Tom 14, Nr 4 (2017)
Artykuł przeglądowy
Opublikowany online: 2017-11-30
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Zaburzenia psychiczne współistniejące z chorobą Hashimoto — przegląd piśmiennictwa
Psychiatria 2017;14(4):209-216.
Streszczenie
Choroba Hashimoto (ChH) jest przewlekłą, zapalną chorobą tarczycy o podłożu autoimmunologicznym. Obecnie uważa
się ją za najpowszechniejszą chorobę autoimmunizacyjną na świecie oraz za najczęstszą przyczynę niedoczynności tarczycy
na obszarach bogatych w jod. Zaburzenia depresyjne często współwystępują z ChH, zwłaszcza u kobiet w okresie
poporodowym i okołomenopauzalnym. W grupie chorych z podwyższonym mianem autoprzeciwciał przeciwtarczycowych
anty-TPO opisywano również zwiększone ryzyko występowania choroby afektywnej dwubiegunowej z szybką zmianą
faz oraz zaburzeń obsesyjno-kompulsyjnych. Niedocenianą i mało znaną jednostką chorobową związaną z ChH jest
encefalopatia Hashimoto, której spektakularne objawy mogą imitować poważne choroby ośrodkowego układu nerwowego.
Szybkie rozpoznanie i wdrożenie odpowiedniego leczenia glikokortykosteroidami zwykle powoduje całkowite
ustąpienie objawów i powrót do zdrowia.
Słowa kluczowe: choroba Hashimotochoroba tarczycy o podłożu autoimmunologicznymdepresjazaburzenia lękoweencefalopatia Hashimoto
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