Academic Journal

Cycloid psychoses and autoimmunity: A case report of a patient with motility psychosis and Hashimoto’s thyroiditis

التفاصيل البيبلوغرافية
العنوان: Cycloid psychoses and autoimmunity: A case report of a patient with motility psychosis and Hashimoto’s thyroiditis
المؤلفون: M. Lages Abrantes, J. Borja Santos
المصدر: European Psychiatry, Vol 65, Pp S702-S702 (2022)
بيانات النشر: Cambridge University Press
سنة النشر: 2022
المجموعة: Directory of Open Access Journals: DOAJ Articles
مصطلحات موضوعية: cycloid psychosis, Hashimotto thyroiditis, autoimmunity, Psychiatry, RC435-571
الوصف: Introduction Psychotic episodes characterized by sudden onset of polymorphous psychotic symptoms and fast resolution have been a subject of interest of many psychiatrists throughout the History. Controversies about the diagnostic criteria and nomenclature of cycloid psychoses persist nowadays, what has hampered its study. In last years, several reports associating this disease with autoimmune pathologies have been published, revealing a possible association between them. Objectives To contribute to the knowledge of cycloid psychoses, reporting a case of motility psychoses and exploring its possible association with autoimmune diseases. Methods Case report and literature review. Results A 48-years-old woman presents a history of eleven admissions at the Psychiatry nursery in the last nineteen years, due to psychotic episodes. Usually, these episodes follow a default in psychopharmacological therapeutic, and are characterized by rapid onset of psychomotor agitation, with prominent nonpurpuseful exuberant movements, incoherent speech, mood oscillations and polythematic delusion. Between these decompensations, she recover her normal functioning, being medicated with lithium and an antipsychotic. During one of her admissions, at 2015, she developed fever and a stuporous state. The magnetic resonance and lumbar puncture were normal, the electroencephalogram revealed generalized lentification. Autoimmunity investigation evidenced positive antithyroid antibodies (with normal thyroid function) and the echography validated the diagnosis of Hashimoto’s thyroiditis. Conclusions This case report reveals a possible relationship between cycloid psychoses and Hashimoto’s thyroiditis. We need to share more knowledge to understand if it represents a comorbidity or a pathogenic process with the same etiology, what will influence the treatment of these patients. Disclosure No significant relationships.
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 0924-9338
1778-3585
Relation: https://www.cambridge.org/core/product/identifier/S0924933822018077/type/journal_article; https://doaj.org/toc/0924-9338; https://doaj.org/toc/1778-3585; https://doaj.org/article/12004edeb5b74907afa4a2d25e5276be
DOI: 10.1192/j.eurpsy.2022.1807
الاتاحة: https://doi.org/10.1192/j.eurpsy.2022.1807
https://doaj.org/article/12004edeb5b74907afa4a2d25e5276be
رقم الانضمام: edsbas.81EA5CAF
قاعدة البيانات: BASE
الوصف
تدمد:09249338
17783585
DOI:10.1192/j.eurpsy.2022.1807