tailieunhanh - Báo cáo y học: "Recognizing thyrotoxicosis in a patient with bipolar mania: a case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Recognizing thyrotoxicosis in a patient with bipolar mania: a case report. | Annals of General Psychiatry BioMed Central Case report Open Access Recognizing thyrotoxicosis in a patient with bipolar mania a case report Catherine See-Ning Lee 1 2 and Burton Hutto1 Address department of Psychiatry University of North Carolina Chapel Hill NC USA and 2Dorthea Dix Hospital Raleigh NC USA Email Catherine See-Ning Lee - cslee@ Burton Hutto - Burton_Hutto@ Corresponding author Published 19 February 2008 Received 31 May 2007 . J_. I I n rti-rtxz -7 - Accepted 19 February 2008 Annals of General Psychiatry 2008 7 3 doi 1744-859X-7-3 This article is available from http content 7 1 3 2008 Lee and Hutto licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background A thyroid stimulating hormone level is commonly measured in patients presenting with symptoms of mania in order to rule out an underlying general medical condition such as hyperthyroidism or thyrotoxicosis. Indeed many cases have been reported in which a patient is initially treated for bipolar mania but is later found to have a thyroid condition. Several case reports have noted the development of a thyroid condition in bipolar patients either on lithium maintenance treatment or recently on lithium treatment. Case presentation We review a case in which a patient with a long history of bipolar disorder presents with comorbid hyperthyroidism and bipolar mania after recent discontinuation of lithium treatment. Conclusion Physicians should consider a comorbid hyperthyroidism in bipolar manic patients only partially responsive to standard care treatment with a mood stabilizer and antipsychotic. Background Multiple cases of patients with thyrotoxicosis presenting with symptoms clinically .