：一名男性患上性欲症的病例报告

Erotomania，也称为“ deClérambault氏综合症”，是一种精神病综合症，其特征是妄想相信一个人被另一个人所爱，通常具有较高的社会地位。Erotomania一直是尝试进行概念化的目标，而迄今为止，将Erotomania视为独立综合征的效用一直受到质疑。在女性中，Erotomania的患病率要高得多，而男性Erotomania则是一种罕见且可能未被诊断的疾病。男性性口病仅在法医样本中更为普遍，因为男性是该疾病暴力行为的危险因素之一。在这篇文章中，我们旨在描述男性中罕见的Erotomania病例，希望增加文献报道并反思男性中Erotomania发生的意义。通过根据描述的不同临床图片，建议的诊断标准和分类来讨论病例，我们还旨在为正在进行的将该综合征概念化的尝试做出贡献，并了解将其视为独立疾病学实体的相关性。我们描述了一个中年白人葡萄牙男性的Erotomania一例，伴有连续性色情妄想，然后经典转向迫害性妄想。该患者入院为精神病学部门的住​​院患者，每天服用利培酮3毫克和地西epa 3毫克。4天后，他的迫害妄想得到缓解，他获得了见识，并作为门诊病人出院了。他保留了自己的色情妄想信念，但这些信念并不那么强烈，也没有表现出进一步的侵略行为。我们可以得出结论，因为已经报告了适合该综合征经典描述的病例，包括本病例，因此保留Erotomania的手术概念作为持续性妄想障碍/妄想障碍亚型似乎是合理的。Erotomania的诊断对病例的管理，治疗和预后有影响，而错过它，尤其是在男性中，可能在暴力情况中达到顶峰，这种暴力情况可能会产生法律影响。发达的诊断标准和分类似乎可以保留用途，应该牢记在心，因为它们有助于做出重要的诊断。包括本案。Erotomania的诊断对病例的管理，治疗和预后有影响，而错过它，尤其是在男性中，可能在暴力情况中达到顶峰，这种暴力情况可能会产生法律影响。发达的诊断标准和分类似乎可以保留用途，应该牢记在心，因为它们有助于做出重要的诊断。包括本案。Erotomania的诊断对病例的管理，治疗和预后有影响，而错过它，尤其是在男性中，可能在暴力情况中达到顶峰，这种暴力情况可能会产生法律影响。发达的诊断标准和分类似乎可以保留用途，应该牢记在心，因为它们有助于做出重要的诊断。