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A Case of Hashimoto's Encephalopathy Manifesting as Psychosis

Prim Care Companion J Clin Psychiatry 2007;9(4):318-318 [letter]

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Sir: A high rate of autoimmune thyroiditis not associated with lithium treatment has been reported in patients with psychiatric disorders.1,2 Hashimoto’s encephalopathy is a rare subacute condition associated with high levels of thyroid antibodies that usually presents with neurologic symptoms. A few cases of this illness manifesting with predominant psychiatric symptoms have been reported.3–5