Hockings Catherine Ann, Cattaneo Elena, Sanka Sunil Kumar, Buck Jackie Janet
Ipswich Hospital, Child Health, Heath Road, Ipswich IP4 5PD, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.05.2009.1828. Epub 2009 Jul 14.
It is well recognised that thyroid disorders may present with a wide range of symptoms and signs in adults and children. We describe an unusual presentation of thyroid disease in an adolescent with psychiatric symptoms, in whom normalisation of his thyroid function resulted in significant improvement in his mental state. Although agitation and depression are commonly listed as symptoms of hyper- and hypothyroidism, respectively, presentation to psychiatric services is not well documented in the adolescent age group and thyroid function tests are not a routine inclusion as part of a paediatric psychiatric assessment.
众所周知，甲状腺疾病在成人和儿童中可能表现出广泛的症状和体征。我们描述了一名患有精神症状的青少年甲状腺疾病的不寻常表现，其甲状腺功能正常化后精神状态有显著改善。尽管激越和抑郁通常分别被列为甲状腺功能亢进和减退的症状，但在青少年年龄组中向精神科服务机构就诊的情况记录并不完善，而且甲状腺功能测试并非儿科精神科评估的常规组成部分。
