RESUMEN
Exacerbation of symptoms in mood disorders such as bipolar disorders, major depressive disorders and premenstrual dysphoric disorders could be influenced by the hormonal changes of the menstrual cycles in female patients. Menarche has been related to onset of mood symptoms, which at times have been described as menstrual psychoses and could represent an early presentation of Pediatric bipolar disorders. Pediatric bipolar disorders appear to be characterized by less clearly defined mood episodes, shorter duration of these episodes, and different hallmark symptoms than in adults. This report describes a pediatric patient who had no previous psychiatric symptoms and for whom menstrual psychosis was the presenting symptom of bipolar disorder not otherwise specified.
Asunto(s)
Trastorno Bipolar/diagnóstico , Síndrome Premenstrual/psicología , Adolescente , Edad de Inicio , Anorexia/etiología , Antipsicóticos/uso terapéutico , Trastorno Bipolar/tratamiento farmacológico , Trastorno Bipolar/fisiopatología , Trastorno Bipolar/psicología , Dibenzotiazepinas/uso terapéutico , Estrógenos/fisiología , Femenino , Alucinaciones/etiología , Humanos , Menarquia , Trastornos Paranoides/etiología , Periodicidad , Síndrome Premenstrual/fisiopatología , Agitación Psicomotora/etiología , Fumarato de Quetiapina , Trastornos del Inicio y del Mantenimiento del Sueño/etiologíaRESUMEN
Rarely screened in psychiatric patients, primary and/or secondary Carnitine deficiency could be influencing and/or mimicking the mood symptoms of our patient population. The brain and specifically neurons are highly vulnerable to impairments in oxidative metabolism, which can lead to neuronal cell death and disorders of neurotransmitters causing changes in cognition and behavior. For this reason, identification of this disorder is important since its treatment could result in symptom improvement and better quality of life of our patients. We present a case where exacerbation of mood symptoms was associated to primary and secondary Carnitine deficiency.