1. Catamenial psychosis in an adolescent girl
- Author
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Myra Deanne Fernando, Kathleen A Crapanzano, Joseph Grizzaffi, and Glenn N. Jones
- Subjects
Psychosis ,medicine.medical_specialty ,Adolescent ,business.industry ,media_common.quotation_subject ,General Medicine ,Endocrine System Diseases ,medicine.disease ,Article ,Work-up ,Psychotic Disorders ,medicine ,Humans ,Endocrine system ,Female ,Girl ,Presentation (obstetrics) ,Paranoia ,medicine.symptom ,business ,Psychiatry ,Menstrual Cycle ,Menstrual cycle ,media_common ,Rare disease - Abstract
We report the case of an adolescent girl who was 14 years old at initial presentation. A shy, immature and timid individual, she began to have recurring, progressive episodes characterised by insomnia, paranoia, distorted thinking and mood instability with a mix of depressive and manic-like symptoms. An extensive medical work up was unrevealing. Her family noted a pattern that coincided with her menstrual cycle. An endocrine consult was obtained, and the diagnosis of catamenial psychosis was performed. After treatment with leuprolide, resulting in a shutdown of the hypothalamic-pituitary-ovarian axis, the patient’s symptoms were resolved completely.
- Published
- 2014
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