Hyperthyroidism Presenting With Mania and Psychosis: A Case Report.
hyperthyroidism
hyperthyroidism induced mania
hyperthyroidism induced psychosis
mania
psychosis
secondary mania
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
accepted:
17
02
2022
entrez:
23
3
2022
pubmed:
24
3
2022
medline:
24
3
2022
Statut:
epublish
Résumé
Graves' disease accounts for one of the most common causes of thyrotoxicosis. Most patients with Graves' disease present with classic signs and symptoms of hyperthyroidism. Psychosis and mood symptoms secondary to hyperthyroidism are rare. Here we report the case of a 37-year-old male with a history of Graves' disease with poor medication adherence who presented to the emergency department with psychotic features and hyperexcitability. He had excessive agitation, paranoia, and hyperactivity requiring restraints. He also endorsed insomnia and weight loss. He was admitted to the inpatient unit, and laboratory investigations were significant for a low thyroid-stimulating hormone, and elevated T3, T4, thyroid-stimulating antibodies, and thyroid peroxidase antibodies. The initial assessment was a primary psychiatric illness. The patient never had a personal or family history of psychiatric illness. Psychiatry and endocrinology were consulted for further recommendations. The patient was started on methimazole 30 mg, propranolol 100 mg, and hydrocortisone 100 mg, which resolved his symptoms.
Identifiants
pubmed: 35317040
doi: 10.7759/cureus.22322
pmc: PMC8934034
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e22322Informations de copyright
Copyright © 2022, Asif et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Br J Psychiatry. 1968 Nov;114(516):1357-62
pubmed: 4178468
N Engl J Med. ;376(2):184-5
pubmed: 28079342
Acta Psychiatr Scand. 1997 Feb;95(2):161-3
pubmed: 9065682
Cases J. 2009 Aug 10;2:6708
pubmed: 19918536
Med J Armed Forces India. 1994 Jul;50(3):219-220
pubmed: 28790558
J Neurol Sci. 2001 Feb 15;184(1):81-8
pubmed: 11231037
BMJ Case Rep. 2021 Feb 9;14(2):
pubmed: 33563685
Trends Endocrinol Metab. 1997 Sep;8(7):282-7
pubmed: 18406817
Eur J Endocrinol. 2000 May;142(5):438-44
pubmed: 10802519
J Pharm Pract. 2013 Feb;26(1):59-61
pubmed: 22842504