Pulmonary hypertension presenting as a panic disorder.

\ ,7hile it is widely recognized that patients with a major medical illness often have psychiatric symptoms, it is less commonly appreciated that psychiatric symptoms may be the first presentation of the illness. This has been documented by several authors’-3 who report that 9 percent’ to 40 percent2 of patients undergoing treatment for presumed psychiatric disease may actually have a medical illness accounting for their symptoms. We present the case of a woman who was given the diagnoses of panic disorder, psychogenic