Publications by authors named "Ralph Primelo"
Article Synopsis
- A 28-year-old male with a history of cannabis use experienced psychotic symptoms like mood swings and odd behavior, leading to his first psychiatric evaluation.
- After diagnosing him with hypercalcemia, tests confirmed primary hyperparathyroidism (PHPT) as the underlying cause.
- Following surgery to remove the parathyroid gland, the patient no longer required psychiatric medications, highlighting the need to explore organic causes of psychosis, especially in individuals with substance use issues.
Background: Abnormalities in circadian rhythms are prominent features of bipolar disorder. Disrupted circadian rhythms are associated with an increased risk of relapse in bipolar disorder. Normalizing the circadian rhythm pattern of bipolar patients may improve their sleep and lead to fewer mood exacerbations.
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