title: [Paranoid psychosis in a patient with hypothyroidism and vitamin B12 deficiency].
abstract: The case of a 39 year old in-patient with a paranoid syndrome is presented. During the course of examination, a vitamin B12 deficiency as well as a hypothyreosis were found, which seemed to have a common cause in an autoimmune disease. The paranoid symptoms disappeared completely under treatment with vitamin B12 and thyroid hormones. Moreover, the neuropsychological deficit improved markedly. The relationship between psychiatric symptoms and organic disease, and also the differential diagnosis, is discussed.
authors.affiliation: Psychiatrische Klinik und Poliklinik, Universität München.
authors.forename: S
authors.initials: S
authors.lastname: Modell
authors.forename: D
authors.initials: D
authors.lastname: Naber
authors.forename: F
authors.initials: F
authors.lastname: Müller-Spahn
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D019965:Neurocognitive Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D009483:Neuropsychological Tests; D010259:Paranoid Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D013974:Thyroxine / Q000008:administration & dosage; D014805:Vitamin B 12 / Q000008:administration & dosage; D014806:Vitamin B 12 Deficiency / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology
chemical_list: D014805:Vitamin B 12; D013974:Thyroxine
vernacular_title: Paranoide Psychose bei einem Patienten mit Hypothyreose und Vitamin-B12-Mangel.