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1: Acta Psychiatr Scand. 2001 Jul;104(1):72-3; discussion 74-5.
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Late-onset bipolar disorder due to hyperthyroidism.

Nath J, Sagar R.

Department of Psychiatry, Government Medical College Hospital, Chandigarh, India.

OBJECTIVE: Bipolar disorder starts typically in early age and late-onset cases are rare. Late-onset cases are more likely to have comorbid medical illnesses responsible for them. This case report highlights late-onset bipolar disorder due to hyperthyroidism. METHOD: A 65-year-old patient of bipolar disorder has been described. RESULT: Physical examination and laboratory investigations detected presence of hyperthyroidism and the patient was treated with antithyroid and anxiolytics. CONCLUSION: A thorough examination and investigation are required in late-onset cases of bipolar disorder to rule out secondary causes. Definitive antimanic agents or mood stabilizers may not be required in such cases.

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PMID: 11437754 [PubMed - indexed for MEDLINE]