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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Main Authors: Lilibet Urias-Uribe, Emmanuel Valdez-Solis, Claudia González-Milán, Claudia Ramírez-Rentería, Aldo Ferreira-Hermosillo
Format: Article
Language:English
Published: Wiley 2017-01-01
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.
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institution Kabale University
issn 2090-682X
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language English
publishDate 2017-01-01
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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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