TY - JOUR
T1 - Psychiatric presentation of Hashimoto's encephalopathy
AU - Arrojo, Manuel
AU - Perez-Rodriguez, Maria M.
AU - Mota, Márcia
AU - Moreira, Ricardo
AU - Azevedo, Ana
AU - Oliveira, Ana
AU - Abreu, Pedro
AU - Marques, Paula
AU - Silva, Alzira
AU - Pereira, Jorge G.
AU - Palha, A. Pacheco
AU - Baca-Garcia, Enrique
PY - 2007
Y1 - 2007
N2 - INTRODUCTION: Hashimoto's encephalopathy is an unusual condition that is associated with Hashimoto's thyroiditis. Myoclonus, epileptic seizures, dementia, and disturbances of consciousness are the most common features. CASE REPORT: We present an atypical case of Hashimoto's encephalopathy in a 33-year-old woman who presented with several brief and acute psychotic episodes. After treatment with steroids, there was an improvement in the patient's psychiatric symptoms and electroencephalogram, and antithyroglobulin antibody titers returned to normal levels. CONCLUSIONS: It is our opinion that Hashimoto's encephalopathy should be considered in the differential diagnosis of atypical psychosis, especially because this is a treatable syndrome. This is particularly important in patients with a previous history of thyroid disease, despite current normal thyroid function.
AB - INTRODUCTION: Hashimoto's encephalopathy is an unusual condition that is associated with Hashimoto's thyroiditis. Myoclonus, epileptic seizures, dementia, and disturbances of consciousness are the most common features. CASE REPORT: We present an atypical case of Hashimoto's encephalopathy in a 33-year-old woman who presented with several brief and acute psychotic episodes. After treatment with steroids, there was an improvement in the patient's psychiatric symptoms and electroencephalogram, and antithyroglobulin antibody titers returned to normal levels. CONCLUSIONS: It is our opinion that Hashimoto's encephalopathy should be considered in the differential diagnosis of atypical psychosis, especially because this is a treatable syndrome. This is particularly important in patients with a previous history of thyroid disease, despite current normal thyroid function.
KW - Encephalopathy
KW - Hashimoto's disease
KW - Psychiatric symptoms
KW - Single-photon emission-computed tomography
UR - http://www.scopus.com/inward/record.url?scp=33847753068&partnerID=8YFLogxK
U2 - 10.1097/PSY.0b013e31803174c0
DO - 10.1097/PSY.0b013e31803174c0
M3 - Article
C2 - 17327214
AN - SCOPUS:33847753068
VL - 69
SP - 200
EP - 201
JO - Psychosomatic Medicine
JF - Psychosomatic Medicine
SN - 0033-3174
IS - 2
ER -