Department of Psychiatry, National Taiwan University Hospital, Taipei, 10002, Taiwan.
Gen Hosp Psychiatry. 2011 Nov-Dec;33(6):641.e7-9. doi: 10.1016/j.genhosppsych.2011.05.019. Epub 2011 Jul 16.
Encephalopathy associated with autoimmune thyroid disease (EAATD) is a rare condition associated with Hashimoto's thyroiditis or Graves' disease. It is often underdiagnosed because of the various clinical presentations and lack of widely accepted diagnostic criteria. We report a 46-year-old man who presented with an acute depressive episode and was proven to have encephalopathy associated with Hashimoto's thyroiditis. The exclusive psychiatric manifestations of this case called our attention to the fact that an improved awareness of EAATD in patients with a history of thyroid disease can lead to a timely diagnosis and excellent disease prognosis.
自身免疫性甲状腺疾病相关脑病（EAATD）是一种罕见疾病，与桥本甲状腺炎或格雷夫斯病有关。由于其临床表现多样，且缺乏广泛接受的诊断标准，因此常常被漏诊。我们报告了 1 例 46 岁男性，以急性抑郁发作为首发表现，被证实患有桥本甲状腺炎相关脑病。该病例仅表现为精神科症状，这提醒我们，对于有甲状腺疾病病史的患者，提高对 EAATD 的认识可以实现及时诊断，并获得良好的疾病预后。
