Parathyroid Paranoia: Unveiling Psychosis in Hyperparathyroidism.

Publication/Presentation Date

1-1-2024

Abstract

Primary hyperparathyroidism (PHPT) and subsequent hypercalcemia have been reported to be associated with psychosis. Here we report the case of a 28-year-old cannabis using male with his first contact with psychiatric care because of mood instability, bizarre behavior, and poor ability to carry out activities of daily living. Hypercalcemia was identified, and a subsequent endocrine workup confirmed PHPT. After parathyroidectomy, there was no longer any need for antipsychotic or other psychotropic medications; the report emphasizes the importance of considering organic causes, such as hyperparathyroidism, in patients presenting with psychotic-like symptoms, including in the setting of substance use disorder. Prompt recognition and appropriate management of the underlying condition are crucial for optimizing patient outcomes.

Volume

2024

First Page

8126125

Last Page

8126125

ISSN

2090-682X

Disciplines

Medicine and Health Sciences

PubMedID

38957169

Department(s)

Department of Psychiatry, Department of Psychiatry Faculty, Fellows and Residents, USF-LVHN SELECT Program, USF-LVHN SELECT Program Students

Document Type

Article

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