例1 女,14岁。第一胎(同性双胞胎)。5岁开始两上肢皮肤干燥多屑呈灰褐色不易洗脱,冬季尤甚。至10岁时皮屑渐延及四肢、躯干,皮肤科诊断鱼鳞癣。2年前开始失眠、恐惧,常闭门不敢外出。半年后常无故发怒、兴奋多语、冲动毁物,持刀追杀父母、哭笑无常,认为有人欲杀她或命令 Example 1 Female, 14 years old. The first child (same-sex twins). At the age of 5, both upper extremities dry skin and more debris was gray brown difficult to elute, particularly in winter. To 10 years old dandruff and limbs, torso, dermatology diagnosis ichthyosis. 2 years ago started insomnia, fear, often afraid to go out the door. Six months after no reason angry, excited multi-language, impulsive destruction, knife to kill parents, dumbfounding, that someone wanted to kill her or ordered