Psychosis resulting in suicide in a patient with primary hyperparathyroidism.
A case is reported of a patient presenting to the psychiatric unit of our hospital with symptoms of depression and found to have an organic psychosis. On routine SMA-12 investigation (12 channel auto analyzer), elevated serum calcium was detected on admission leading to the diagnosis of primary hyperparathyroidism (PHPT). The surgical removal of a parathyroid adenoma was followed by a rapid return of biochemical abnormalities to normal ranges. In spite of appropriate psychiatric management and fluctuations in the patient's clinical condition, the organic psychosis was unaltered and culminated in suicide 4 months after admission.
S
S
Oztunç
R G
RG
Guscott
J
J
Soni
M
M
Steiner
D002118:Calcium / Q000097:blood; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications* / Q000401:mortality; D008950:MMPI; D008297:Male; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000097:blood / Q000209:etiology* / Q000401:mortality; D013405:Suicide
D002118:Calcium