Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency
Joint Authors
Aprahamian, Ivan
Batista, Rafael Loch
Farah, Julia de Lima
Lauand, Carolina Villar
Chequi, Lucas
Fortunato, Enrico
Pasqualino, Felipe
Bignotto, Luis Henrique
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-12
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We describe a case of severe psychotic disorder as the only manifestation of primary adrenal insufficiency.
A 63-year-old man presented with psychotic symptoms without any prior psychiatric history.
During the clinical and laboratorial investigation, exams revealed a normovolemic hyponatremia.
The patient showed no other clinical signs or symptoms compatible with adrenal insufficiency but displayed very high ACTH and low serum cortisol concentrations.
Brain magnetic resonance imaging showed no significant changes, including the pituitary gland.
The patient was initially treated with intravenous corticosteroids, resulting in rapid remission of the psychotic symptoms.
The association between adrenal insufficiency and neuropsychiatric symptoms is rare but these symptoms can often be the first clinical presentation of the disease.
American Psychological Association (APA)
Farah, Julia de Lima& Lauand, Carolina Villar& Chequi, Lucas& Fortunato, Enrico& Pasqualino, Felipe& Bignotto, Luis Henrique…[et al.]. 2015. Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency. Case Reports in Psychiatry،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059839
Modern Language Association (MLA)
Farah, Julia de Lima…[et al.]. Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency. Case Reports in Psychiatry No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059839
American Medical Association (AMA)
Farah, Julia de Lima& Lauand, Carolina Villar& Chequi, Lucas& Fortunato, Enrico& Pasqualino, Felipe& Bignotto, Luis Henrique…[et al.]. Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency. Case Reports in Psychiatry. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059839
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059839