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Psychosis associated with hypopituitarism

R J Leo1, G J Burnett, M J Hassett

  • 1Department of Psychiatry, School of Medicine and Biomedical Sciences, State University of New York, Buffalo 14215, USA.

General Hospital Psychiatry
|August 28, 1998
PubMed
Summary

Psychosis can be linked to endocrine disorders like hypopituitarism. Two patients with hypopituitarism experienced psychosis that resolved with hormone replacement therapy.

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Area of Science:

  • Endocrinology
  • Psychiatry
  • Neuroscience

Background:

  • Psychiatric disturbances, including psychosis, can arise from endocrine abnormalities.
  • Previous literature on psychosis associated with hypopituitarism is limited and often describes symptoms as delirium.

Observation:

  • Two patients with hypopituitarism presented with psychotic symptoms without altered consciousness.
  • Initial psychiatric evaluations suggested functional diagnoses for these patients.

Findings:

  • The psychotic symptoms in both patients resolved after treatment for their underlying hypopituitarism.
  • This suggests a direct link between hormonal deficiencies and psychosis in these cases.

Implications:

  • Hypopituitarism should be considered in the differential diagnosis of unexplained psychosis.
  • Correction of hormonal imbalances may effectively treat psychosis in affected individuals.

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