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格雷夫斯病相关精神病的管理:一例罕见病例报告

Management of Psychosis Associated with Graves' Disease: A Rare Case Report.

作者信息

Williams Ozge Ceren Amuk, Abdulrahim Mouad, Davis Victoria, Jenson Charles, Anand Ayush, Bachu Anil Krishna

机构信息

Griffin Memorial Hospital, Norman, USA.

Baptist Health, Little Rock, USA.

出版信息

Case Rep Psychiatry. 2022 Dec 29;2022:4685870. doi: 10.1155/2022/4685870. eCollection 2022.

Abstract

Graves' disease is an autoimmune disease in which patients can rarely present with psychiatric symptoms. In these patients, detailed history with psychiatric evaluation using a mental status examination is crucial for the early identification of psychiatric manifestations. Early intervention with medical and surgical therapy can help effectively treat the condition and prevent adverse outcomes such as catatonia. We reported the case of a 25-year-old African American female with Graves' disease who had significant stressors and presented with auditory hallucinations. She was diagnosed with psychosis secondary to Graves' disease and was managed medically using antithyroid drugs and beta-blockers. On failure of medical therapy, a surgical approach was employed. The patient was managed successfully, and her condition improved. Our case highlights that the importance of early intervention in these cases can lead to successful outcomes in patients with Graves' disease-induced psychosis.

摘要

格雷夫斯病是一种自身免疫性疾病,患者很少出现精神症状。对于这些患者,通过精神状态检查进行详细的病史询问和精神评估对于早期识别精神症状至关重要。早期采用药物和手术治疗进行干预有助于有效治疗该病并预防诸如紧张症等不良后果。我们报告了一例25岁患有格雷夫斯病的非裔美国女性病例,该患者有明显的压力源并出现幻听。她被诊断为格雷夫斯病继发的精神病,并使用抗甲状腺药物和β受体阻滞剂进行药物治疗。药物治疗失败后,采用了手术方法。患者得到成功治疗,病情有所改善。我们的病例强调了在这些病例中早期干预的重要性,这可使格雷夫斯病所致精神病患者获得成功治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d112/9815913/e7a89573de3a/CRIPS2022-4685870.001.jpg

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