Acute mania in a patient with hypothyroidism resulting from Hashimoto's Thyroiditis

Abstract Hashimoto's thyroiditis (HT) is an autoimmune thyroiditis that occurs frequently in middle-aged women. To date, there is no formally reported association between acute mania and hypothyroidism due to HT. We report a case of acute mania associated with hypothyroidism resulting from HT....

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Published inGeneral hospital psychiatry Vol. 35; no. 6; pp. 683.e1 - 683.e2
Main Authors Lin, Chia-Lin, M.D, Yang, Szu-Nian, M.D., M.S, Shiah, I-Shin, M.D., Ph.D
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.11.2013
Subjects
Acute Disease
Acute mania
Adult
Antimanic Agents - therapeutic use
Antipsychotic Agents - therapeutic use
Bipolar Disorder - drug therapy
Bipolar Disorder - psychology
Dibenzothiazepines - therapeutic use
Female
Hashimoto Disease - psychology
Hashimoto's thyroiditis
Humans
Hypothyroidism - drug therapy
Hypothyroidism - psychology
Primary hypothyroidism
Psychiatry
Psychosis
Quetiapine Fumarate
Thyroxine - therapeutic use
Valproic Acid - therapeutic use
Psychosis
Acute mania
Primary hypothyroidism
Hashimoto's thyroiditis
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Summary:Abstract Hashimoto's thyroiditis (HT) is an autoimmune thyroiditis that occurs frequently in middle-aged women. To date, there is no formally reported association between acute mania and hypothyroidism due to HT. We report a case of acute mania associated with hypothyroidism resulting from HT. Our patient's mania and hypothyroidism remitted gradually after the treatment with mood stabilizer/antipsychotic drugs and levothyroxine therapy. This case highlights the importance of ascertaining thyroid function and checking antithyroid antibodies in middle-aged female patients with affective symptoms to the hospital for the first time.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0163-8343
1873-7714
DOI:10.1016/j.genhosppsych.2013.06.013