Recognizing thyrotoxicosis in a patient with bipolar mania a case report 英文参考文献.docVIP

Annals of General Psychiatry BioMedCentral Case report Open Access Recognizing thyrotoxicosis in a patient with bipolar mania: a case report Catherine See-Ning Lee*1,2 and Burton Hutto1 Address: 1Department of Psychiatry, University of North Carolina, Chapel Hill, NC, USA and 2Dorthea Dix Hospital, Raleigh, NC, USA Email: Catherine See-Ning Lee* - cslee@; Burton Hutto - Burton_Hutto@ * Corresponding author Published: 19 February 2008 Received: 31 May 2007 Accepted: 19 February 2008 Annals of General Psychiatry 2008, 7:3 doi:10.1186/1744-859X-7-3 This article is available from: /content/7/1/3 ? 2008 Lee and Hutto; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: A thyroid stimulating hormone level is commonly measured in patients presenting with symptoms of mania in order to rule out an underlying general medical condition such as hyperthyroidism or thyrotoxicosis. Indeed, many cases have been reported in which a patient is initially treated for bipolar mania, but is later found to have a thyroid condition. Several case reports have noted the development of a thyroid condition in bipolar patients either on lithium maintenance treatment or recently on lithium treatment. Case presentation: We review a case in which a patient with a long history of bipolar disorder presents with comorbid hyperthyroidism and bipolar mania after recent discontinuation of lithium treatment. Conclusion: Physicians should consider a comorbid hyperthyroidism in bipolar manic patients only partially responsive to standard care treatment with a mood stabilizer and antipsychotic. Background increased spending, impulsive behavior and psychotic symptoms. The patient and her sister