甲状腺过度活跃和过度活跃的头脑之间的交织关系:一个案例报告和文学评论
Sushma Bilichodu Rangappa1, Aditi Sharma2, Sreekant Avula3
1Psychiatry, Chamarajanagar Institute of Medical Sciences, Mysore, IND.
Cureus
|January 19, 2024
概括
格雷夫斯病最初可以呈现为急性精神症状,如兴奋和妄想. 高甲状腺症的及时治疗解决了这些心理健康问题,强调了检查甲状腺功能的必要性.
科学领域:
- 内分泌学 在内分泌学.
- 精神病学是一个精神病学.
- 内部医学 内部医学
背景情况:
- 格雷夫斯病是甲状腺功能障碍的常见原因之一.
- 甲状腺功能障碍症可以表现为各种症状,包括精神障碍.
- 急性精神症状可能是潜在的甲状腺功能障碍的初始表现.
研究的目的:
- 报告一个患有格雷夫斯病的病例,呈现急性精神症状.
- 突出评估新发精神疾病患者甲状腺功能的重要性.
- 审查甲状腺功能障碍和心理/认知过程之间的关系.
主要方法:
- 一个45岁的男性患有急性精神症状的病例报告.
- 诊断评估包括甲状腺功能测试 (TSH,自由T4,总T3) 和甲状腺刺激性免疫球蛋白 (TSI).
- 用甲基马和普拉诺洛尔治疗甲状腺功能障碍的治疗.
主要成果:
- 患者表现出严重的动荡,迫害妄想和听觉幻觉.
- 实验室结果显示,TSH受抑制,自由T4和总T3升高,TSI呈阳性,证实了格雷夫斯病.
- 治疗导致精神病症状的解决.
结论:
- 甲状腺功能障碍,特别是格雷夫斯病,应考虑在急性精神障碍的差异诊断中.
- 早期识别和治疗甲状腺功能障碍对于解决相关的精神症状至关重要.
- 了解甲状腺激素与大脑功能之间的联系对于全面的患者护理至关重要.
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