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Two Cases of Hypomania in AIDS

Published online by Cambridge University Press:  02 January 2018

Ulrike Schmidt  and
David Miller
Ulrike Schmidt*
Affiliation:
Department of Psychiatry, Middlesex Hospital
David Miller
Affiliation:
Middlesex Hospital Medical School
*
∗Department of Psychiatry, Middlesex Hospital, Mortimer Street, London WIN 8AA
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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.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 152 , Issue 6 , June 1988 , pp. 839 - 842
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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