Hypoadrenalism presenting as a range of mental disorders

Pavlovic, Aleksandar; Sivakumar, V.

doi:10.1136/bcr.09.2010.3305

Cited by 3 publications

(2 citation statements)

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“…Patient's clinical scenario presented a diagnostic dilemma between managing as a case of primary psychosis or look for medical causes of psychosis. With a history of recurrent psychiatric admissions and new symptoms like dizziness and progressive weakness, it was imperative to rule out other medical conditions [2,3].…”

Section: Discussionmentioning

confidence: 99%

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Adrenal Psychosis, A Diagnostic Challenge

Aina¹

2013

Endocrinol Metab Synd

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The purpose of this case discussion is to improve awareness of physicians to the fact that inadequate production of cortisol could produce psychosis. Psychosis or psychiatry disorders could be a presentation of a defect in cortisol production due to a problem with the hypothalamic-pituitary-adrenal axis and organic psychosis. In patients with recurrent psychiatric hospital admissions and failure of multiple antidepressants, it may be prudent to revisit organic causes of psychosis. Though more studies need to be done, the author want a discussion on this topic to improve awareness of physicians about this possibility before starting or adding psychotropic medications in view of the potential side effects associated with these medications.

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Section: Discussionmentioning

confidence: 99%

“…Variation in cortisol levels either hypercortisolism or insufficiency of the Adrenal gland [3], Hyperparathyroidism could produce somatic symptoms from calcium and magnesium imbalance. Post parathyroid adenoma resection could cause low magnesium which can predispose to delirium with psychosis.…”

Section: Endocrinology and Metabolic Syndromementioning

confidence: 99%