Clinical Report: Recurrent Hemoptysis as a Somatic Manifestation of FND in Pediatrics

Overview

This case study presents a 10-year-old boy with recurrent hemoptysis attributed to functional neurological disorder (FND). A multidisciplinary approach led to significant clinical improvement, emphasizing the importance of recognizing functional etiologies in pediatric hemoptysis.

Background

Hemoptysis in children is often linked to identifiable organic causes, but 10-25% of cases remain cryptogenic. Misdiagnosis can lead to unnecessary invasive procedures and prolonged anxiety for caregivers. Understanding the potential for functional neurological disorders to manifest as somatic symptoms is crucial for timely intervention.

Data Highlights

No numerical data or trial data were presented in the article.

Key Findings

• The patient exhibited recurrent blood-spitting with no organic cause identified after extensive evaluation.
• Episodes coincided with psychogenic nonepileptic seizures during periods of psychosocial stress.
• Diagnosis of functional neurological disorder was made according to DSM-5-TR criteria.
• A multidisciplinary treatment approach resulted in rapid clinical improvement.
• At 6-month follow-up, only rare stress-related recurrences were noted.

Clinical Implications

Healthcare professionals should consider functional neurological disorders in pediatric patients presenting with unexplained hemoptysis. Early recognition and a multidisciplinary treatment approach can lead to favorable outcomes and reduce the need for invasive diagnostic procedures.

Conclusion

This case underscores the importance of identifying functional causes of hemoptysis in children to facilitate appropriate management and improve clinical outcomes.

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