Comprehensive Psychiatry
Volume 46, Issue 2 , Pages 155-158 , March 2005

A case of seasonal bipolar disorder exacerbated by Cushing's disease

  • Abdu'l-Missagh Ghadirian

      Affiliations

    • Department of Psychiatry, Royal Victoria Hospital, H3A 1A1 McGill University Health Centre, Montreal, Quebec, Canada
    • Corresponding Author InformationCorresponding author. Allan Memorial Institute, 1025 Pine Ave West, Montreal, Quebec, Canada H3A 1A1. Tel.: +1 514 842 1231 x35525; fax: +1 514 843 1644.
    • ,
  • Sorana Marcovitz

      Affiliations

    • Department of Medicine, Montreal General Hospital, H3G 1A4 McGill University Health Centre, Montreal, Quebec, Canada
    • ,
  • Beverley E. Pearson Murphy

      Affiliations

    • Department of Psychiatry, Royal Victoria Hospital, H3A 1A1 McGill University Health Centre, Montreal, Quebec, Canada
    • Department of Medicine, Montreal General Hospital, H3G 1A4 McGill University Health Centre, Montreal, Quebec, Canada

References 

  1. Haskett RF. Diagnostic categorization of psychiatric disturbance in Cushing's syndrome. Am. J. Psychiatry. 1985;142:911–916
  2. Starkman M. The HPA axis and psychopathology: Cushing's syndrome. Psychiatr. Ann. 1993;23:691–701
  3. Murphy BEP. Treatment of major depression with steroid suppressive therapy. J. Steroid Biochem. Mol. Biol. 1991;39:239–244
  4. Murphy BEP, Dhar V, Ghadirian AM, Chouinard G, Keller R. Response to steroid suppression in major depression resistant to antidepressant therapy. J. Clin. Psychopharmacol. 1991;11:121–126
  5. Murphy BEP. Steroids and depression. J. Steroid Biochem. Mol. Biol. 1991;38:537–558
  6. Schwartz PJ, Brown C, Wehr TA, Rosenthal NE. Winter seasonal affective disorder: a follow-up study of the first 59 patients of the National Institute of Mental Health Seasonal Studies Program. Am. J. Psychiatry. 1996;153:1028–1036
  7. Oren DA, Levendosky AA, Kasper S, Duncan CC, Rosenthal NE. Circadian profiles of cortisol, prolactin, and thyrotropin in seasonal affective disorder. Biol. Psychiatry. 1996;39:15–170
  8. James SP, Wehr TA, Sack DA, Parry BL, Rogers S, Rosenthal NE. The dexamethasone suppression test in seasonal affective disorder. Compr. Psychiatry. 1986;27:224–246
  9. Kathol RG, Delahunt JW, Hannah L. Transition from bipolar affective disorder to intermittent Cushing's syndrome: case report. J. Clin. Psychiatry. 1985;46:194–196
  10. Nagayama H, Sasaki M, Ichii S, Handa K, Okawa M, Ohta T, et al. Atypical depressive symptoms possibly predict responsiveness to phototherapy in seasonal affective disorder. J. Affect. Disord. 1993;23:185–189
  11. Wirz-Justice A, Bucheli D, Graw P, Kielholz P, Fisch Hj-U, Woggon B. Light treatment of seasonal affective disorder in Switzerland. Acta Psychiatr. Scand. 1986;74:193–204
  12. Ghadirian A-M, Engelsmann F, Filipini D, Dhar V, Keller R, Chouinard G, et al. The psychotropic effects of inhibitors of steroid biosynthesis in depressed patients refractory to treatment. Biol. Psychiatry. 1995;37:369–375
  13. Murphy BEP, Ghadirian AM, Dhar V. Endocrine responses to inhibitors of steroid biosynthesis in patients with major depression resistant to treatment. Can. J. Psychiatry. 1998;43:279–286
  14. Raff H, Raff JL, Findling W. Late-night salivary cortisol as a screening test for Cushing's syndrome. J. Clin. Endocrinol. Metab. 1998;83:2681–2686

PII: S0010-440X(04)00117-8

doi: 10.1016/j.comppsych.2004.07.029

Comprehensive Psychiatry
Volume 46, Issue 2 , Pages 155-158 , March 2005

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