title: Acute mania in a patient with hypothyroidism resulting from Hashimoto's Thyroiditis.
abstract: Hashimoto's thyroiditis (HT) is an autoimmune thyroiditis that occurs frequently in middle-aged women. To date, there is no formally reported association between acute mania and hypothyroidism due to HT. We report a case of acute mania associated with hypothyroidism resulting from HT. Our patient's mania and hypothyroidism remitted gradually after the treatment with mood stabilizer/antipsychotic drugs and levothyroxine therapy. This case highlights the importance of ascertaining thyroid function and checking antithyroid antibodies in middle-aged female patients with affective symptoms to the hospital for the first time.
authors.affiliation: Department of Psychiatry, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan.
authors.forename: Chia-Lin
authors.initials: CL
authors.lastname: Lin
authors.forename: Szu-Nian
authors.initials: SN
authors.lastname: Yang
authors.forename: I-Shin
authors.initials: IS
authors.lastname: Shiah
mesh_terms: D000208:Acute Disease; D000328:Adult; D018692:Antimanic Agents / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000188:drug therapy / Q000523:psychology*; D003987:Dibenzothiazepines / Q000627:therapeutic use; D005260:Female; D050031:Hashimoto Disease / Q000523:psychology*; D006801:Humans; D007037:Hypothyroidism / Q000188:drug therapy / Q000523:psychology*; D000069348:Quetiapine Fumarate; D013974:Thyroxine / Q000627:therapeutic use; D014635:Valproic Acid / Q000627:therapeutic use
chemical_list: D018692:Antimanic Agents; D014150:Antipsychotic Agents; D003987:Dibenzothiazepines; D000069348:Quetiapine Fumarate; D014635:Valproic Acid; D013974:Thyroxine
keywords: Acute mania; Hashimoto's thyroiditis; Primary hypothyroidism; Psychosis