We confirmed the diagnosis of multiple sclerosis in a 54-year-old man.
The patient rejected this diagnosis and was completely convinced that
all his symptoms resulted from a chronic mercury intoxication. We fou
nd evidence that this delusional disorder was an independent illness,
and not a ''symptomatic psychosis in multiple sclerosis.'' So far, lit
tle notice has been taken ill psychiatry of delusions of environmental
poisoning, which cause difficulties in applying common criteria of de
lusion.