Show simple item record

dc.contributor.authorKugu, Nesim
dc.contributor.authorDogan, Orhan
dc.contributor.authorTopcu, Omer
dc.contributor.authorKavakci, Onder
dc.contributor.authorKarsikaya, Sureyya
dc.date.accessioned2019-07-27T12:10:23Z
dc.date.accessioned2019-07-28T10:15:46Z
dc.date.available2019-07-27T12:10:23Z
dc.date.available2019-07-28T10:15:46Z
dc.date.issued2008
dc.identifier.issn0941-9500
dc.identifier.urihttps://hdl.handle.net/20.500.12418/10467
dc.descriptionWOS: 000264856900002en_US
dc.description.abstractGraves disease is ail autoimmune and multifactorial disease of the thyroid gland and one of the commonest reasons of the hyperthyroidism. Most of the Graves disease patients show typical symptoms of the disease such as fatique, irritability, weight loss, palpitations and heat intolerance. Mental abnormalities are also known to be present in case of Graves thyrotoxicosis. These mental abnormalities are composed of irritability, emotional lability, anxiety, depression, mania, and psychotic manifestations with paranoid and persecutive delusions. Here we presented a 38 year old woman having Graves thyrotoxicosis who had no psychiatric disorder or a history of any medical illness before Graves thyrotoxicosis but whenever the disease had started acutely patient presented some psychotic symptoms such as hallucinations, paranoid and persecutive delusions, a state of confusion, agitation and hyperactivity. In the first thyroid function test (TFT) blood thyroid hormone levels were found as follows: free T(3) (FT(3))= 8.07 pg/ml (normal value: 1.71-3.71), free T(4) (FT(4))= 1.46 ng/dL (normal value: 0.70-1.48) and TSH<0.0008 (normal value: 0.35-4.94). Patient was diagnosed as Graves thyrotoxicosis after the results of her past history, physical examination, laboratory and clinical findings and patient was given antithyroid treatment. Additionally patient was also given antipsychotic treatment to control her psychotic symptoms. After the treatment psychotic and clinical symptoms of the patient relieved significantly. The case presented here showed that Graves thyrotoxicosis may start with acute psychotic symptoms and this condition may frequently be misdiagnosed with major psychiatric disorders. So, in the presence of the clinical cases which starts with acute psychotic symptoms, it is very important to get detailed medical and psychiatric past history, to make carefull physical examination and to make detailed medical investigations including thyroid function tests.en_US
dc.language.isoengen_US
dc.publisherUNIVERSITATSVERLAG ULM GMBHen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGraves diseaseen_US
dc.subjecthyperthyroidismen_US
dc.subjectthyrotoxicosisen_US
dc.subjectpsychosisen_US
dc.titlePsychosis Association with Graves Thyrotoxicosis: A Case Reporten_US
dc.typearticleen_US
dc.relation.journalNEUROLOGY PSYCHIATRY AND BRAIN RESEARCHen_US
dc.contributor.department[Kugu, Nesim -- Dogan, Orhan -- Kavakci, Onder -- Karsikaya, Sureyya] Cumhuriyet Univ, Fac Med, Dept Psychiat, Sivas, Turkey -- [Topcu, Omer] Cumhuriyet Univ, Fac Med, Dept Gen Surg, Sivas, Turkeyen_US
dc.identifier.volume15en_US
dc.identifier.issue3en_US
dc.identifier.endpage116en_US
dc.identifier.startpage113en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record