Case Report
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Psychotic Depression Related to Hashimoto’s Thyroiditis: A Case Report

Year 2022, Volume: 4 Issue: 1, 120 - 122, 01.01.2022
https://doi.org/10.37990/medr.987999

Abstract

Hashimoto’s thyroiditis can lead to depression, anxiety disorder, and sleep problems. However, this autoimmune disease has been reported to be less related to psychotic depression. The case applied to our outpatient clinic with introversion, anhedonia, and guilt thoughts. The patient was admitted to our clinic with a preliminary diagnosis of psychotic depression. TSH value was found to be high in the patient’s hormone analysis. Afterward, treatment was started with the diagnosis of Hashimoto’s thyroiditis according to the patient’s anti-TPO value and thyroid USG results. After levothyroxine treatment, the patient’s depression scores, TSH, and anti-TPO values decreased.

References

  • Akamizu T, Amino N. Hashimoto’s thyroiditis. In Endotext [Internet]. MDText. com, Inc. 2017.
  • Siegmann EM, Müller HH, Luecke C, et al. Association of depression and anxiety disorders with autoimmune thyroiditis: a systematic review and meta-analysis. JAMA Psychiatry. 2018;75(6):577-84.
  • Pilici M. Depresif Bozukluklarda Hipotalamik-Pitüiter-Tiroid Eksen. Klinik Psikofarmakol Bülteni. 1998;8(2).
  • Nazou M, Parlapani , Nazlidou EI, et al (2016). Psychotic episode due to Hashimoto's thyroiditis. Psychiatriki. 2016;27(2):144-7.
  • Mavroson MM, Patel N, Akker E. Myxedema psychosis in a patient with undiagnosed hashimoto thyroiditis. J Am Osteopath Assoc. 2017;117:50–4
  • Lorini R, Gastaldi R, Traggiai C, et al. (2003). Hashimoto's thyroiditis. Pediatr Endocrinol Rev. 2003;1:205-11.
  • Ayhan MG, Uguz F, Askin R, et al. The prevalence of depression and anxiety disorders in patients with euthyroid Hashimoto’s thyroiditis: a comparative study. Gen Hosp Psychiatry. 2014;36(1):95-8.
  • Gold MS, Pottash ALC, Extein I. “Symptomless” autoimmune thyroiditis in depression. Psychiatry Res. 1982;6(3):261-9.
  • Yıldız M, Şahin Ş, Batmaz S, et al(2017). The relationship between depression, anxiety, personality traits and coping strategies of patients with euthyroid Hashimoto's Thyroiditis. Eur J Psychiatry. 2017;31(3):113-8.
  • Tayde PS, Bhagwat NM, Sharma P, et al. Hypothyroidism and depression: are cytokines the link?. Indian J Endocrinol Metab. 2017;21(6):886.
  • Krysiak R, Drosdzol Cop A, et al. Sexual function and depressive symptoms in young women with thyroid autoimmunity and subclinical hypothyroidism. Clin Endocrinol. 2016;84(6):925-31.
Year 2022, Volume: 4 Issue: 1, 120 - 122, 01.01.2022
https://doi.org/10.37990/medr.987999

Abstract

References

  • Akamizu T, Amino N. Hashimoto’s thyroiditis. In Endotext [Internet]. MDText. com, Inc. 2017.
  • Siegmann EM, Müller HH, Luecke C, et al. Association of depression and anxiety disorders with autoimmune thyroiditis: a systematic review and meta-analysis. JAMA Psychiatry. 2018;75(6):577-84.
  • Pilici M. Depresif Bozukluklarda Hipotalamik-Pitüiter-Tiroid Eksen. Klinik Psikofarmakol Bülteni. 1998;8(2).
  • Nazou M, Parlapani , Nazlidou EI, et al (2016). Psychotic episode due to Hashimoto's thyroiditis. Psychiatriki. 2016;27(2):144-7.
  • Mavroson MM, Patel N, Akker E. Myxedema psychosis in a patient with undiagnosed hashimoto thyroiditis. J Am Osteopath Assoc. 2017;117:50–4
  • Lorini R, Gastaldi R, Traggiai C, et al. (2003). Hashimoto's thyroiditis. Pediatr Endocrinol Rev. 2003;1:205-11.
  • Ayhan MG, Uguz F, Askin R, et al. The prevalence of depression and anxiety disorders in patients with euthyroid Hashimoto’s thyroiditis: a comparative study. Gen Hosp Psychiatry. 2014;36(1):95-8.
  • Gold MS, Pottash ALC, Extein I. “Symptomless” autoimmune thyroiditis in depression. Psychiatry Res. 1982;6(3):261-9.
  • Yıldız M, Şahin Ş, Batmaz S, et al(2017). The relationship between depression, anxiety, personality traits and coping strategies of patients with euthyroid Hashimoto's Thyroiditis. Eur J Psychiatry. 2017;31(3):113-8.
  • Tayde PS, Bhagwat NM, Sharma P, et al. Hypothyroidism and depression: are cytokines the link?. Indian J Endocrinol Metab. 2017;21(6):886.
  • Krysiak R, Drosdzol Cop A, et al. Sexual function and depressive symptoms in young women with thyroid autoimmunity and subclinical hypothyroidism. Clin Endocrinol. 2016;84(6):925-31.
There are 11 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Case Reports
Authors

Yaşar Kapıcı 0000-0002-9248-9426

Bulut Guc 0000-0002-3265-4389

Atilla Tekin 0000-0002-2281-6719

Publication Date January 1, 2022
Acceptance Date September 30, 2021
Published in Issue Year 2022 Volume: 4 Issue: 1

Cite

AMA Kapıcı Y, Guc B, Tekin A. Psychotic Depression Related to Hashimoto’s Thyroiditis: A Case Report. Med Records. January 2022;4(1):120-122. doi:10.37990/medr.987999

17741

Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye

E-mail: medrecsjournal@gmail.com

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Medical Records Association (Tıbbi Kayıtlar Derneği)
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