Recognizing thyrotoxicosis in a patient with bipolar mania: a case report

<p>Abstract</p> <p>Background</p> <p>A thyroid stimulating hormone level is commonly measured in patients presenting with symptoms of mania in order to rule out an underlying general medical condition such as hyperthyroidism or thyrotoxicosis. Indeed, many cases have be...

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Main Authors: Lee Catherine, Hutto Burton
Format: Article
Language:English
Published: BMC 2008-02-01
Series:Annals of General Psychiatry
Online Access:http://www.annals-general-psychiatry.com/content/7/1/3
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author Lee Catherine
Hutto Burton
author_facet Lee Catherine
Hutto Burton
author_sort Lee Catherine
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>A thyroid stimulating hormone level is commonly measured in patients presenting with symptoms of mania in order to rule out an underlying general medical condition such as hyperthyroidism or thyrotoxicosis. Indeed, many cases have been reported in which a patient is initially treated for bipolar mania, but is later found to have a thyroid condition. Several case reports have noted the development of a thyroid condition in bipolar patients either on lithium maintenance treatment or recently on lithium treatment.</p> <p>Case presentation</p> <p>We review a case in which a patient with a long history of bipolar disorder presents with comorbid hyperthyroidism and bipolar mania after recent discontinuation of lithium treatment.</p> <p>Conclusion</p> <p>Physicians should consider a comorbid hyperthyroidism in bipolar manic patients only partially responsive to standard care treatment with a mood stabilizer and antipsychotic.</p>
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spelling doaj.art-99a7262aed52446eaa610fc03a75e7bb2022-12-22T02:48:17ZengBMCAnnals of General Psychiatry1744-859X2008-02-0171310.1186/1744-859X-7-3Recognizing thyrotoxicosis in a patient with bipolar mania: a case reportLee CatherineHutto Burton<p>Abstract</p> <p>Background</p> <p>A thyroid stimulating hormone level is commonly measured in patients presenting with symptoms of mania in order to rule out an underlying general medical condition such as hyperthyroidism or thyrotoxicosis. Indeed, many cases have been reported in which a patient is initially treated for bipolar mania, but is later found to have a thyroid condition. Several case reports have noted the development of a thyroid condition in bipolar patients either on lithium maintenance treatment or recently on lithium treatment.</p> <p>Case presentation</p> <p>We review a case in which a patient with a long history of bipolar disorder presents with comorbid hyperthyroidism and bipolar mania after recent discontinuation of lithium treatment.</p> <p>Conclusion</p> <p>Physicians should consider a comorbid hyperthyroidism in bipolar manic patients only partially responsive to standard care treatment with a mood stabilizer and antipsychotic.</p>http://www.annals-general-psychiatry.com/content/7/1/3
spellingShingle Lee Catherine
Hutto Burton
Recognizing thyrotoxicosis in a patient with bipolar mania: a case report
Annals of General Psychiatry
title Recognizing thyrotoxicosis in a patient with bipolar mania: a case report
title_full Recognizing thyrotoxicosis in a patient with bipolar mania: a case report
title_fullStr Recognizing thyrotoxicosis in a patient with bipolar mania: a case report
title_full_unstemmed Recognizing thyrotoxicosis in a patient with bipolar mania: a case report
title_short Recognizing thyrotoxicosis in a patient with bipolar mania: a case report
title_sort recognizing thyrotoxicosis in a patient with bipolar mania a case report
url http://www.annals-general-psychiatry.com/content/7/1/3
work_keys_str_mv AT leecatherine recognizingthyrotoxicosisinapatientwithbipolarmaniaacasereport
AT huttoburton recognizingthyrotoxicosisinapatientwithbipolarmaniaacasereport