Case Report
Neuropsychiatric symptoms in a patient with Cushing’s syndrome
Submitted: 05 March 2021 | Published: 18 January 2022
About the author(s)
Reyna Daya, Department of Internal Medicine, Division of Endocrinology, Helen Joseph Hospital, Johannesburg, South Africa; and, Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaFaheem Seedat, Department of Internal Medicine, Division of Endocrinology, Helen Joseph Hospital, Johannesburg, South Africa; and, Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Emilia Blomerus, Department of Internal Medicine, Division of Endocrinology, Helen Joseph Hospital, Johannesburg, South Africa
Saajidah Bulbulia, Department of Internal Medicine, Division of Endocrinology, Helen Joseph Hospital, Johannesburg, South Africa; and, Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Zaheer Bayat, Department of Internal Medicine, Division of Endocrinology, Helen Joseph Hospital, Johannesburg, South Africa; and, Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Abstract
Cushing’s syndrome (CS) may present with different neurological and/or psychiatric symptoms including anxiety, depression, cognitive impairment and psychosis. Psychosis is a rare clinical manifestation, with literature limited to case reports. We report a case of a 52-year-old woman with psychosis secondary to CS who was mis-diagnosed as schizophrenia-like psychosis. This case highlights the importance of considering CS as a differential when ruling out medical causes in patients with either new or persistent mental health disturbances.
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Crossref Citations
1. Management of psychosis in the course of cushing syndrome: a review
Szymon Barczak, Zuzanna Hertz, Barbara Badura
Drugs & Therapy Perspectives vol: 40 issue: 9 first page: 371 year: 2024
doi: 10.1007/s40267-024-01092-7