Psychosis Crisis Associated with Thyrotoxicosis due to Graves’ Disease
We present the case of a patient with previous psychiatric illness, acutely exacerbated by thyroid storm due to Graves’ disease, in whom treatment with antipsychotics induced catatonia. These associations are extremely rare and may be confused with Hashimoto’s encephalopathy, especially in the prese...
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Format: | Article |
Language: | English |
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Wiley
2017-01-01
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Series: | Case Reports in Psychiatry |
Online Access: | http://dx.doi.org/10.1155/2017/6803682 |
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author | Lilibet Urias-Uribe Emmanuel Valdez-Solis Claudia González-Milán Claudia Ramírez-Rentería Aldo Ferreira-Hermosillo |
author_facet | Lilibet Urias-Uribe Emmanuel Valdez-Solis Claudia González-Milán Claudia Ramírez-Rentería Aldo Ferreira-Hermosillo |
author_sort | Lilibet Urias-Uribe |
collection | DOAJ |
description | We present the case of a patient with previous psychiatric illness, acutely exacerbated by thyroid storm due to Graves’ disease, in whom treatment with antipsychotics induced catatonia. These associations are extremely rare and may be confused with Hashimoto’s encephalopathy, especially in the presence of anti-thyroid antibodies in cerebrospinal fluid. The treatment consists in the control of the triggering disease (in this case the resolution of the thyrotoxicosis) and the use of benzodiazepines. However, in some cases, the resolution of psychiatric symptoms is partial and may require the use of electroconvulsive therapy. |
format | Article |
id | doaj-art-15f2c5358fb34a588083c4a344754b63 |
institution | Kabale University |
issn | 2090-682X 2090-6838 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Psychiatry |
spelling | doaj-art-15f2c5358fb34a588083c4a344754b632025-02-03T06:01:29ZengWileyCase Reports in Psychiatry2090-682X2090-68382017-01-01201710.1155/2017/68036826803682Psychosis Crisis Associated with Thyrotoxicosis due to Graves’ DiseaseLilibet Urias-Uribe0Emmanuel Valdez-Solis1Claudia González-Milán2Claudia Ramírez-Rentería3Aldo Ferreira-Hermosillo4Endocrinology Service, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, MexicoEndocrinology Service, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, MexicoEndocrinology Service, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, MexicoExperimental Endocrinology Investigation Unit, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, MexicoExperimental Endocrinology Investigation Unit, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, MexicoWe present the case of a patient with previous psychiatric illness, acutely exacerbated by thyroid storm due to Graves’ disease, in whom treatment with antipsychotics induced catatonia. These associations are extremely rare and may be confused with Hashimoto’s encephalopathy, especially in the presence of anti-thyroid antibodies in cerebrospinal fluid. The treatment consists in the control of the triggering disease (in this case the resolution of the thyrotoxicosis) and the use of benzodiazepines. However, in some cases, the resolution of psychiatric symptoms is partial and may require the use of electroconvulsive therapy.http://dx.doi.org/10.1155/2017/6803682 |
spellingShingle | Lilibet Urias-Uribe Emmanuel Valdez-Solis Claudia González-Milán Claudia Ramírez-Rentería Aldo Ferreira-Hermosillo Psychosis Crisis Associated with Thyrotoxicosis due to Graves’ Disease Case Reports in Psychiatry |
title | Psychosis Crisis Associated with Thyrotoxicosis due to Graves’ Disease |
title_full | Psychosis Crisis Associated with Thyrotoxicosis due to Graves’ Disease |
title_fullStr | Psychosis Crisis Associated with Thyrotoxicosis due to Graves’ Disease |
title_full_unstemmed | Psychosis Crisis Associated with Thyrotoxicosis due to Graves’ Disease |
title_short | Psychosis Crisis Associated with Thyrotoxicosis due to Graves’ Disease |
title_sort | psychosis crisis associated with thyrotoxicosis due to graves disease |
url | http://dx.doi.org/10.1155/2017/6803682 |
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