Various sub-classifications of folie à deux have been proposed to describe how the delusional belief comes to be held by more than one person:
Folie imposée
Where a dominant person (known as the primary, inducer, or principal) initially forms a delusional belief during a psychotic episode and imposes it on another person or persons (the secondary, acceptor, or associate) with the assumption that the secondary person might not have become deluded if left to his or her own devices. If the parties are admitted to hospital separately, then the delusions in the person with the induced beliefs usually resolve without the need of medication. Folie simultanée
Either the situation where two people considered to independently experience psychosis influence the content of each others delusions so they become identical or strikingly similar, or one in which two people "morbidly predisposed" to delusional psychosis mutually trigger symptoms in each other.Folie à deux and its more populous derivatives are psychiatric curiosities. The current Diagnostic and Statistical Manual of Mental Disorders states that a person cannot be diagnosed as being delusional if the belief in question is one "ordinarily accepted by other members of the persons culture or subculture." It is not clear at what point a belief considered to be delusional escapes from the folie à... diagnostic category and becomes legitimate because of the number of people holding it.
Angiomatosis is a non-neoplastic condition characterised by nests of proliferating capillaries arranged in a lobular pattern, displacing adjacent muscle and fat. It consists of many angiomas.These tend to be cavernous hemangiomas, which are sharply defined, sponge-like tumors composed of large, dilated, cavernous vascular spaces. Presentation
Associated
They often appear in:

Von Hippel–Lindau disease: It can be associated with Von Hippel–Lindau disease and is a rare genetic multi-system disorder characterized by the abnormal growth of tumours in the body. Symptoms may include headaches, problems with balance and walking, dizziness, weakness of the limbs, vision problems and high blood pressure. Bacillary angiomatosis
Klippel–Trénaunay syndrome
Sturge–Weber syndrome

Histology
It is a vascular malformation wherein blood vessels proliferate along with accompanying mature fat and fibrous tissue, lymphatics and sometimes nerves. They may involve skin, subcutaneous tissue, skeletal muscle and occasionally bone. Prognosis
Prognosis depends on the size and location of the tumour, untreated angiomatosis may lead to blindness and/ or permanent brain damage. Death may occur, with complications in the kidney or brain. See also
Angioma
Hemangioma
List of skin conditions

References


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