Addison's disease, psychosis, and the syndrome of inappropriate secretion of antidiuretic hormone.
A case of tuberculous Addison's disease presenting with psychosis, profound hyponatraemia, and detectable plasma antidiuretic hormone is reported. Clinical and biochemical improvement after corticosteroid replacement was followed by relapse with further psychosis and inappropriate antidiuretic hormone secretion: both were promptly reversed by demethylchlortetracycline. The association of psychological symptoms with Addison's disease, the role of anti-diuretic hormone secretion in Addison's disease, and the inter-relationship between Addison's disease, psychosis and anti-diuretic hormone secretion are discussed.
D000224:Addison Disease / Q000150:complications* / Q000188:drug therapy; D001835:Body Weight; D003707:Demeclocycline / Q000627:therapeutic use; D005438:Fludrocortisone / Q000627:therapeutic use; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D007177:Inappropriate ADH Syndrome / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011618:Psychotic Disorders / Q000209:etiology*; D014667:Vasopressins / Q000097:blood; D014869:Water Intoxication / Q000209:etiology
D014667:Vasopressins; D003707:Demeclocycline; D005438:Fludrocortisone; D006854:Hydrocortisone