Tirotropinoma en paciente con esquizofrenia paranoide: reporte de caso
DOI:
https://doi.org/10.20453/rnp.v88i4.6330Palavras-chave:
esquizofrenia, microadenoma hipofisiario, ansiedad, tirotropinomaResumo
Se presenta el caso clínico de un varón de 24 años que padece esquizofrenia paranoide y un cuadro de ansiedad persistente, asociados a hipertiroidismo central debido a un microadenoma hipofisiario. A pesar de recibir dosis terapéuticas de clozapina y benzodiacepinas, la mejoría clínica se concretó tras establecer un manejo conjunto con la especialidad de endocrinología, enfocando el tratamiento en el hipertiroidismo central. Para el diagnóstico, fue necesario el análisis hormonal bioquímico y el estudio por imágenes que confirmaron un microadenoma hipofisiario productor de tirotropinoma (TSH), una patología médica poco frecuente relacionada, en este caso, a un trastorno mental severo. Este reporte subraya que el manejo interdisciplinario es clave en contextos clínicos donde surgen dudas diagnósticas que requieren apoyo y enfoques integrales.
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