Abstract
We describe the diagnosis and management of 47 children with conversion reaction seen during the past 9 years in our outpatient department. Some illustrative cases are reported in detail. The study shows that conversion reactions in children can often be accurately diagnosed by detailed history and physical examination. When the diagnosis was made early and presented with certainty, both parental acceptance and the child's recovery were easier, and the need for expensive and unnecessary diagnostic procedures was eliminated. Immediate intervention by the paediatrician prevented perpetuation of the problem, secondary gains and continuing family stress. Most of the patients recovered after a few days without recurrence. The major role of the paediatrician is emphasized. Co-operation between the patients, parents and the paediatrician is important, as is close follow up.
Conclusion Paediatricians cope successfully with children with conversion reaction with early diagnosis and immediate intervention.
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Received: 23 January 1998 / Accepted in revised form: 29 June 1998
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Zeharia, A., Mukamel, M., Carel, C. et al. Conversion reaction: management by the paediatrician. Eur J Pediatr 158, 160–164 (1999). https://doi.org/10.1007/s004310051039
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DOI: https://doi.org/10.1007/s004310051039