PMID: 3215715Jan 1, 1988Paper

The diagnostic dilemma of myxedema and madness, axis I and axis II: a longitudinal case report

International Journal of Psychiatry in Medicine
D F DarkoS C Risch

Abstract

A patient with presumed chronic paranoid schizophrenia had chronic thyroiditis and Grade I hypothyroidism. Psychosis cleared following treatment with thyroid replacement. The probable presence of two axis II disorders may have contributed to the missed medical diagnosis and the patient's eventual suicide. The personality disorders were a major problem in the patient's medical and psychiatric care. The differential diagnosis among hypothyroidism and primary axis I psychotic and depressive psychopathology has always been problematic. When axis II pathology is also present, the diagnostic dilemma is increased.

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Citations

Jul 9, 2002·General Hospital Psychiatry·Jon A Lehrmann, Shaili Jain
Oct 1, 1993·Journal of Microencapsulation·R Arshady
Nov 26, 1999·European Psychiatry : the Journal of the Association of European Psychiatrists·A ValevskiA Weizman
Aug 21, 2004·Journal of Child and Adolescent Psychopharmacology·Vinod BhataraAnjali Bhatara
Aug 23, 2021·General Hospital Psychiatry·Jana KrügerMaria C Jockers-Scherübl

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