Endocrinologia e Síndrome Metabólica
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Adrenal Psychosis, A Diagnostic Challenge

Oluwaseun Aina

The purpose of this case discussion is to improve awareness of physicians to the fact that inadequate production of cortisol could produce psychosis. Psychosis or psychiatry disorders could be a presentation of a defect in cortisol production due to a problem with the hypothalamic-pituitary-adrenal axis and organic psychosis. In patients with recurrent psychiatric hospital admissions and failure of multiple antidepressants, it may be prudent to revisit organic causes of psychosis. Though more studies need to be done, the author want a discussion on this topic to improve awareness of physicians about this possibility before starting or adding psychotropic medications in view of the potential side effects associated with these medications.