Bipolar Disorder: Open Access
Open Access

Virginia C Fernandes

Publications

• Case Report
  Severe Hypothyroidism Presenting with Acute Mania and Psychosis: A Case Report and Literature Review
  Author(s): Nicole Giunio-Zorkin, Mariana Golts and Virginia C FernandesNicole Giunio-Zorkin, Mariana Golts and Virginia C Fernandes
  
  Introduction: In patients presenting with acute mania and psychosis, it is important to rule out organic causes of their symptoms. Patients with severe hypothyroidism may present with psychosis and less commonly with symptoms of mania. We report a case of a 40 year old male presenting with acute mania and psychosis, in the context of severe hypothyroidism. Case presentation: A 40 year old Caucasian male presented to the emergency department with acute onset mania, and delusions of grandeur. One week prior to presentation, he demonstrated bizarre behavior and hyperactivity. On the day of admission, he sustained a self-inflicted burn on his left arm and left leg causing partial thickness burns. Blood work demonstrated elevated creatine kinase and creatinine, as well as profoundly high TSH (>100 uIU/L) and low thyroid hormones (T4=2 pmol/L, T3.. View More»
  DOI: 10.4172/2472-1077.1000116

  Abstract PDF

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