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Acute Psychosis in the Setting of Severe Hypothyroidism

Published online by Cambridge University Press:  15 April 2020

F. AmdouniI ,
Y. Abid ,
M. Ben Khedher  and
R. Ghachem
F. AmdouniI
Affiliation:
pinel, razi hospital, mannouba, Tunisia
Y. Abid
Affiliation:
pinel, razi hospital, mannouba, Tunisia
M. Ben Khedher
Affiliation:
pinel, razi hospital, mannouba, Tunisia
R. Ghachem
Affiliation:
pinel, razi hospital, mannouba, Tunisia

Abstract

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Introduction

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.

Type
Article: 1270
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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