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B ES 2 0 1 6 Hashimoto’s encephalopathy (HE) is a very rare neuropsychiatric condition associated with autoimmune thyroid disorders which shows a remarkable response to steroid therapy and hence is also called steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT). It can be a diagnostic dilemma and we present a similar case presenting twice with psychoaffective symptoms but not receiving the diagnosis on first presentation. Introduction

A lady with psycho-affective symptoms due to Hashimoto's encephalopathy