Myxedema madness rapidly reversed with levothyroxine.
نویسندگان
چکیده
To the Editor: " Myxedema madness " is a severe, complicated form of psychosis due to significant hypothyroidism. Although literature exists illustrating psychiatric symptoms (eg, depression , lethargy) as a result of hypothyroidism, psychosis associated with hypothyroidism is often overlooked. Additionally, published literature varies on the nature of psychotic symptoms present (eg, Capgras syndrome, delusions, hallucinations), degree of thyroid hormone deficit, and overall treatment of symptoms. 1 A majority of case reports illustrate a slow improvement (weeks to months) of psychotic symptoms after administration of thyroid supplementation. To our knowledge, only 1 report has shown rapid reversal of psychotic symptoms. 3 We report a unique case of myxedema madness that was reversed in 5 days after initiation of 100 μg of levothyroxine.
منابع مشابه
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ورودعنوان ژورنال:
- The Journal of clinical psychiatry
دوره 70 11 شماره
صفحات -
تاریخ انتشار 2009