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Acute Thyroiditis in a Patient with Neck Trauma.
Pearl Marian A Peralta1, Jeryl Ritzi T Yu2, Edrome F Hernandez3
1University of the Philippines-Manila, Philippine General Hospital, Department of Psychiatry and Behavioral Medicine, Philippines.
Case Reports in Psychiatry
|December 15, 2022
Summary
Trauma-induced thyroiditis can mimic other conditions in patients with major depressive disorder. This case highlights the importance of considering thyroid dysfunction after neck trauma, even without prior thyroid history.
Area of Science:
- Endocrinology
- Psychiatry
- Trauma Surgery
Background:
- Major depressive disorder with self-injurious behavior requires interprofessional management.
- Thyroid dysfunction can present with psychiatric symptoms, necessitating thorough evaluation.
Observation:
- A 27-year-old woman presented with a suicide attempt by hanging, exhibiting tachycardia and palpitations post-injury.
- Physical examination revealed neck contusion and temporal swelling, prompting multidisciplinary consultations.
- Initial psychiatric admission was for persistent suicidal ideation.
Findings:
- Thyroid function tests revealed suppressed thyroid-stimulating hormone and elevated free T4.
- Thyroid scan showed no avid uptake, and thyrotropin receptor antibody levels were undetectable.
- These results supported a diagnosis of trauma-induced thyroiditis.
Implications:
- Trauma-induced thyroid dysfunction should be considered in patients with neck trauma and symptoms like tachycardia and palpitations.
- This case underscores the need for comprehensive workup in patients with unexplained physical symptoms following trauma.
- Early identification and management of trauma-induced thyroiditis can optimize patient care in psychiatric settings.
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