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This case underscores the need to maintain a high index of suspicion of possible medical conditions in psychiatric patients. This is especially the case in the presence of unexplained symptoms and when there is a difficulty communicating with the patient. The importance of carrying out a careful physical examination on admission to a psychiatric unit is emphasized. Another indication for further medical investigation in a patient with psychiatric symptoms is the absence of a psychological explanation for a worsening of the psychiatric symptoms.<\/jats:p>","DOI":"10.1177\/070674379403900306","type":"journal-article","created":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T04:00:15Z","timestamp":1493179215000},"page":"153-156","source":"Crossref","is-referenced-by-count":7,"title":["A Case of Paranoid Disorder Associated with Hyperthyroidism"],"prefix":"10.1177","volume":"39","author":[{"given":"Paul Ian","family":"Steinberg","sequence":"first","affiliation":[{"name":"Department of Psychiatry, St. Joseph's Health Centre; Director of Undergraduate Education, Department of Psychiatry; Associate Professor, Departments of Psychiatry and Family Medicine, University of Western Ontario, London, Ontario."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1994,4,1]]},"reference":[{"key":"bibr1-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1969.01740130050004"},{"key":"bibr2-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-196511000-00002"},{"key":"bibr3-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-25-3-327"},{"key":"bibr4-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(66)90057-2"},{"key":"bibr5-070674379403900306","first-page":"993","volume":"15","author":"Flagg G.W.","year":"1956","journal-title":"Can Med Assoc J"},{"issue":"2","key":"bibr6-070674379403900306","first-page":"257","volume":"27","author":"McGaffee J.","year":"1983","journal-title":"American Family Physician"},{"key":"bibr7-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(83)73255-X"},{"key":"bibr8-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(88)90042-X"},{"key":"bibr9-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(87)90105-8"},{"key":"bibr10-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.143.6.696"},{"key":"bibr11-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.143.5.633"},{"issue":"2","key":"bibr12-070674379403900306","first-page":"64","volume":"46","author":"Garrett M.D.","year":"1985","journal-title":"J Clin Psychiatry"},{"key":"bibr13-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1983.01790040068010"},{"key":"bibr14-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.140.4.511-b"},{"key":"bibr15-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(86)90203-2"},{"key":"bibr16-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(84)73070-2"},{"issue":"3","key":"bibr17-070674379403900306","first-page":"106","volume":"46","author":"Lassen E.","year":"1985","journal-title":"J Clin Psychiatry"},{"key":"bibr18-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(83)73207-X"},{"key":"bibr19-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1177\/070674378703200615"},{"key":"bibr20-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(86)72656-X"},{"key":"bibr21-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(86)90060-5"},{"key":"bibr22-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(88)90084-9"},{"key":"bibr23-070674379403900306","doi-asserted-by":"publisher","DOI":"10.1177\/070674378903400115"}],"container-title":["The Canadian Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/070674379403900306","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/070674379403900306","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:11:22Z","timestamp":1777392682000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/070674379403900306"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,4]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1994,4]]}},"alternative-id":["10.1177\/070674379403900306"],"URL":"https:\/\/doi.org\/10.1177\/070674379403900306","relation":{},"ISSN":["0706-7437","1497-0015"],"issn-type":[{"value":"0706-7437","type":"print"},{"value":"1497-0015","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,4]]}}}