Panic disorder and hyperthyroidism. Report of two cases

In two females aged 27 and 32 years old, an aggravation of their panic diso rder coincided with the appearance of clinical signs of hyperthyroidism. Th e clinical diagnosis was confirmed with the finding of raised thyroid hormo ne levels and undetectable TSH levels. These two cases highlight the import ance of routine thyroid function assessment in patients with panic disorder , mainly in those with partial response to medications or when symptoms agg ravate, despite an adequate treatment.