title: Thyrotoxic psychosis in an elderly woman and haloperidol use: a case report.
abstract: Thyrotoxic patients may occasionally present with affective disorders. Here, we discuss a case of a 61-year-old woman with misidentification and persecutory delusions, olfactory hallucinations, and apathy associated with thyrotoxicosis. After definitive antithyroid and antipsychotic agent haloperidol treatments, the patient was released within 4 weeks. Thyrotoxic psychosis with apathy is a rare entity that can be misdiagnosed as affective psychosis. Haloperidol may be an alternative treatment in resolving psychotic features beside the treatment of hyperthyroid state.
authors.affiliation: Department of Psychiatry, Medical School of Cerrahpasa, Istanbul University, Istanbul, Turkey. muratemul@yahoo.com
authors.forename: Murat
authors.initials: M
authors.lastname: Emul
authors.forename: Ayse
authors.initials: A
authors.lastname: Sakalli
authors.forename: Turgut Can
authors.initials: TC
authors.lastname: Erol
authors.forename: Turan
authors.initials: T
authors.lastname: Ertan
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use*; D013956:Antithyroid Agents / Q000627:therapeutic use*; D057565:Apathy / Q000187:drug effects; D003937:Diagnosis, Differential; D005260:Female; D006212:Hallucinations / Q000150:complications / Q000188:drug therapy; D006220:Haloperidol / Q000627:therapeutic use*; D006801:Humans; D006965:Hyperplasia / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011618:Psychotic Disorders / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D016606:Thyroid Nodule / Q000473:pathology; D013971:Thyrotoxicosis / Q000150:complications / Q000188:drug therapy* / Q000523:psychology; D016896:Treatment Outcome
chemical_list: D014150:Antipsychotic Agents; D013956:Antithyroid Agents; D006220:Haloperidol