PSYCHOSIS ASSOCIATED WITH HYPOPITUITARISM

Psychosis is one of many possible psychiatric disturbances associated with endocrinologic abnormalities. Previous reports linking psychosis with hypopituitarism have been limited. Furthermore, such reports sugg ested that the psychotic symptoms were more accurately part of a delir ium. We report two patients with hypopituitarism who presented with ps ychotic symptoms, in the absence of an altered sensorium. They were as signed functional psychiatric diagnoses on initial presentation. Their symptoms abated after correction of underlying hormonal abnormalities . The evaluation and treatment of psychiatric disturbances associated with hypopituitarism are discussed. (C) 1998 Elsevier Science Inc.