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Two Cases of Hypomania in AIDS

Published online by Cambridge University Press:  02 January 2018

Ulrike Schmidt  and
David Miller
Ulrike Schmidt*
Affiliation:
Department of Psychiatry, Middlesex Hospital
David Miller
Affiliation:
Middlesex Hospital Medical School
*
∗Department of Psychiatry, Middlesex Hospital, Mortimer Street, London WIN 8AA
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Abstract

HIV disease often leads to neuropsychiatric disturbance, either through direct infection of the brain by the virus or through CNS disease secondary to immunodeficiency. Neuropsychiatric complications of AIDS and AIDS-related disorders may present clinically as acute or chronic organic mental syndromes, or may mimic functional psychiatric illness, in particular depression, anxiety, or psychotic states. Two cases of hypomanic states in homosexual men suffering from AIDS are reported. Neither of the two men had a personal or family history of affective disorder. In one man, hypomanic symptoms were caused by early HIV encephalopathy; he rapidly developed typical HIV dementia with a marked downhill course. In the second case, a clear connection between the hypomanic symptoms and direct HIV brain involvement was not established.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 152 , Issue 6 , June 1988 , pp. 839 - 842
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

Angst, J., Baastrup, P., Grof, P., Hippius, H., Poeldinger, W. & Weiss, P. (1973) The course of monopolar depression and bipolar psychoses. Psychiatria, Neurologie, Neurochirurgia, 76, 489–500.Google Scholar
Barnes, D. M. (1986) AIDS-related brain damage unexplained. Science, 232, 1091–1093.Google Scholar
Carne, C. A., Tedder, R. S. & Smith, A. (1985) Acute encephalopathy coincident with seroconversion for anti-HTLV III. The Lancet, ii, 1206–1208.Google Scholar
Carne, C. A. & Adler, M. W. (1986) Neurological manifestations of human immunodeficiency virus infection. British Medical Journal, 293, 462–463.Google Scholar
Centers For Disease Control (1986) Morbidity and Mortality Weekly Report, 23 May, 334–339.Google Scholar
Dilley, J. W., Ochitill, H. N., Perl, M. & Volberding, P. A. (1985) Findings in psychiatric consultations with patients with Acquired Immune Deficiency Syndrome. American Journal of Psychiatry, 142, 82–86.Google Scholar
Dewhurst, K. (1969) The neurosyphilitic psychoses today: a survey of 91 cases. British Journal of Psychiatry, 115, 31–38.Google Scholar
Levy, R. M., Bredesen, D. E. & Rosenblum, M. L. (1985) Neurological manifestations of the acquired immunodeficiency syndrome (AIDS): experience at UCSF and review of the literature. Journal of Neurosurgery, 62, 475–495.CrossRefGoogle ScholarPubMed
Lishman, W. A. (1978) Organic Psychiatry. Oxford: Blackwell Scientific Publications.Google Scholar
Navia, B. A. & Price, R. W. (1986) Central and peripheral nervous system complications of AIDS. Clinics in Immunology and Allergy, 6, 543–558.CrossRefGoogle Scholar
Perry, S. W. & Tross, S. (1984) Psychiatric problems of AIDS inpatients at the New York Hospital: preliminary report. Public Health Reports, 99, 200–205.Google Scholar
Perry, S. W. & Markowitz, J. (1986) Psychiatric interventions for AIDS-spectrum disorders. Hospital and Community Psychiatry, 37, 1001–1006.Google Scholar
Price, R. W., Navia, B. A. & Cho, E.-S. (1986) AIDS encephalopathy. Neurologic Clinics, 4, 285–301.Google Scholar
Rundell, J. R., Wise, M. G. & Ursano, R. J. (1986) Three cases of AIDS-related psychiatric disorders. American Journal of Psychiatry, 143, 777–778.Google Scholar
Snider, W. D., Simpson, D. M. & Nielsen, S. (1983) Neurological complications of acquired immune deficiency syndrome. Analysis of 50 patients. Annals of Neurology, 14, 403–418.Google Scholar
Welch, K., Finkbeiner, W., Alpers, C. E., Blumenfeld, W., Davis, R. L., Smuckler, E. A. & Beckstead, J. H. (1984) Autopsy findings in the Acquired Immune Deficiency Syndrome. Journal of the American Medical Association, 252, 1152–1159.CrossRefGoogle ScholarPubMed
Wolcott, D. L., Fawzy, I. F. & Pasnan, R. O. (1985) Acquired Immune Deficiency Syndrome (AIDS) and consultation – liaison psychiatry. General Hospital Psychiatry, 7, 280–292.Google Scholar
Wolcott, D. L., Fawzy, I. F. & Pasnan, R. O. (1986) Psychosocial aspects of acquired immune deficiency syndrome and the primary care physician. Annals of Allergy, 57, 95–102.Google Scholar
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