Posted by tealady on September 25, 2007, at 18:14:54
http://www.medscape.com/viewarticle/561834_print
Thyrotoxicosis, especially when untreated, severe, or prolonged, can lead to psychiatric manifestations and psychosis. Most cases of thyrotoxic or hyperthyroid psychosis have been described in patients who have Graves disease or a toxic nodular goiter. A family history or underlying predisposition to mental illness may be operative in some situations. A patient with subacute thyroiditis and organic psychosis is described here who had acute and simultaneous onset as well as resolution of both conditions." Associated With Subacute Thyroiditis"A few other pertinent points merit comment. It should be kept in mind that psychiatric disorders including schizophrenia and mania can lead to alteration in thyroid function tests and hyperthyroxinemia.[10,11] This entity has not been fully explained but in many situations may be a form of 'euthyroid sick syndrome' that can occur in its more classic form in nonthyroidal illnesses, including psychiatric perturbations.[12] Our patient clearly had a primary thyroid abnormality, as seen by the results of biochemical and imaging studies, and not vice versa. Other coexisting conditions, for example vitamin B12 deficiency,[13] can aggravate thyrotoxic psychosis, but none were evident in our patient. Interestingly, increased prevalence of autoimmune diseases, particularly thyrotoxicosis, has been observed in the family history of patients with psychosis.[14] Resolution of thyrotoxic psychosis is achieved by definitive treatment of the hyperthyroid state with either antithyroid medications or radioactive iodine ablation.[6]"
.. NB I wouldn't do the RAI.. that probably would lead to permanentt hypothyroid.
Fo Some food alternatives like goitrogens
( http://tealady-health.blog.co.uk/?tag=goitrogen )
need to be considerewd as well, It is surprising how much effect they have.
Calcium, Magnesium, iodine and I guess all the minerals and vitamins also have effects aon thyroid function."Subacute thyroiditis is, in most cases, a self-limiting condition that can pose a diagnostic dilemma but requires only symptomatic treatment. However, thyrotoxicosis associated with subacute thyroiditis can result in severe behavioral disturbances, including organic psychosis. Clinicians should keep this in mind when evaluating patients with acute onset of elevated thyroid function tests and concurrent psychiatric abnormalities. "
poster:tealady
thread:785152
URL: http://www.dr-bob.org/babble/alter/20070923/msgs/785152.html