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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...

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Autores principales: Geng, Wenqi, Cui, Lijia, Li, Tao, Liu, Xueqing, Yao, Yong, Hong, Xia, Zhu, Huijuan, Lu, Lin, Wei, Jing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
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.
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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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