ABSTRACT

Erotomanic delusions may be an isolated symptom, primary or pure erotomania, and classified as a delusional disorder according to the DSM-IV.4 Erotomania may  also occur as secondary or symptomatic erotomania as part of more extensive psychopathology in various mental  disorders, such as schizophrenia, mood disorder,  or organic brain disease. It has been described in both heterosexual and homosexual forms, male5 and female.6 Comorbidity with other rare psychotic conditions has been reported, particularly with the delusional misidentification syndromes, including Fregoli’s syndrome.7 More  cases of secondary than primary erotomania have been described, usually in the context of a schizophrenic illness.