Psychosis as the sole presenting feature of hyperthyroidism: a case report

Authors

  • Vinay Tuteja Department of Medicine, SMS Medical College, Jaipur, Rajasthan, India
  • C. L. Nawal Department of Medicine, SMS Medical College, Jaipur, Rajasthan, India
  • Aradhana Singh Department of Medicine, SMS Medical College, Jaipur, Rajasthan, India
  • R. S. Chejara Department of Medicine, SMS Medical College, Jaipur, Rajasthan, India
  • Rajbeer Singh Department of Medicine, SMS Medical College, Jaipur, Rajasthan, India
  • Siddharth Chouhan Department of Medicine, SMS Medical College, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20184448

Keywords:

Hyperthyroidism, Psychosis, Thyrotoxicosis

Abstract

Thyroid disease is a very common entity with a wide range of presentation, We report a case of twenty six year old female presented to emergency room with frank psychosis over the course of her stay in hospital we investigated thoroughly and finally she turned out to be a case of hyperthyroidism with psychosis as the only presenting symptom and after starting her on carbimazole patient responded to the treatment remarkably.

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References

Chong JY, Rowland LP, Utiger RD. Hashimoto encephalopathy: syndrome or myth?. Archives of Neurol. 2003 Feb 1;60(2):164-71.

Brownlie BE, Rae AM, Walshe JW, Wells JE. Psychoses associated with thyrotoxicosis-'thyrotoxic psychosis.'A report of 18 cases, with statistical analysis of incidence. Euro J Endocrinol. 2000 May 1;142(5):438-44.

Brandt F, Thvilum M, Almind D, Christensen K, Green A, Hegedüs L, et al. Hyperthyroidism and psychiatric morbidity: evidence from a Danish nationwide register study. Euro J Endocrinol. 2014 Feb 1;170(2):341-8.

Gagliardi JP, Clary GL. Treatment of thyrotoxicosis induced psychosis. psychopharmacology. Bulletin. 2002;36:7-13.

Pearce EN, Farwell AP, Braverman LE. Thyroiditis. N Engl J Med. 2003;349(6):620.

Silva JE, Bianco SD. Thyroid-adrenergic interactions: physiological and clinical implications. Thyroid. 2008;18(2):157-65.

El-Kaissi S, Kotowicz MA, Berk M, Wall JR. Acute delirium in the setting of primary hypothyroidism: the role of thyroid hormone replacement therapy. Thyroid. 2005 Sep 1;15(9):1099-101.

Lee CS, Hutto B. Recognizing thyrotoxicosis in a patient with bipolar mania: a case report. Annals Gen Psy. 2008 Dec;7(1):3.

Graus F, Titulaer MJ, Balu R, Benseler S, Bien CG, Cellucci T, et al. A clinical approach to diagnosis of autoimmune encephalitis. The Lancet Neurology. 2016 Apr 1;15(4):391-404.

Keshavan MS, Kaneko Y. Secondary psychoses: an update. World Psychiatry. 2013 Feb;12(1):4-15.

Ferracci F, Carnevale A. The neurological disorder associated with thyroid autoimmunity. J Neurol. 2006 Aug 1;253(8):975-84.

Glinoer D, Hesch D, Lagasse R, Laurberg P. The management of hyperthyroidism due to Graves' disease in Europe in 1986: Results of an international survey. Acta Endocrinol. 1987 Dec 1;116(4 Suppl):S6-23.

Solomon B, Glinoer D, Lagasse R, Wartofsky L. Current trends in the management of Graves' disease. J Clin Endocrinol Meta. 1990;70(6):1518-24.

Wartofsky L, Glinoer D, Solomon B, Nagataki S, Lagasse R, Nagayama Y, Izumi M. Differences and similarities in the diagnosis and treatment of Graves' disease in Europe, Japan, and the United States. Thyroid. 1991;1(2):129-35.

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Published

2018-10-25

How to Cite

Tuteja, V., Nawal, C. L., Singh, A., Chejara, R. S., Singh, R., & Chouhan, S. (2018). Psychosis as the sole presenting feature of hyperthyroidism: a case report. International Journal of Research in Medical Sciences, 6(11), 3773–3775. https://doi.org/10.18203/2320-6012.ijrms20184448

Issue

Section

Case Reports