A Case of Violent Suicide Attempt in a Context of Myxedema Psychosis following Radioiodine Treatment in a Patient with Graves’ Disease
Joint Authors
Todorov, Louise
Ait Boudaoud, Amel
Pascal de Raykeer, Rachel
Radu, Alina
Lahlou-Laforêt, Khadija
Limosin, Frédéric
Lemogne, Cédric
Czernichow, Sébastien
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-01-09
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
Hypothyroidism has been associated with mood disorders but some cases of acute psychosis have also been reported.
However, less attention has been paid to suicidal behavior in these patients.
Case Report.
We report a case of suicide attempt by self-stabbing in a 43-year-old woman without past psychiatric history, four months after radioiodine therapy for Graves’ disease.
On clinical examination remarkable signs of myxedema were found and blood investigations showed hypothyroidism with an extremely high thyroid stimulating hormone (TSH) level (152 mUI/L; reference range 0.20-5.10).
The patient presented delirium symptoms at the time of self-stabbing, which was associated with persecutory delusions and auditory harm command hallucinations.
A rapid physical and psychiatric improvement was observed after the initiation of an oral thyroid replacement therapy without relapse after early discontinuation of the antipsychotic treatment.
Discussion.
The most distinctive feature of our case is that the violent suicide attempt could be attributed to the myxedema psychosis.
Suicide may result from several factors, including psychosocial stressors, psychiatric symptoms, and hormonal disturbance.
This unique presentation should remind clinicians to systematically consider ordering additional tests in patients with atypical psychiatric presentation, even when serious behavioral disorders (such as violent suicide attempts) are present and may result in premature transfer to psychiatric units.
American Psychological Association (APA)
Todorov, Louise& Ait Boudaoud, Amel& Pascal de Raykeer, Rachel& Radu, Alina& Lahlou-Laforêt, Khadija& Limosin, Frédéric…[et al.]. 2019. A Case of Violent Suicide Attempt in a Context of Myxedema Psychosis following Radioiodine Treatment in a Patient with Graves’ Disease. Case Reports in Psychiatry،Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1143866
Modern Language Association (MLA)
Todorov, Louise…[et al.]. A Case of Violent Suicide Attempt in a Context of Myxedema Psychosis following Radioiodine Treatment in a Patient with Graves’ Disease. Case Reports in Psychiatry No. 2019 (2019), pp.1-3.
https://search.emarefa.net/detail/BIM-1143866
American Medical Association (AMA)
Todorov, Louise& Ait Boudaoud, Amel& Pascal de Raykeer, Rachel& Radu, Alina& Lahlou-Laforêt, Khadija& Limosin, Frédéric…[et al.]. A Case of Violent Suicide Attempt in a Context of Myxedema Psychosis following Radioiodine Treatment in a Patient with Graves’ Disease. Case Reports in Psychiatry. 2019. Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1143866
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143866