A CASE OF PRIMARY HYPERPARATHYROIDISM WITH DEPRESSIVE STATE

The case was a 67-year-old male patient who presented with depressive state, and later on with disturbance of consciousness. He was diagnosed as having primary para-thyroidism from 16. 6 ng/ml of elevated value of parathyroid hormone (PTH-C). Therapy of psychiatric symptoms were administration of an...

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Published inJapanese Journal of National Medical Services Vol. 48; no. 1; pp. 50 - 53
Main Authors SHIMIZU, Fumio, SAITO, Yumiko, HANEDA, Tadashi, NAGASE, Seiichi
Format Journal Article
LanguageJapanese
Published Japanese Society of National Medical Services 1994
一般社団法人 国立医療学会
Subjects
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ISSN0021-1699
1884-8729
DOI10.11261/iryo1946.48.50

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Abstract The case was a 67-year-old male patient who presented with depressive state, and later on with disturbance of consciousness. He was diagnosed as having primary para-thyroidism from 16. 6 ng/ml of elevated value of parathyroid hormone (PTH-C). Therapy of psychiatric symptoms were administration of antipsychiatric drugs, antidepressants and other drugs and parathyroidectomy. There have been few reports published concerning the psychiatric symptoms associated with primary parathyroidism in Japan. We report here in a case of primary parathyroidism with psychiatric symptoms together with a re-view of the literature.
AbstractList The case was a 67-year-old male patient who presented with depressive state, and later on with disturbance of consciousness. He was diagnosed as having primary para-thyroidism from 16. 6 ng/ml of elevated value of parathyroid hormone (PTH-C). Therapy of psychiatric symptoms were administration of antipsychiatric drugs, antidepressants and other drugs and parathyroidectomy. There have been few reports published concerning the psychiatric symptoms associated with primary parathyroidism in Japan. We report here in a case of primary parathyroidism with psychiatric symptoms together with a re-view of the literature.
The case was a 67-year-old male patient who presented with depressive state, and later on with disturbance of consciousness. He was diagnosed as having primary para-thyroidism from 16. 6 ng/ml of elevated value of parathyroid hormone (PTH-C). Therapy of psychiatric symptoms were administration of antipsychiatric drugs, antidepressants and other drugs and parathyroidectomy. There have been few reports published concerning the psychiatric symptoms associated with primary parathyroidism in Japan. We report here in a case of primary parathyroidism with psychiatric symptoms together with a re-view of the literature. 症例は抑うつ状態から意識障害にいたり, 内分泌学的検査にて副甲状腺ホルモン(PTH-C)が16.6ng/mlと高値を示していたことより, 原発性副甲状腺機能亢進症と診断した67歳の男性である. 精神症状の治療には抗精神病薬や抗うつ薬などの投与とともに副甲状腺の摘出術を行い, 改善が得られている. 原発性副甲状腺機能亢進症にみられる精神症状に関する症例報告は, 本邦では少ないと思われたので, 若干の考察を加えここに報告した.
Author NAGASE, Seiichi
SHIMIZU, Fumio
HANEDA, Tadashi
SAITO, Yumiko
Author_FL 斎藤 由美子
清水 文雄
羽田 忠
長瀬 精一
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  organization: Department of Psychiatry, Mito National Hospital
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  organization: Department of Psychiatry, Mito National Hospital
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DocumentTitleAlternate 抑うつ状態を呈した原発性副甲状腺機能こう進症と思われる1例
DocumentTitle_FL 抑うつ状態を呈した原発性副甲状腺機能こう進症と思われる1例
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一般社団法人 国立医療学会
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References 3) 富田明夫: 副甲状腺疾患と精神障害, ホルモンと臨, 21: 565, 1973
4) 早原敏之, 橋本和典, 白川佳代子他: 精神症状を主徴とする原発性副甲状腺機能元進症, 精神医, 28: 795, 1986
1) Boyd JD, Milgram JE and Stearns G: Clinical hyperparathyroidism, JAMA, 93 684, 1929
2) Petersen P: Psychiatric disorders in primary hyperparahyroidism, J. Clin. Endocrinol, 28: 1491, 1968
References_xml – reference: 3) 富田明夫: 副甲状腺疾患と精神障害, ホルモンと臨, 21: 565, 1973
– reference: 1) Boyd JD, Milgram JE and Stearns G: Clinical hyperparathyroidism, JAMA, 93 684, 1929
– reference: 4) 早原敏之, 橋本和典, 白川佳代子他: 精神症状を主徴とする原発性副甲状腺機能元進症, 精神医, 28: 795, 1986
– reference: 2) Petersen P: Psychiatric disorders in primary hyperparahyroidism, J. Clin. Endocrinol, 28: 1491, 1968
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Snippet The case was a 67-year-old male patient who presented with depressive state, and later on with disturbance of consciousness. He was diagnosed as having primary...
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StartPage 50
SubjectTerms depressive state
disturbance of consciousness
primary parathyroidism
psychiatric symptoms
原発性副甲状腺機能充進症
意識障害
抑うつ状態
精神症状
Title A CASE OF PRIMARY HYPERPARATHYROIDISM WITH DEPRESSIVE STATE
URI https://www.jstage.jst.go.jp/article/iryo1946/48/1/48_1_50/_article/-char/en
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