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Psychotic depression due to primary hyperparathyroidism
Author(s) -
Waykar Vijayendra,
Aziz Rafia,
Eapen Dilip
Publication year - 2019
Publication title -
progress in neurology and psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.19
H-Index - 12
eISSN - 1931-227X
pISSN - 1367-7543
DOI - 10.1002/pnp.539
Subject(s) - hypercalcaemia , primary hyperparathyroidism , subclinical infection , depression (economics) , psychopathology , medicine , population , parathyroid hormone , hyperparathyroidism , psychiatry , pediatrics , calcium , environmental health , economics , macroeconomics
Neuropsychiatric symptoms in primary hyperparathyroidism are varied and can be easily missed, particularly in elderly population. It is believed that psychopathology emerges after a prolonged period of subclinical hypercalcaemia. This case highlights the importance of baseline tests when assessing patients presenting with mental health symptoms, and the presence of high serum calcium should prompt psychiatrists to consider testing for levels of parathyroid hormone and vitamin D levels.