Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency
We describe a case of severe psychotic disorder as the only manifestation of primary adrenal insufficiency. A 63-year-old man presented with psychotic symptoms without any prior psychiatric history. During the clinical and laboratorial investigation, exams revealed a normovolemic hyponatremia. The p...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2015/512430 |
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| author | Julia de Lima Farah Carolina Villar Lauand Lucas Chequi Enrico Fortunato Felipe Pasqualino Luis Henrique Bignotto Rafael Loch Batista Ivan Aprahamian |
| author_facet | Julia de Lima Farah Carolina Villar Lauand Lucas Chequi Enrico Fortunato Felipe Pasqualino Luis Henrique Bignotto Rafael Loch Batista Ivan Aprahamian |
| author_sort | Julia de Lima Farah |
| collection | DOAJ |
| description | We describe a case of severe psychotic disorder as the only manifestation of primary adrenal insufficiency. A 63-year-old man presented with psychotic symptoms without any prior psychiatric history. During the clinical and laboratorial investigation, exams revealed a normovolemic hyponatremia. The patient showed no other clinical signs or symptoms compatible with adrenal insufficiency but displayed very high ACTH and low serum cortisol concentrations. Brain magnetic resonance imaging showed no significant changes, including the pituitary gland. The patient was initially treated with intravenous corticosteroids, resulting in rapid remission of the psychotic symptoms. The association between adrenal insufficiency and neuropsychiatric symptoms is rare but these symptoms can often be the first clinical presentation of the disease. |
| format | Article |
| id | doaj-art-24d860eb4a07488e97958c095383b13d |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-24d860eb4a07488e97958c095383b13d2025-02-03T05:53:00ZengWileyCase Reports in Psychiatry2090-682X2090-68382015-01-01201510.1155/2015/512430512430Severe Psychotic Disorder as the Main Manifestation of Adrenal InsufficiencyJulia de Lima Farah0Carolina Villar Lauand1Lucas Chequi2Enrico Fortunato3Felipe Pasqualino4Luis Henrique Bignotto5Rafael Loch Batista6Ivan Aprahamian7Department of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, BrazilDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, BrazilDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, BrazilDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, BrazilDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, BrazilDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (USP), Institute of Psychiatry, Dr. Ovidio Pires de Campos, 785-1 Andar, Ala Sul, Sala Chefias Médicas, 05403-010 São Paulo, SP, BrazilDepartment of Internal Medicine, Faculty of Medicine of Jundiaí, Jundiaí, BrazilWe describe a case of severe psychotic disorder as the only manifestation of primary adrenal insufficiency. A 63-year-old man presented with psychotic symptoms without any prior psychiatric history. During the clinical and laboratorial investigation, exams revealed a normovolemic hyponatremia. The patient showed no other clinical signs or symptoms compatible with adrenal insufficiency but displayed very high ACTH and low serum cortisol concentrations. Brain magnetic resonance imaging showed no significant changes, including the pituitary gland. The patient was initially treated with intravenous corticosteroids, resulting in rapid remission of the psychotic symptoms. The association between adrenal insufficiency and neuropsychiatric symptoms is rare but these symptoms can often be the first clinical presentation of the disease.http://dx.doi.org/10.1155/2015/512430 |
| spellingShingle | Julia de Lima Farah Carolina Villar Lauand Lucas Chequi Enrico Fortunato Felipe Pasqualino Luis Henrique Bignotto Rafael Loch Batista Ivan Aprahamian Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency Case Reports in Psychiatry |
| title | Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency |
| title_full | Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency |
| title_fullStr | Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency |
| title_full_unstemmed | Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency |
| title_short | Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency |
| title_sort | severe psychotic disorder as the main manifestation of adrenal insufficiency |
| url | http://dx.doi.org/10.1155/2015/512430 |
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