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These patients (dysphoric manic patients) were very similar to patients with ICD\u201010 mixed episode in terms of current symptomatic presentations and several clinical and therapeutic variables, which were significantly different from those in patients with pure mania.<\/jats:p><jats:p> <jats:bold>Conclusion:<\/jats:bold>\u2002The ICD\u201010 boundary between mixed and manic episodes is unlikely to be effective although experienced clinicians made the diagnoses. 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