Badloe J S, de Winter R F P, Ramlal D, van Amerongen A S
Radiotherapie LUMC, Leiden.
Tijdschr Psychiatr. 2013;55(8):635-9.
We discuss the case history of a woman aged 49 years who displayed manic-psychotic symptoms as a clinical manifestation of hyperparathyroidism. Following resection of the parathyroid she developed severe depression. Primary hyperparathyroidism (PHPT) is characterised by an increase of the parathyroid hormone (PTH), which in turn leads to an increase in the plasma calcium. PHPT can be accompanied by various psychiatric symptoms ranging from personality changes and severe depression to obsessive-compulsive and paranoid symptoms.
我们讨论了一位49岁女性的病史，她表现出躁狂-精神病症状，这是甲状旁腺功能亢进的临床表现。甲状旁腺切除术后，她出现了严重的抑郁症。原发性甲状旁腺功能亢进症（PHPT）的特征是甲状旁腺激素（PTH）增加，进而导致血浆钙升高。PHPT可能伴有各种精神症状，从人格改变、严重抑郁到强迫和偏执症状不等。
