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Neuropsychiatric symptoms in a patient with Cushing's syndrome
Reyna Daya1,2, Faheem Seedat1,2, Emilia Blomerus1
1Department of Internal Medicine, Division of Endocrinology, Helen Joseph Hospital, Johannesburg, South Africa.
Abstract:
Cushing's syndrome (CS) may present with different neurological and/or psychiatric symptoms including anxiety, depression, cognitive impairment and psychosis. Psychosis is a rare clinical manifestation, with literature limited to case reports. We report a case of a 52-year-old woman with psychosis secondary to CS who was mis-diagnosed as schizophrenia-like psychosis. This case highlights the importance of considering CS as a differential when ruling out medical causes in patients with either new or persistent mental health disturbances.
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