Myxedema psychosis

Myxedema psychosis
Synonyms	Hypothyroid psychosis
Pronounce	N/A
Specialty	N/A
Symptoms	Delusions, hallucinations, cognitive impairment, depression, mania
Complications	Coma, seizures, cardiovascular disease
Onset	Typically in adults with hypothyroidism
Duration	Variable, depending on treatment
Types	N/A
Causes	Severe hypothyroidism
Risks	Untreated hypothyroidism, autoimmune thyroiditis, thyroid surgery
Diagnosis	Clinical evaluation, thyroid function tests
Differential diagnosis	Schizophrenia, bipolar disorder, major depressive disorder, dementia
Prevention	N/A
Treatment	Thyroid hormone replacement therapy, antipsychotic medication
Medication	N/A
Prognosis	Good with appropriate treatment
Frequency	Rare
Deaths	N/A

Myxedema Psychosis is a rare and serious condition that occurs in some patients with hypothyroidism, a condition where the body does not produce enough thyroid hormone. It is characterized by severe psychiatric symptoms, including psychosis, which can include hallucinations, delusions, and paranoia.

Symptoms

The symptoms of myxedema psychosis can vary widely, but they often include:

• Psychosis, which can include hallucinations, delusions, and paranoia
• Depression
• Anxiety
• Mood swings
• Memory loss
• Confusion
• Sleep disturbances

Causes

Myxedema psychosis is caused by severe, untreated hypothyroidism. The exact mechanism by which hypothyroidism leads to psychosis is not fully understood, but it is thought to involve changes in the brain caused by low levels of thyroid hormone.

Diagnosis

Diagnosis of myxedema psychosis involves a thorough medical and psychiatric evaluation. Blood tests to measure levels of thyroid hormone are typically performed. In some cases, imaging studies such as a CT scan or MRI may be done to rule out other causes of psychosis.

Treatment

Treatment for myxedema psychosis involves treating the underlying hypothyroidism. This typically involves hormone replacement therapy with levothyroxine. In some cases, antipsychotic medications may also be used to manage the psychiatric symptoms.

Prognosis

With appropriate treatment, the prognosis for myxedema psychosis is generally good. Most patients experience a complete resolution of their psychiatric symptoms once their hypothyroidism is adequately treated.

See also

• Hypothyroidism
• Psychosis
• Thyroid disease

References

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