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2017 ; 2017
(ä): 7402923
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Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt
in the Setting of Thyroid Storm
#MMPMID28367346
Cota E
; Lentz J
Case Rep Psychiatry
2017[]; 2017
(ä): 7402923
PMID28367346
show ga
We present a case of new onset psychosis in the setting of thyroid storm in a
woman with no previous psychiatric history. The patient presented with ongoing
suicidal ideation, a suicide attempt that was interrupted by her husband, and
audio and visual hallucinations. The patient was placed on a psychiatric hold and
treated for thyrotoxicosis as well as psychosis. Treatment of the thyroid hormone
overload resulted in a rapid resolution of her symptoms; she was discharged in
excellent condition, and she has had no repeat hallucinations or self-injury
ideation or attempts since. Although rare, thyrotoxicosis is a potentially
life-threatening cause of psychiatric illness and should always be kept on the
differential diagnosis for a patient with a first episode of psychosis. This case
highlights how thyroid storm physiology, beyond its well-studied hemodynamic and
metabolic instability, can be potentially fatal due to psychiatric sequelae. It
also highlights the crucial role of a thorough history and physical exam in all
patients.