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Stress-induced cyclical hypreprolactinemia
K Jagadheesan1, J Kumar, H S Nizamie
1K. JAGADHEESAN, MD., Junior Resident, Central Institute of Psychiatry, Kanke (PO), Ranchi - 834 006.
Indian Journal of Psychiatry
|March 17, 2011
Summary
This study presents a case where hyperprolactinemia, a condition of high prolactin levels, preceded depressive disorder episodes. This highlights a potential but unreported precursor to organic depression.
Area of Science:
- Endocrinology
- Psychiatry
Background:
- Hypothyroidism can manifest as hyperprolactinemia and depressive disorder.
- The temporal relationship between these conditions is not fully understood.
Purpose of the Study:
- To report a case where hyperprolactinemia with overt symptoms preceded organic depressive disorder episodes.
- To contribute to understanding the clinical presentations of hypothyroidism.
Main Methods:
- Case report.
- Clinical observation and patient history.
Main Results:
- The patient presented with hyperprolactinemia that clearly preceded overt symptoms of organic depressive disorder.
- This presentation is unusual as hyperprolactinemia typically co-occurs or follows depressive symptoms in hypothyroidism.
Conclusions:
- Hyperprolactinemia can, in rare instances, serve as a presenting symptom that precedes episodes of organic depressive disorder.
- This case underscores the importance of considering endocrine evaluations in patients with unexplained mood disorders.
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