Recurrent blood-spitting as a somatic presentation of pediatric functional neurological disorder: a case report
By
Tu DH
Huong NM
Anh LN
Vinh NA
May 13, 2026
Clinical Scorecard: Recurrent Hemoptysis as a Somatic Manifestation of Functional Neurological Disorder in Pediatrics: A Case Study
At a Glance
Category Detail
Condition Recurrent Hemoptysis as a manifestation of Functional Neurological Disorder (FND) Key Mechanisms Psychosocial stressors and emotion dysregulation Target Population Pediatric patients, specifically children experiencing psychosocial stress Care Setting Multidisciplinary clinical evaluation and management
Key Highlights
Recurrent blood-spitting in a 10-year-old boy with no identifiable organic cause. Episodes correlated with psychosocial stress, including parental conflict and school anxiety. Diagnosis of FND made after exclusion of organic causes. Multidisciplinary treatment led to rapid clinical improvement. Importance of early recognition of functional etiology to avoid unnecessary investigations. Guideline-Based Recommendations
Diagnosis
Utilize DSM-5-TR criteria for diagnosing Functional Neurological Disorder. Conduct comprehensive evaluations to exclude organic causes. Management
Implement a multidisciplinary approach including cognitive behavioral therapy, family therapy, and pharmacological management. Monitoring & Follow-up
Regular follow-up to assess symptom recurrence and emotional well-being. Risks
Potential for unnecessary invasive investigations if functional etiology is not recognized early. Patient & Prescribing Data
Children with recurrent hemoptysis and no identifiable organic cause.
Combination of psychological and family-focused interventions can lead to significant symptom remission.
Clinical Best Practices
Early identification of psychosocial stressors contributing to symptoms. Avoidance of invasive procedures in cases where functional causes are suspected. Engagement of family in the treatment process to address underlying dynamics. Related Resources & Content
