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Mar 18, 2019

27th European Congress of Psychiatry

HASHIMOTO ENCEPHALITIS (HE): A RARE DISEASE.

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dementia

Hashimoto

steroid

encephalitis

anti-TPO

Abstract

Abstract

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Keywords

dementia

Hashimoto

steroid

encephalitis

anti-TPO

Abstract

Background and Aims: Hashimoto encephalitis (HE) or steroid-responsive encephalopathy clinically associated with Hashimoto thyroiditis is a rare disease, poorly known and underdiagnosed. HE´s pahogenesis is not fully understood. There is not a lineal association between the symptoms and the level of antiperoxidase antibodies. It has been described in the literature that HE consists of a possible vasculitis in different cerebral areas; showing an unespecific neuroimaging. One of most specific signs of this disease is the response to corticoid therapy. It may present a variety of neuropsyquiatric symptoms like psychosis (26,1%), depression (23,9%) or dementia (10,9%). Objectives: To review the demografic caracteristics, different symptoms, psychiatric presentations and therapeutic management of HE. Methods: Case presentation and bibliography review about demographic distribution, diagnosis and management of HE. Results: We present a 77 year old woman who might be diagnosed of HE, her management and therapeutic results. Conclusions: The presentation of HE can be very heterogenous. We must keep on mind her psychitrist symptoms, like psychosis, depression, and dementia. HE must be considered when a patient shows high blood levels of anti TPO, incongruent symptoms or lack of response to antidepressive or antipsychotic medication. The standard treatment is steroid therapy. We should also monitor clinical response.

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© Copyright 2019 Morressier GmbH.
All rights reserved.