Two Cases of Hypomania in AIDS

Author:

Schmidt Ulrike,Miller David

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.

Publisher

Royal College of Psychiatrists

Subject

Psychiatry and Mental health

Reference18 articles.

1. Psychosocial aspects of acquired immune deficiency syndrome and the primary care physician;Wolcott;Annals of Allergy,1986

2. Autopsy Findings in the Acquired Immune Deficiency Syndrome

3. Three cases of AIDS-related psychiatric disorders;Rundell;American Journal of Psychiatry,1986

4. Psychiatric interventions for AIDS-spectrum disorders;Perry;Hospital and Community Psychiatry,1986

5. Psychiatric problems of AIDS inpatients at the New York Hospital: preliminary report;Perry;Public Health Reports,1984

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