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Hypomanic episode as a first presentation of a large B-cell lymphoma
Rik H G Olde Engberink1, Marion C J Knippels, Evelien Pijpers
1Department of Internal Medicine, University Hospital Maastricht, Maastricht, The Netherlands. r.oldeengberink@student.maastrichtuniversity.nl
Abstract:
This case report describes a cachectic patient with a first hypomanic episode, hypercortisolism and a newly diagnosed large B-cell lymphoma. Hypercortisolism, causing the manic symptoms, may be explained due to low leptin levels as a result of cancer cachexia and fasting. Patients with cancer frequently have psychiatric complications, but manic symptoms are rare. To our knowledge, this is the first report of a patient with a lymphoma presenting with manic symptoms without any cerebral abnormalities.
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