Parathyroid Paranoia: Unveiling Psychosis in Hyperparathyroidism
Primary hyperparathyroidism (PHPT) and subsequent hypercalcemia have been reported to be associated with psychosis. Here we report the case of a 28-year-old cannabis using male with his first contact with psychiatric care because of mood instability, bizarre behavior, and poor ability to carry out a...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2024/8126125 |
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| author | Rachael J. Murphy Subin Paul Ralph Primelo |
| author_facet | Rachael J. Murphy Subin Paul Ralph Primelo |
| author_sort | Rachael J. Murphy |
| collection | DOAJ |
| description | Primary hyperparathyroidism (PHPT) and subsequent hypercalcemia have been reported to be associated with psychosis. Here we report the case of a 28-year-old cannabis using male with his first contact with psychiatric care because of mood instability, bizarre behavior, and poor ability to carry out activities of daily living. Hypercalcemia was identified, and a subsequent endocrine workup confirmed PHPT. After parathyroidectomy, there was no longer any need for antipsychotic or other psychotropic medications; the report emphasizes the importance of considering organic causes, such as hyperparathyroidism, in patients presenting with psychotic-like symptoms, including in the setting of substance use disorder. Prompt recognition and appropriate management of the underlying condition are crucial for optimizing patient outcomes. |
| format | Article |
| id | doaj-art-00a41e39ba314fc08fad71ccb9881bd4 |
| institution | Kabale University |
| issn | 2090-6838 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-00a41e39ba314fc08fad71ccb9881bd42025-02-03T07:23:44ZengWileyCase Reports in Psychiatry2090-68382024-01-01202410.1155/2024/8126125Parathyroid Paranoia: Unveiling Psychosis in HyperparathyroidismRachael J. Murphy0Subin Paul1Ralph Primelo2Department of PsychiatryMorsani College of MedicineDepartment of PsychiatryPrimary hyperparathyroidism (PHPT) and subsequent hypercalcemia have been reported to be associated with psychosis. Here we report the case of a 28-year-old cannabis using male with his first contact with psychiatric care because of mood instability, bizarre behavior, and poor ability to carry out activities of daily living. Hypercalcemia was identified, and a subsequent endocrine workup confirmed PHPT. After parathyroidectomy, there was no longer any need for antipsychotic or other psychotropic medications; the report emphasizes the importance of considering organic causes, such as hyperparathyroidism, in patients presenting with psychotic-like symptoms, including in the setting of substance use disorder. Prompt recognition and appropriate management of the underlying condition are crucial for optimizing patient outcomes.http://dx.doi.org/10.1155/2024/8126125 |
| spellingShingle | Rachael J. Murphy Subin Paul Ralph Primelo Parathyroid Paranoia: Unveiling Psychosis in Hyperparathyroidism Case Reports in Psychiatry |
| title | Parathyroid Paranoia: Unveiling Psychosis in Hyperparathyroidism |
| title_full | Parathyroid Paranoia: Unveiling Psychosis in Hyperparathyroidism |
| title_fullStr | Parathyroid Paranoia: Unveiling Psychosis in Hyperparathyroidism |
| title_full_unstemmed | Parathyroid Paranoia: Unveiling Psychosis in Hyperparathyroidism |
| title_short | Parathyroid Paranoia: Unveiling Psychosis in Hyperparathyroidism |
| title_sort | parathyroid paranoia unveiling psychosis in hyperparathyroidism |
| url | http://dx.doi.org/10.1155/2024/8126125 |
| work_keys_str_mv | AT rachaeljmurphy parathyroidparanoiaunveilingpsychosisinhyperparathyroidism AT subinpaul parathyroidparanoiaunveilingpsychosisinhyperparathyroidism AT ralphprimelo parathyroidparanoiaunveilingpsychosisinhyperparathyroidism |