title: Menstrual psychosis: presenting symptom of bipolar disorder not otherwise specified in a 13-years-old Hispanic female.
abstract: Exacerbation of symptoms in mood disorders such as bipolar disorders, major depressive disorders and premenstrual dysphoric disorders could be influenced by the hormonal changes of the menstrual cycles in female patients. Menarche has been related to onset of mood symptoms, which at times have been described as menstrual psychoses and could represent an early presentation of Pediatric bipolar disorders. Pediatric bipolar disorders appear to be characterized by less clearly defined mood episodes, shorter duration of these episodes, and different hallmark symptoms than in adults. This report describes a pediatric patient who had no previous psychiatric symptoms and for whom menstrual psychosis was the presenting symptom of bipolar disorder not otherwise specified.
authors.affiliation: Ponce School of Medicine/VA Caribbean Healthcare System Psychiatry Residency Program, Mayaguez Site at Centro de Salud Conductual del Oeste, Ponce & Mayaguez, Puerto Rico. cubitek@hotmail.com
authors.forename: Javier
authors.initials: J
authors.lastname: Santos-Cubiñá
authors.forename: Pedro A
authors.initials: PA
authors.lastname: Castaing-Lespier
authors.forename: Nuria
authors.initials: N
authors.lastname: Sabaté
authors.forename: Ana
authors.initials: A
authors.lastname: Torres-Martin
authors.forename: Virgen M
authors.initials: VM
authors.lastname: Quiñones-Fernandini
mesh_terms: D000293:Adolescent; D017668:Age of Onset; D000855:Anorexia / Q000209:etiology; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology / Q000523:psychology; D003987:Dibenzothiazepines / Q000627:therapeutic use; D004967:Estrogens / Q000502:physiology; D005260:Female; D006212:Hallucinations / Q000209:etiology; D006801:Humans; D008572:Menarche; D010259:Paranoid Disorders / Q000209:etiology; D010507:Periodicity; D011293:Premenstrual Syndrome / Q000503:physiopathology / Q000523:psychology*; D011595:Psychomotor Agitation / Q000209:etiology; D000069348:Quetiapine Fumarate; D007319:Sleep Initiation and Maintenance Disorders / Q000209:etiology
chemical_list: D014150:Antipsychotic Agents; D003987:Dibenzothiazepines; D004967:Estrogens; D000069348:Quetiapine Fumarate