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How many episodes of this boy suffers from crystallization are there? 

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Many episodes were characterized only by psychotropic drug fills, suggesting inadequate medication guidance.
However, the early age at onset and severity suggest that this man suffers from hyperphosphatasemia, a different and distinct condition.
This lesion may be misdiagnosed or ignored in the young boy.
These data suggest that initial or early episodes of schizophrenic illness are more likely to be associated with recent life events than are later episodes.
The depression in these patients may not be adequately treated, and there are potential clinical implications of over-diagnosis of manic episodes in adolescents.

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