13岁女孩桥本脑病为复发性短暂精神病发作:一例报告

IF 0.4 Q4 PEDIATRICS Adolescent Psychiatry Pub Date : 2020-01-10 DOI:10.2174/2210676609666190415125923
N. Uvais
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引用次数: 0

摘要

桥本脑病(HE)是一种针对甲状腺的自身免疫反应的衰弱表现,很少出现突出的精神症状。它经常被低估,主要是因为它的各种症状以及缺乏明确的诊断标准。我们报告了一例13岁女孩的病例,她在出现反复发作的严重精神病伴发烧和甲状腺疾病后被诊断为HE。患者有明显的视觉幻觉和妄想症。在两次发作之间,患者没有表现出精神症状的证据。该患者在几次错误的诊断和治疗中挣扎了两年,才做出正确的HE诊断,并在皮质类固醇给药后表现出极大的改善。该病例说明了当儿科患者出现精神病和并发甲状腺疾病时,提高对HE的认识以及将HE纳入鉴别诊断的重要性。
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Hashimoto’s Encephalopathy Presenting as Recurrent Brief Psychotic Episodes in a 13-Year-Old Girl: A Case Report
Hashimoto’s encephalopathy (HE) is a debilitating manifestation of an autoimmune reaction against the thyroid that rarely can present with prominent psychiatric symptoms. It is often under-diagnosed primarily due to its variety of symptoms as well as a lack of definitive diagnostic criteria. We report the case of a 13-year-old girl who has been diagnosed with HE after presenting with recurrent and severe psychosis with fever and a thyroidopathy. The patient had prominent visual hallucinations and paranoid delusions. Between episodes, the patient did not show evidence of psychiatric symptoms. This patient struggled with several incorrect diagnoses and treatments for two years before the correct diagnosis of HE was made and displayed extreme improvement upon corticosteroid administration. This case illustrates the importance of increasing awareness of HE as well as including HE in a differential diagnosis when paediatric patients present with psychosis and concurrent thyroidopathy.
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来源期刊
Adolescent Psychiatry
Adolescent Psychiatry PEDIATRICS-
CiteScore
0.80
自引率
0.00%
发文量
20
期刊介绍: Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.
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