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Misdiagnosed psychiatric manifestations in a rare disease: a case report of secondary anxiety syndrome in Cushing’s disease
Diagnosing and treating secondary psychiatric symptoms with accuracy can be challenging in clinical settings. In this case study, we report on a female patient with Cushing’s disease who was misdiagnosed with anxiety disorder during her first psychiatric visit. Following initial ineffective psychiat...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10174326/ https://www.ncbi.nlm.nih.gov/pubmed/37181909 http://dx.doi.org/10.3389/fpsyt.2023.1190899 |
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author | Geng, Wenqi Cui, Lijia Li, Tao Liu, Xueqing Yao, Yong Hong, Xia Zhu, Huijuan Lu, Lin Wei, Jing |
author_facet | Geng, Wenqi Cui, Lijia Li, Tao Liu, Xueqing Yao, Yong Hong, Xia Zhu, Huijuan Lu, Lin Wei, Jing |
author_sort | Geng, Wenqi |
collection | PubMed |
description | Diagnosing and treating secondary psychiatric symptoms with accuracy can be challenging in clinical settings. In this case study, we report on a female patient with Cushing’s disease who was misdiagnosed with anxiety disorder during her first psychiatric visit. Following initial ineffective psychiatric intervention, unexplained hypokalemia, and hypothyroidism, the patient visited the endocrinology clinic and was diagnosed with Cushing’s disease. During the medical and surgical procedures that followed, high doses of psychotropic medication were continued to treat persisting anxiety. After discharge, the patient developed autonomic dysfunction and impaired consciousness. Upon readmission, serotonin syndrome due to inappropriate psychiatric medication was diagnosed. The management of secondary psychiatric syndromes must be adapted to changes in the patient’s primary condition, which necessitates interdisciplinary collaboration in general hospital settings. |
format | Online Article Text |
id | pubmed-10174326 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101743262023-05-12 Misdiagnosed psychiatric manifestations in a rare disease: a case report of secondary anxiety syndrome in Cushing’s disease Geng, Wenqi Cui, Lijia Li, Tao Liu, Xueqing Yao, Yong Hong, Xia Zhu, Huijuan Lu, Lin Wei, Jing Front Psychiatry Psychiatry Diagnosing and treating secondary psychiatric symptoms with accuracy can be challenging in clinical settings. In this case study, we report on a female patient with Cushing’s disease who was misdiagnosed with anxiety disorder during her first psychiatric visit. Following initial ineffective psychiatric intervention, unexplained hypokalemia, and hypothyroidism, the patient visited the endocrinology clinic and was diagnosed with Cushing’s disease. During the medical and surgical procedures that followed, high doses of psychotropic medication were continued to treat persisting anxiety. After discharge, the patient developed autonomic dysfunction and impaired consciousness. Upon readmission, serotonin syndrome due to inappropriate psychiatric medication was diagnosed. The management of secondary psychiatric syndromes must be adapted to changes in the patient’s primary condition, which necessitates interdisciplinary collaboration in general hospital settings. Frontiers Media S.A. 2023-04-27 /pmc/articles/PMC10174326/ /pubmed/37181909 http://dx.doi.org/10.3389/fpsyt.2023.1190899 Text en Copyright © 2023 Geng, Cui, Li, Liu, Yao, Hong, Zhu, Lu and Wei. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Geng, Wenqi Cui, Lijia Li, Tao Liu, Xueqing Yao, Yong Hong, Xia Zhu, Huijuan Lu, Lin Wei, Jing Misdiagnosed psychiatric manifestations in a rare disease: a case report of secondary anxiety syndrome in Cushing’s disease |
title | Misdiagnosed psychiatric manifestations in a rare disease: a case report of secondary anxiety syndrome in Cushing’s disease |
title_full | Misdiagnosed psychiatric manifestations in a rare disease: a case report of secondary anxiety syndrome in Cushing’s disease |
title_fullStr | Misdiagnosed psychiatric manifestations in a rare disease: a case report of secondary anxiety syndrome in Cushing’s disease |
title_full_unstemmed | Misdiagnosed psychiatric manifestations in a rare disease: a case report of secondary anxiety syndrome in Cushing’s disease |
title_short | Misdiagnosed psychiatric manifestations in a rare disease: a case report of secondary anxiety syndrome in Cushing’s disease |
title_sort | misdiagnosed psychiatric manifestations in a rare disease: a case report of secondary anxiety syndrome in cushing’s disease |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10174326/ https://www.ncbi.nlm.nih.gov/pubmed/37181909 http://dx.doi.org/10.3389/fpsyt.2023.1190899 |
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