Where does her mood come from? An organic approach to a once functional patient

Pablo Eduardo Pereira Dutra, Wagner de Sousa Gurgel, Renato Alves Higa, Carolina Costa
2015 Trends in Psychiatry and Psychotherapy  
Objective: To report the rare development of manic symptoms in a patient with schizophrenia and discuss its differential diagnosis.Case description: Diagnostic criteria were based on the International Classification of Diseases, 10th edition (ICD-10). A 63-year-old female (diagnosed with schizophrenia since she was 28) was brought to the emergency room with symptoms consistent with manic episode and physical examination suggestive of thyrotoxicosis. Graves' disease was confirmed by subsequent
more » ... boratory tests. She was treated successfully with radioiodine ablation, leading to full remission of manic symptoms.Comments: Schizophrenia is a chronic disease that affects about 1% of the population worldwide. The main symptoms of the disorder are altered affection, delusions, and hallucinations. Graves' disease is an autoimmune condition in which antibodies increase the production and release of thyroid hormones. There are reports about the development of mood symptoms in patients with Graves' disease that remit with adequate treatment.
doi:10.1590/2237-6089-2014-0053 pmid:26222302 fatcat:k2xxzoh4cndbxjpk5f3zze3ltu