{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:51:58Z","timestamp":1777855918864,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Mens Health"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>Hashimoto\u2019s encephalopathy (HE) is a rare autoimmune disorder. It associates encephalopathy with autoimmune thyroiditis, presenting abnormal elevations of thyroid antibodies. It is more common in females. It can present with various symptoms, including seizures, myoclonus, psychosis, hallucinations, and mood disturbances. Hypochondriacal delusion is an unusual clinical presentation of this disorder. The authors report a case of HE in a male patient whose clinical presentation was dominated by hypochondriacal delusion. The absence of response to antipsychotics, high serum antithyroid peroxidase antibodiesof about 199 UI\/ml, the normality of magnetic resonance imaging, and improvement with corticosteroids confirmed the diagnosis. This neuroendocrine disorder is often misdiagnosed and it represents a diagnostic challenge for clinicians. It should be considered in patients presenting a refractory or an atypical neuropsychiatric disorder and having a family history of autoimmune disease.<\/jats:p>","DOI":"10.1177\/1557988320955080","type":"journal-article","created":{"date-parts":[[2020,9,17]],"date-time":"2020-09-17T01:11:57Z","timestamp":1600305117000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Hashimoto\u2019s Encephalopathy Revealed by Hypochondriacal Delusion: A Case Report Involving a Male Patient"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5079-6252","authenticated-orcid":false,"given":"Badii","family":"Amamou","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Fattouma Bourguiba University Hospital, Faculty of Medecine of Monastir, University of Monastir, Monastir, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8698-9339","authenticated-orcid":false,"given":"Imen","family":"Ben Saida","sequence":"additional","affiliation":[{"name":"Medical Intensive Care Unit, Farhat Hached University Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amjed","family":"Ben Haouala","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Fattouma Bourguiba University Hospital, Faculty of Medecine of Monastir, University of Monastir, Monastir, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Mhalla","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Fattouma Bourguiba University Hospital, Faculty of Medecine of Monastir, University of Monastir, Monastir, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferid","family":"Zaafrane","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Fattouma Bourguiba University Hospital, Faculty of Medecine of Monastir, University of Monastir, Monastir, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lotfi","family":"Gaha","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Fattouma Bourguiba University Hospital, Faculty of Medecine of Monastir, University of Monastir, Monastir, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,16]]},"reference":[{"key":"bibr1-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1016\/0014-2999(93)90925-8"},{"key":"bibr2-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(10)70718-0"},{"key":"bibr3-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2010.01967.x"},{"key":"bibr4-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1016\/j.encep.2012.03.002"},{"key":"bibr5-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2011.05.012"},{"key":"bibr6-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1136\/practneurol-2018-002107"},{"key":"bibr7-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1177\/0960327111422404"},{"key":"bibr8-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2007.11.002"},{"key":"bibr9-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1159\/000494800"},{"key":"bibr10-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2017.11.022"},{"issue":"1","key":"bibr11-1557988320955080","first-page":"39","volume":"45","author":"Iglesias-Alonso A.","year":"2017","journal-title":"Actas Espa\u00f1olas de Psiquiatr\u00eda"},{"key":"bibr12-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/3494310"},{"key":"bibr13-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2016.10.008"},{"key":"bibr14-1557988320955080","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2018.00768"},{"key":"bibr15-1557988320955080","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-011-0813-z"},{"key":"bibr16-1557988320955080","doi-asserted-by":"publisher","DOI":"10.4103\/jnrp.jnrp_440_16"},{"issue":"9","key":"bibr17-1557988320955080","first-page":"7","volume":"7","author":"Netuluri N. 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