The Delayed Diagnosis of Thyroid Storm in Patients with Psychosis

We herein report two cases of patients with thyroid storm with a delayed diagnosis due to psychosis. The patients were a 63-year-old woman with bipolar II disorder and a 37-year-old man with major depressive disorder. The psychoses in both patients were well controlled with medication. Although they...

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Autores principales: Ishihara, Yuki, Sugawa, Taku, Kaneko, Hiroki, Hiroshima-Hamanaka, Kaho, Amano, Aya, Umakoshi, Hironobu, Tsuiki, Mika, Kusakabe, Toru, Satoh-Asahara, Noriko, Shimatsu, Akira, Tagami, Tetsuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709321/
https://www.ncbi.nlm.nih.gov/pubmed/30996193
http://dx.doi.org/10.2169/internalmedicine.2681-19
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author Ishihara, Yuki
Sugawa, Taku
Kaneko, Hiroki
Hiroshima-Hamanaka, Kaho
Amano, Aya
Umakoshi, Hironobu
Tsuiki, Mika
Kusakabe, Toru
Satoh-Asahara, Noriko
Shimatsu, Akira
Tagami, Tetsuya
author_facet Ishihara, Yuki
Sugawa, Taku
Kaneko, Hiroki
Hiroshima-Hamanaka, Kaho
Amano, Aya
Umakoshi, Hironobu
Tsuiki, Mika
Kusakabe, Toru
Satoh-Asahara, Noriko
Shimatsu, Akira
Tagami, Tetsuya
author_sort Ishihara, Yuki
collection PubMed
description We herein report two cases of patients with thyroid storm with a delayed diagnosis due to psychosis. The patients were a 63-year-old woman with bipolar II disorder and a 37-year-old man with major depressive disorder. The psychoses in both patients were well controlled with medication. Although they both showed symptoms of thyrotoxicosis, the symptoms were ignored, presumably because the psychological manifestations of worsening of psychosis and thyroid storm are similar. When the mental or physical state of patients with psychosis changes, thyroid hormone levels should be measured for early treatment.
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spelling pubmed-67093212019-08-26 The Delayed Diagnosis of Thyroid Storm in Patients with Psychosis Ishihara, Yuki Sugawa, Taku Kaneko, Hiroki Hiroshima-Hamanaka, Kaho Amano, Aya Umakoshi, Hironobu Tsuiki, Mika Kusakabe, Toru Satoh-Asahara, Noriko Shimatsu, Akira Tagami, Tetsuya Intern Med Case Report We herein report two cases of patients with thyroid storm with a delayed diagnosis due to psychosis. The patients were a 63-year-old woman with bipolar II disorder and a 37-year-old man with major depressive disorder. The psychoses in both patients were well controlled with medication. Although they both showed symptoms of thyrotoxicosis, the symptoms were ignored, presumably because the psychological manifestations of worsening of psychosis and thyroid storm are similar. When the mental or physical state of patients with psychosis changes, thyroid hormone levels should be measured for early treatment. The Japanese Society of Internal Medicine 2019-04-17 2019-08-01 /pmc/articles/PMC6709321/ /pubmed/30996193 http://dx.doi.org/10.2169/internalmedicine.2681-19 Text en Copyright © 2019 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ishihara, Yuki
Sugawa, Taku
Kaneko, Hiroki
Hiroshima-Hamanaka, Kaho
Amano, Aya
Umakoshi, Hironobu
Tsuiki, Mika
Kusakabe, Toru
Satoh-Asahara, Noriko
Shimatsu, Akira
Tagami, Tetsuya
The Delayed Diagnosis of Thyroid Storm in Patients with Psychosis
title The Delayed Diagnosis of Thyroid Storm in Patients with Psychosis
title_full The Delayed Diagnosis of Thyroid Storm in Patients with Psychosis
title_fullStr The Delayed Diagnosis of Thyroid Storm in Patients with Psychosis
title_full_unstemmed The Delayed Diagnosis of Thyroid Storm in Patients with Psychosis
title_short The Delayed Diagnosis of Thyroid Storm in Patients with Psychosis
title_sort delayed diagnosis of thyroid storm in patients with psychosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709321/
https://www.ncbi.nlm.nih.gov/pubmed/30996193
http://dx.doi.org/10.2169/internalmedicine.2681-19
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