Case report: Cerebrotendinous Xanthomatosis masquerading as adult ADHD in psychiatric practice.

ABSTRACT:

Introduction

This case report details the presentation of a patient who initially sought consultation at a psychiatric outpatient clinic with symptoms suggestive of Attention-Deficit/Hyperactivity Disorder (ADHD); however, further evaluation revealed a diagnosis of Cerebrotendinous Xanthomatosis (CTX). CTX, a genetic disorder impacting lipid metabolism, is often overlooked in differential diagnoses due to its rarity. This case underscores the importance of considering alternative diagnoses in adults exhibiting ADHD-like symptoms without a childhood history of the disorder, adding to the literature on diagnostic complexities in psychiatric practice.

Case presentation

A 33-year-old man visited a psychiatric outpatient clinic with symptoms such as increasing distractibility and

SUBMITTER: Kim J 

PROVIDER: S-EPMC11832511 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature