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Gen Hosp Psychiatry. 2014 Nov-Dec;36(6):761.e7-8. doi: 10.1016/j.genhosppsych.2014.07.003. Epub 2014 Jul 19.

Postpartum psychosis in a woman with Graves' disease: a case report.

Author information

1
Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, (NIMHANS) Bangalore-560029, India.
2
Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, (NIMHANS) Bangalore-560029, India. Electronic address: prabhasch@gmail.com.
3
Department of Psychiatric Social Work, National Institute of Mental Health and, Neuro Sciences (NIMHANS) Bangalore-560029, India.

Abstract

OBJECTIVE:

Thyroid dysfunction is common during pregnancy and the postpartum period and is known to cause psychiatric disturbances. A woman with Graves' disease and psychosis in the postpartum period is described.

METHODS:

A 22-year-old woman with Graves' disease developed fluctuating orientation, catatonia, delusions of persecution and auditory hallucinations 3 days following childbirth.

RESULTS:

The report discusses the clinical presentation. Treatment of both conditions led to the resolution of symptoms.

CONCLUSION:

Graves' disease with postpartum psychosis may present with delirium, catatonia and prominent auditory hallucinations and responds well to a combination of psychotropic and antithyroid drugs. Thyroid dysfunction should be assessed for and managed adequately in postpartum psychosis.

KEYWORDS:

Catatonia; Graves' disease; Hyperthyroidism; Postpartum psychosis; Psychosis

[Indexed for MEDLINE]

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