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Yıl:1997; Cilt: 2; Sayı: 1>> Özet
Ege Psikiyatri Sürekli Yayınları; 1997;2(1):87-104
Psikiyatrik Durumların Eşlik Ettiği Endokrin Bozukluklar
NK Oğuzhanoğlu, A Oğuzhanoğlu
Pamukkale Ü. Tıp Fakültesi, Denizli
Endokrin hastalıklar, tüm tıbbi hastalıklar arasında hemen hemen en sık nöropsikiyatrik belirtilere yol açan gruptur. Ortaya çıkan duygusal, bilişsel ve davranışsal değişiklikler endokrin bozukluğun belirti ve bulguları ile birlikte çoğu kez ayırıcı tanıyı güçleştirmektedir. Depresyon ve bunaltı sık görülmektedir. Demans daha ender görülür, psikoz ve deliryum ise ciddi endokrinopatili hastalarda ortaya çıkabilir.
İyi bir tıbbi öykü ve fizik bakı ile olası endokrinal nedene yönelik iaboratuvar araştırmanın yanısıra endokrin bozukluklara sıkça eşlik eden psikiyatrik belirtiler de sorgulanmalıdır. Birçok olguda endokrin bozukluğun uygun sağaltımı ile nöropsikiyatrik görünüm düzelir ancak kimi zaman psikiyatrik girişim gerekebilir. Bu bölümde psikiyatrik bozukluklara yol açan endokrin bozukluklar, klinik görünüm, ayırıcı tanı ve sağaltım yaklaşımları açısından ilgili literatür ışığında gözden geçirilecektir.

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