Personality characteristics showed them to tend to be aloff, suspicious, emotionally labile, aggressive, group-dependent, and reality-distorting individuals.
DIOGENES SYNDROME. PROFESSIONAL
Many had led successful professional and business lives, with good family backgrounds and upbringing. Half showed no evidence of psychiatric disorder and possessed higher than average intelligence. The mortality, especially for women, was high (46%) most of the survivors responded well and were discharged. Multiple deficiency states were found-including iron, folate, vitamin B12, vitamin C, calcium and vitamin D, serum proteins and albumin, water, and potassium. An acute presentation with falls or collapse was common, and several physical diagnoses could be made. All were known to the social-services departments and a third had persistently refused offers of help. All except two lived alone, but poverty and poor housing standards were not a serious problem. People suffering from severe forms of compulsive accumulation can present extreme neglect of both personal and domestic hygiene as well as a denial of the. 65 The disorder afflicts the elderly and is quite inappropriately named, as Diogenes deliberately rejected common standards of material comfort, and was anything but a hoarder. Hoarding of rubbish (syllogomania) was sometimes seen. Diogenes's name has been applied to a behavioural disorder characterised by apparently involuntary self-neglect and hoarding. All had dirty, untidy homes and a filthy personal appearance about which they showed no shame. A study of elderly patients (fourteen men, sixteen women) who were admitted to hospital with acute illness and extreme self-neglect revealed common features which might be called Diogenes syndrome.
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