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晚发性双相情感障碍中的快速循环,以躁狂发作为主。

Rapid cycling in late-onset bipolar affective disorder predominantly mania.

作者信息

Chauhan Archana, Agrawal Mohit, Yadav Prateek, Chauhan Vinay Singh

机构信息

Resident, Department of Psychiatry, Armed Forces Medical College, Pune, India.

Senior Resident, Department of Psychiatry, Armed Forces Medical College, Pune, India.

出版信息

Med J Armed Forces India. 2025 Mar-Apr;81(2):219-221. doi: 10.1016/j.mjafi.2024.04.023. Epub 2024 Jun 27.

DOI:10.1016/j.mjafi.2024.04.023
PMID:40496236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12138088/
Abstract

Bipolar affective disorder (BD) involves episodes of severe mood disturbance of depression and hypomania or mania and can result from the sensitization produced by repeated episodes. The authors present a case report assessed in the outpatient department of psychiatry of a tertiary care hospital in western Maharashtra. The patient was a 70-year-old female with late-onset rapid cycling bipolar affective disorder with predominantly hypomanic and manic episodes and co-morbidities of hypothyroidism, type II diabetes mellitus, and bullous pemphigoid. She was treated successfully with Tab quetiapine 400 mg/day, Tab lithium 600 mg/day, and Tab thyroxine 125 μg/day with a favorable response.

摘要

双相情感障碍(BD)涉及严重的抑郁和轻躁狂或躁狂情绪紊乱发作,可能由反复发生产生的致敏作用导致。作者介绍了在马哈拉施特拉邦西部一家三级护理医院精神科门诊评估的一例病例报告。患者为一名70岁女性,患有迟发性快速循环双相情感障碍,主要为轻躁狂和躁狂发作,同时合并甲状腺功能减退、II型糖尿病和大疱性类天疱疮。她通过每天服用400毫克喹硫平片、600毫克锂盐片和125微克甲状腺素片成功治愈,反应良好。

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本文引用的文献

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Characteristics of rapid cycling in 1261 bipolar disorder patients.1261例双相情感障碍患者的快速循环特征。
Int J Bipolar Disord. 2023 Jun 4;11(1):21. doi: 10.1186/s40345-023-00300-z.
2
Lamotrigine and Lithium Combination for Treatment of Rapid Cycling Bipolar Disorder: Results From Meta-Analysis.拉莫三嗪与锂盐联合治疗快速循环型双相情感障碍:荟萃分析结果
Front Psychiatry. 2022 Jul 14;13:913051. doi: 10.3389/fpsyt.2022.913051. eCollection 2022.
3
What an endocrinologist should know for patients receiving lithium therapy.内分泌医生应该了解的锂治疗患者相关知识。
Ann Endocrinol (Paris). 2022 Aug;83(4):219-225. doi: 10.1016/j.ando.2022.01.001. Epub 2022 Jan 21.
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Rapid cycling bipolar disorder: Literature review on pharmacological treatment illustrated by a case report on ketamine.快速循环型双相障碍:文献综述及病例报告(以氯胺酮为例)
Brain Behav. 2022 Feb;12(2):e2483. doi: 10.1002/brb3.2483. Epub 2022 Jan 18.
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A systematic review and meta-analysis of clinical predictors of lithium response in bipolar disorder.双相情感障碍中锂盐反应临床预测因素的系统评价与荟萃分析。
Acta Psychiatr Scand. 2019 Aug;140(2):94-115. doi: 10.1111/acps.13062. Epub 2019 Jun 30.
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Epidemiology and risk factors for bipolar disorder.双相情感障碍的流行病学及风险因素
Ther Adv Psychopharmacol. 2018 Apr 26;8(9):251-269. doi: 10.1177/2045125318769235. eCollection 2018 Sep.
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Risk factors for rapid cycling in bipolar disorder.双相障碍快速循环的危险因素。
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An admixture analysis of the age at index episodes in bipolar disorder.双相障碍首发年龄的混合分析。
Psychiatry Res. 2011 Jun 30;188(1):34-9. doi: 10.1016/j.psychres.2010.10.033. Epub 2010 Dec 4.