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Journal of Clinical and
Basic Psychosomatics Psychogenic fever and palpitations in autonomic dysfunction

(iv) A comprehensive psychological evaluation using Consent for publication
standardized scales, integrated with the medical
history, to confirm psychological abnormalities. The patient has given consent for the publication of his
clinical data in this case report. The authors have taken the
The successful implementation of this process necessary precautions to ensure the patient’s anonymity
necessitates physicians to possess foundational by removing any easily identifiable, patient-specific
psychological knowledge and treatment principles, remain information.
vigilant in identifying potential mental disorders, and
provide appropriate treatment or referrals when indicated. Availability of data
4. Conclusion All demographic characteristics, clinical data, laboratory
test results, and psychometric scales of the patient are
Differentiating PF and its associated cardiac symptoms available in this case report.
from cardiovascular pathologies presents a complex clinical
challenge due to overlapping clinical presentations. Despite References
the limited number of reports on PF – possibly due to the 1. Grace SL, Abbey SE, Irvine J, Shnek ZM, Stewart DE.
misconception that it has minimal impact on patients or is Prospective examination of anxiety persistence and its
inherently difficult to diagnose – it is evident from this case relationship to cardiac symptoms and recurrent cardiac
that somatic complaints associated with PF are significant events. Psychother Psychosom. 2004;73(6):344-352.
and should not be overlooked. Consequently, timely and doi: 10.1159/000080387
appropriate treatment for patients suspected of having PF
is imperative. 2. Krittanawong C, Maitra NS, Qadeer YK, et al. Association
of depression and cardiovascular disease. Am J Med.
Healthcare providers should implement a timely 2023;136(9):881-895.
screening protocol that incorporates psychometric scales doi: 10.1016/j.amjmed.2023.04.036
and psycho-physiological assessments. Our case offers
valuable insights into the suspicion of PF and outlines the 3. Emdin CA, Odutayo A, Wong CX, Tran J, Hsiao AJ,
diagnostic procedures for identifying underlying mental Hunn BH. Meta-analysis of anxiety as a risk factor for
disorders. When appropriate, psychosomatic therapy cardiovascular disease. Am J Cardiol. 2016;118(4):511-519.
should be offered to address the underlying stress and doi: 10.1016/j.amjcard.2016.05.041
improve the patient’s clinical presentation. 4. Song WX, Tan L, Li HL, Huang GP, He Q, An S. A survey of
the prevalence of depression and anxiety disorders among
Acknowledgments patient attendees with cardiovascular disease in primary
The author would like to thank Dr. Gao from the hospitals. J Chongqing Med Univ. 2012;37(10):911-913.
Department of Rehabilitation at Peking Union Medical doi: 10.3969/j.issn.0253-3626.2012.10.018
College Hospital for providing the clinical data.
5. Benjenk I, Chen J. Effective mental health interventions
Funding to reduce hospital readmission rates: A systematic review.
J Hosp Manag Health Policy. 2018;2:45.
None.
doi: 10.21037/jhmhp.2018.08.05.
Conflict of interest 6. Meuret AE, Tunnell N, Roque A. Anxiety disorders and
medical comorbidity: Treatment implications. Adv Exp Med
The authors declare that they have no competing interests. Biol. 2020;1191:237-261.
Author contributions doi: 10.1007/978-981-32-9705-0_15

Conceptualization: Rongjing Ding 7. PSYCHOGENIC fever. Br Med J. 1959;1(5136):1517-1518.
Investigation: Rong Chen 8. Moltz H. Fever: Causes and consequences. Neurosci
Writing – original draft: Rong Chen Biobehav Rev. 1993;17(3):237-269.
Writing – review & editing: Rongjing Ding doi: 10.1016/s0149-7634(05)80009-0

Ethics approval and consent to participate 9. Olivier B. Psychogenic fever, functional fever, or psychogenic
hyperthermia? Temperature (Austin). 2015;2(3):324-325.
The patient’s consent was obtained to use his clinical data
and psychological assessment results before participation doi: 10.1080/23328940.2015.1071701
in the study. 10. Ishizaki Y, Yanagimoto Y, Fujii Y, Yamamoto M, Kaneko K.

Volume 3 Issue 3 (2025) 110 doi: 10.36922/jcbp.4864