Clinical insights by the presence of bipolar disorder in pseudohypoparathyroidism type 1A

被引:6
作者
Kadilli, Irket [1 ]
Colicchio, Salvatore [1 ]
Guglielmo, Riccardo [1 ]
Vollono, Catello [2 ]
della Marca, Giacomo [2 ]
Janiri, Luigi [1 ]
机构
[1] Univ Cattolica Sacro Cuore, Inst Psychiat & Psychol, I-00168 Rome, Italy
[2] Univ Cattolica Sacro Cuore, Inst Neurol, I-00168 Rome, Italy
关键词
Bipolar disorder; Pseudohypoparathyroidism type 1A; GNAS1; mutation; Vitamin D deficiency; PARATHYROID-HORMONE; VITAMIN-D; CALCIUM;
D O I
10.1016/j.genhosppsych.2015.06.008
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Pseudohypoparathyroidism type 1A and its association with bipolar disorder (BD) have never been reported so far. We report a new case with both clinical entities and discuss the potential pathophysiological mechanisms of this association (protein kinase A hypoactivation, parathyroid hormone, hypocalcemia, protein kinase C activation, vitamin D deficiency). In this patient, the correction of the underlying calcium and vitamin D deficiencies leads to a better BD outcome and lower dosage of psychopharmacological agents. The conclusions might be generalized for a better understanding and management of these conditions. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:497.e3 / 497.e5
页数:3
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