title: [Atypical presentation of an induced hyperthyroidism].
abstract: We present the case of a person with baseline Bipolar Affective Disorder, who starts receiving medical treatment for subclinical Hypothyroidism, during this time the patient develops Hyperthyroidism. During the course of the latter, the patient started to exhibit depressed mood symptoms and worsening of her baseline disorder. Typically there are depressive symptoms in hypothyroidism and manic symptoms in hyperthyroidism, there have been a few cases of depressive symptoms (depressed mood, asthenia and apathy) reported in patients with hyperthyroidism. Up till now it's a fact that Hyperthyroidism constitutes itself as a risk factor for developing or precipitating depressive states, thus increasing hospital readmissions, and another important fact is that of manifesting or worsening affective symptoms due to the influence of thyroid hormones. We also present the well-known relationship between thyroid malfunction and affective disorders.
authors.affiliation: Médica general, Universidad de Manizales. Residente de II año de psiquiatría, Departamento de Salud Mental y Comportamiento Humano, Universidad de Caldas. Residente en rotación extramural de Psiquiatría de Enlace en el Hospital Universitario del Valle, Universidad del Valle. Electronic address: pilarvelasquezd@hotmail.com.
authors.forename: María Del Pilar Velásquez
authors.initials: Mdel P
authors.lastname: Duque
authors.affiliation: Médico psiquiatra. Especialista en psiquiatría de enlace e interconsulta, Universidad de Caldas y El Bosque. Profesor de la Facultad de Salud, Escuela de Medicina, Departamento de Psiquiatría, Universidad del Valle. Cali, Valle del Cauca, Colombia.
authors.forename: Jaime Bernal
authors.initials: JB
authors.lastname: Miranda
keywords: Hipotiroidismo; Hypothyroidism; depresión; depression; hipertiroidismo; hyperthyroidism; mania; manía