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International Journal of Innovation and Applied Studies
ISSN: 2028-9324     CODEN: IJIABO     OCLC Number: 828807274     ZDB-ID: 2703985-7
 
 
Friday 21 February 2020

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Psychiatric manifestations revealing hyperthyroidism at the Regional Hospital of Kaya: About 2 cases


[ Les manifestations psychiatriques révélant une hyperthyroïdie au Centre Hospitalier Régional de Kaya: A propos de 2 cas ]

Volume 27, Issue 2, September 2019, Pages 559–562

 Psychiatric manifestations revealing hyperthyroidism at the Regional Hospital of Kaya: About 2 cases

N. Sawadogo1, Desiré Nanema2, D. Traore3, S.A. Ouermi4, A. Drave5, O. Guira6, and R.P. Kabore7

1 Service de Médecine, Centre Hospitalier Universitaire Régional de Ouahigouya, Burkina Faso
2 Department of Psychiatry, University of Ouaga I Joseph Ki-Zerbo, University Hospital Yalgado Ouedraogo, Ouagadougou, Burkina Faso
3 Service de Médecine interne, Hôpital du point G, Mali
4 Service de Pédiatrie, Centre Hospitalier Universitaire Régional de Ouahigouya, Burkina Faso
5 Service de Médecine, Centre Hospitalier Universitaire Régional de Ouahigouya, Burkina Faso
6 Service de Médecine, Centre Hospitalier Régional de Kaya, Burkina Faso
7 Service de Médecine interne, Centre Hospitalier Universitaire Yalgado Ouédraogo, Burkina Faso

Original language: French

Received 31 January 2019

Copyright © 2019 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract


Psychiatric manifestations may be a circumstance of discovery of hyperthyroidism, but may also contribute to delayed diagnosis. We report in this work, two clinical cases that confirm the richness of clinical manifestations and sometimes the delay to diagnosis in our socio-cultural context. These were two 52-year-old and 48-year-old patients with psychomotor agitation syndrome, severe anxiety, and delusional persecution syndrome, all of which occurred on goiter. In both cases, the thyroid assessment showed a collapsed TSH and elevated thyroid hormones, confirming the diagnosis of hyperthyroidism. The evolution was favorable under synthetic antithyroid and neuroleptics. Both patients subsequently benefited from subtotal thyroidectomy with simple operative follow-up. Multidisciplinary care, psychiatry and internal medicine were provided in both cases.

Author Keywords: Hyperthyroidism, Transient Acute Psychotic Disorders, Regional Hospital Center of Kaya, Psychiatrics manifestations, Kaya.


Abstract: (french)


Les manifestations psychiatriques peuvent constituer une circonstance de découverte de l’hyperthyroïdie, mais peuvent également contribuer à retarder le diagnostic. Nous rapportons dans ce travail, deux cas cliniques qui confirment la richesse des manifestations cliniques et parfois le retard possible au diagnostic dans notre contexte socioculturel. Il s’agissait de deux patientes âgées de 52 ans et 48 ans ayant présenté un syndrome d’agitation psychomotrice, une angoisse très marquée et un syndrome délirant à thématique de persécution, le tout survenant sur un goitre. Le bilan thyroïdien réalisé a objectivé dans les deux cas, une TSH effondrée et des hormones thyroïdiennes élevées, confirmant le diagnostic d’hyperthyroïdie. L’évolution été favorable sous antithyroïdiens de synthèse et neuroleptiques. Une prise en charge multidisciplinaire, psychiatrie et médecine interne a été assurée dans les deux cas.

Author Keywords: Hyperthyroïdie, Troubles psychotiques aigus transitoires, Centre Hospitalier Régional de Kaya, Manifestations psychiatriques, Kaya.


How to Cite this Article


N. Sawadogo, Desiré Nanema, D. Traore, S.A. Ouermi, A. Drave, O. Guira, and R.P. Kabore, “Psychiatric manifestations revealing hyperthyroidism at the Regional Hospital of Kaya: About 2 cases,” International Journal of Innovation and Applied Studies, vol. 27, no. 2, pp. 559–562, September 2019.