Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt in the Setting of Thyroid Storm
We present a case of new onset psychosis in the setting of thyroid storm in a woman with no previous psychiatric history. The patient presented with ongoing suicidal ideation, a suicide attempt that was interrupted by her husband, and audio and visual hallucinations. The patient was placed on a psyc...
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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/10.1155/2017/7402923 |
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| author | Esteban Cota Jacob Lentz |
| author_facet | Esteban Cota Jacob Lentz |
| author_sort | Esteban Cota |
| collection | DOAJ |
| description | We present a case of new onset psychosis in the setting of thyroid storm in a woman with no previous psychiatric history. The patient presented with ongoing suicidal ideation, a suicide attempt that was interrupted by her husband, and audio and visual hallucinations. The patient was placed on a psychiatric hold and treated for thyrotoxicosis as well as psychosis. Treatment of the thyroid hormone overload resulted in a rapid resolution of her symptoms; she was discharged in excellent condition, and she has had no repeat hallucinations or self-injury ideation or attempts since. Although rare, thyrotoxicosis is a potentially life-threatening cause of psychiatric illness and should always be kept on the differential diagnosis for a patient with a first episode of psychosis. This case highlights how thyroid storm physiology, beyond its well-studied hemodynamic and metabolic instability, can be potentially fatal due to psychiatric sequelae. It also highlights the crucial role of a thorough history and physical exam in all patients. |
| format | Article |
| id | doaj-art-919568e5091c48d086eb10f03bf8792a |
| 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-919568e5091c48d086eb10f03bf8792a2025-02-03T06:44:16ZengWileyCase Reports in Psychiatry2090-682X2090-68382017-01-01201710.1155/2017/74029237402923Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt in the Setting of Thyroid StormEsteban Cota0Jacob Lentz1David Geffen School of Medicine at UCLA, 10833 Le Conte Ave, Los Angeles, CA 90095, USAUCLA Medical Center, 757 Westwood Blvd, Los Angeles, CA 90095, USAWe present a case of new onset psychosis in the setting of thyroid storm in a woman with no previous psychiatric history. The patient presented with ongoing suicidal ideation, a suicide attempt that was interrupted by her husband, and audio and visual hallucinations. The patient was placed on a psychiatric hold and treated for thyrotoxicosis as well as psychosis. Treatment of the thyroid hormone overload resulted in a rapid resolution of her symptoms; she was discharged in excellent condition, and she has had no repeat hallucinations or self-injury ideation or attempts since. Although rare, thyrotoxicosis is a potentially life-threatening cause of psychiatric illness and should always be kept on the differential diagnosis for a patient with a first episode of psychosis. This case highlights how thyroid storm physiology, beyond its well-studied hemodynamic and metabolic instability, can be potentially fatal due to psychiatric sequelae. It also highlights the crucial role of a thorough history and physical exam in all patients.http://dx.doi.org/10.1155/2017/7402923 |
| spellingShingle | Esteban Cota Jacob Lentz Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt in the Setting of Thyroid Storm Case Reports in Psychiatry |
| title | Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt in the Setting of Thyroid Storm |
| title_full | Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt in the Setting of Thyroid Storm |
| title_fullStr | Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt in the Setting of Thyroid Storm |
| title_full_unstemmed | Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt in the Setting of Thyroid Storm |
| title_short | Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt in the Setting of Thyroid Storm |
| title_sort | gland new psychosis new onset adult psychosis with suicidal ideation and attempt in the setting of thyroid storm |
| url | http://dx.doi.org/10.1155/2017/7402923 |
| work_keys_str_mv | AT estebancota glandnewpsychosisnewonsetadultpsychosiswithsuicidalideationandattemptinthesettingofthyroidstorm AT jacoblentz glandnewpsychosisnewonsetadultpsychosiswithsuicidalideationandattemptinthesettingofthyroidstorm |