Acute Psychosis in the Setting of Severe Hypothyroidism

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• 作者：F. AmdouniI^a ; Y. Abid^a ; M. Ben Khedher^a ; R. Ghachem^a
• 刊名：European Psychiatry
• 出版年：2015
• 出版时间：28-31 March 2015
• 年：2015
• 卷：30
• 期：supp_S1
• 页码：1270
• 全文大小：73 K

文摘

the relationship between hypothyroidism and mood disorder espacially depressive disorder is well described. However, there are few studies reporting psychotic symptoms (such as delusions, auditory or/and visual hallucination) in the setting of thyroid hormone defeciency.

Objectives

this study highlights psychosis as a possible presenting symptom in hypothyroidism.

Methods

case report and review

Results

we report the case of a female patient aged 36 years old with no family or personal psychiatric history, who presented with delusion, depressive disorder and auditory hallucination . the CT scan was without abnormality . the thyroid screening finds a severe hypothyroidism after 3 months of radiotherapy witn Iodine131 [FT4 = 2.49 ρmol/l, TSH 135.28 μUI/ml]

Conclusion

psychotic symptoms are an uncommun presentation of hypothyroidism and treatement choices are contreversial.